Knowledge and Practices of Intensive Care Unit Nurses Related to Prevention of Ventilator Associated Pneumonia in Selected Intensive Care Units of a Tertiary Care Centre, India
Abstract
Background: Ventilator‑Associated Pneumonia (VAP) is a recognized nosocomial infection and a leading cause of high morbidity and mortality. Intensive Care Unit (ICU) nurses are in the best position to put the known evidence‑based strategies into practice to prevent VAP. The aim of the present study is to assess the knowledge and practices of ICU nurses related to prevention of VAP in selected ICUs of a tertiary care centre in India (2013–2014) and to find out the association between knowledge and practices.
Materials and Methods: A descriptive survey was conducted in the different ICUs of a tertiary care hospital in India. Purposive sampling technique was used and 108 ICU staff nurses were enrolled during the period of data collection. The tool used for data collection was a self‑developed valid and reliable knowledge‑based questionnaire and an observational checklist. The descriptive (frequency and percentages) and inferential (Chi‑square test) statistics was used.
Results Out of the 108 nurses enrolled in the study, 82 (75.93%) had average, 24 (22.22%) had good and only 2 (1.85%) of the ICU nurses had poor knowledge. Assessment of the practices revealed that 68 (94.44%) nurses had average and only 4 (5.55%) nurses had good practice. There was no association between the knowledge and practices of ICU nurses related to prevention of VAP. (χ2 = 0.14, p = 0.710).
Conclusions: Although the nurses were having good to average knowledge scores, their practices were not associated with knowledge scores. There is a need to find out the ways that would help the nurses to adhere to good practices.
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Center for Disease Control. Ventilator associated Pneumonia (VAP) HAI. Available from: https://www.cdc.gov/hai/vap/vap. html. [Last cited on 2018 Nov 25].
Keyt H, Faverio P, Restrepo MI. Prevention of ventilator associated pneumonia in the intensive care unit: A review of the clinically relevant recent advancements. Indian J Med Res 2014;139:814 21.
Center for Disease Control. Device associated module. Pneumonia (Ventilator associated [VAP] and non ventilator associated Pneumonia [PNEU]) Event. Available from: https://www.cdc. gov/nhsn/pdfs/pscmanual/6pscvapcurrent.pdf. [Last cited on 2018 Jan 17].
Munro CL, Grap MJ, Jones DJ, McClish DK, Sessler CN. Chlorhexidine, toothbrushing, and preventing ventilator associated pneumonia in critically ill adults. Am J Crit Care Off Publ Am Assoc Crit Care Nurses 2009;18:428 38.
El Khatib MF, Zeineldine S, Ayoub C, Husari A, Bou Khalil PK. Critical care clinicians’ knowledge of evidence based guidelines for preventing ventilator associated pneumonia. Am J Crit Care 2010;19:272 6.
Ally TS. A study to assess knowledge and practices of intensive care nurses on prevention of ventilator associated pneumonia at Muhimbli National Hospital, University of Health and Allied Sciences. 2012. Available from: http://ihi.eprints.org/1594/1/ Ally_Tatu_Said.pdf. [Last cited on 2018 Jan 17].
Blot S, Rello J, Vogelaers D. What is new in the prevention of ventilator associated pneumonia? Curr Opin Pulm Med 2011;17:155 9.
O’Keefe McCarthy S, Santiago C, Lau G. Ventilator associated pneumonia bundled strategies: An evidence based practice. Worldviews Evid Based Nurs 2008;5:193 204.
Musvosvi Ennies. The impact of in service education on icu nurses’ knowledge and compliance with practices for preventing ventilator-associated pneumonia Final Musvosvi.pdf. Available from: http://csuchico dspace.calstate.edu/bitstream/ handle/10211.4/557/Final Musvosvi.pdf;sequence=1. [Last cited on 2018 Jan 17].
Ali NS. Critical care nurses’ knowledge and compliance with ventilator associated pneumonia bundle at Cairo University Hospitals. J Educ Pract 2013;15:66 77. Available from: http://www.iiste.org/Journals/index.php/JEP/article/viewFile/ 6821/6934. [Last cited on 2014 Jan 27].
Center for Health protection. Recommendations on Prevention of Ventilator associated Pneumonia. Available from: http://www. chp.gov.hk/files/pdf/recommendations_on_prevention_of_vap. pdf. [Last cited on 2018 Jan 17].
Llauradó M, Labeau S, Vandijck D, Rello J, Rosa A, Riera A, et al. [Southern European intensive care nurses’ knowledge of evidence based guidelines for preventing ventilator associated pneumonia]. Med Intensiva 2011;35:6 12.
Jansson M, Ala Kokko T, Ylipalosaari P, Syrjälä H, Kyngäs H. Critical care nurses’ knowledge of, adherence to and barriers towards evidence based guidelines for the prevention of ventilator associated pneumonia a survey study. Intensive Crit Care Nurs 2013;29:216 27.
Methods to improve healthcare worker hand hygiene to decrease infection in patient care. Available from:/CD005186/EPOC_ methods improve-healthcare worker hand hygiene decrease infec tion patient care. [Last cited on 2018 Oct 16].
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