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The Impact of Structured Teaching Program on ICU Nurses Regarding Prevention of Ventilator Associated Pneumonia

Received: 24 April 2022    Accepted: 18 May 2022    Published: 5 July 2022
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Abstract

Ventilator Associated Pneumonia (VAP) is one of the most common device related infections in ICUs and although with advanced intervention strategies yet it is associated with high mortality rate. Prevention of VAP is vital while caring for mechanically ventilated patient. The nurse's role in prevention of VAP is extremely significant as they are the primary care givers and provide constant care to the critically ill patient. The research was conducted to evaluate the impact of structured teaching program on ICU nurses regarding prevention of ventilator associated pneumonia. The main objectives of the research study were to assess ICU nurses knowledge about prevention of VAP, to evaluate the effectiveness of structured teaching programme on prevention of VAP among ICU nurses and to determine the association among ICU nurses knowledge regarding prevention of VAP with their selected demographic variable. Method: An evaluative research model was used without any control group using pre- experimental design, with purposive sampling technique with one group pre-test and post-test. 60 Registered ICU Nurses were participated in study and evaluated using semi- structured knowledge questionnaire. STP was implemented, using same tool 7 days later post-test was conducted. Results: Overall, pretest knowledge scores on prevention of VAP was found to be 49.8% and the overall posttest knowledge scores were recorded as 74.4% thereby 24.6% of enhancement in the mean percentage knowledge score was found which is significant at with P<0.001 level. Also significant association between knowledge scores & selected demographic variables were found with age (χ2 28.01), marital status (χ2 37.51), income (χ2 36.11), professional educational qualification (χ2 24.75), clinical experience (χ2 37.98), knowledge about VAP (χ2 38.5) and source of information on VAP (χ2 16.93) and no association found with gender. Conclusion: The study concluded that knowledge deficiency persist among staff nurses regarding prevention of Ventilator Associated Pneumonia and STP shows efficiency in improving their knowledge.

Published in Journal of Family Medicine and Health Care (Volume 8, Issue 3)
DOI 10.11648/j.jfmhc.20220803.11
Page(s) 42-55
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Ventilator Associated Pneumonia, Knowledge, ICU Staff Nurses, Structured Teaching Program

References
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[3] Klevens RM, Edwards JR, Richards CL. Estimating health care associated infections and deaths in U.S hospitals [cited 2011 Nov]; 122 (2): 16–60. Available from: http://en.wikipedia.org/wiki/Nosocomial infection.
[4] CDC. Guidelines for preventing Health -Care -Associated Pneumonia, 2003. Recommendation of the CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR 2004; 53 (No.RR-3) https://www.cdc.gov/nhsn/PDFs/pscManual/6pscVAPcurrent.
[5] Saroj Golia, Microbial Profile of Early and Late Onset Ventilator Associated Pneumonia in the Intensive Care Unit of a Tertiary Care Hospital in Bangalore, India. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3879896
[6] Vicent Bankanie, Assessment of knowledge and compliance to evidence-based guidelines for VAP prevention among ICU nurses in Tanzania https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-021-00735-8
[7] Abhijit Chaudhury, A Shobha Rani, Usha Kalawat, Sachin Sumant, Anju Verma, B Venkataramana, Antibiotic resistance & pathogen profile in ventilator-associated pneumonia in a tertiary care hospital in India Department of Microbiology, Sri Venkateswara Institute of Medical Sciences, Tirupati, India http://www.ijmr.org.in/article.asp?issn=09715916; year=2016; volume=144; i ssue=3; spage=440; epage=446; aulast=Chaudhury
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[9] Swetha K, Beena P M, Gokul B N, Dinesh. Microbial profile of ventilator associated pneumonia at a rural tertiary care centre-Journal of Clinical and Biomedical Sciences http://www.jcbsonline.ac.in/Articles/11.%20Clinical%20investigation%202%20final%20print.pdf
[10] Xu Y, Lai C, Xu G, Meng W, Zhang J, Hou H, Pi H Risk factors of ventilator-associated pneumonia in elderly patients receiving mechanical ventilation, Published 7 June 2019 Volume 2019: 14 Pages 1027—1038, D https://doi.org/10.2147/CIA.S197146 https://www.dovepress.com/risk-factors-of-ventilator-associated-pneumonia-in-elderly-patients-re-peer-reviewed-fulltext-article-CIA
[11] Ranjan N, Chaudhary U, Chaudhry D, Ranjan KP. Ventilator-associated pneumonia in a tertiary care intensive care unit: Analysis of incidence, risk factors and mortality.Indian J Crit Care Med. 2014 Apr; 18 (4): 200-4. doi: 10.4103/0972- 5229.130570 https://www.ncbi.nlm.nih.gov/pubmed/24872648
[12] Bouadma, Lila MD; Mourvillier, Bruno MD; Deiler, Véronique RN; Le Corre, Bertrand RN; Lolom, Isabelle BS; Régnier, Bernard MD; Wolff, Michel MD; Lucet, Jean-Christophe MD, PhD. A multifaceted program to prevent ventilator-associated pneumonia: Impact on compliance with preventive measures http://journals.lww.com/ccmjournal/Abstract/2010/03000/A_multifacetedpr ogram_to_prevent.8.aspx
[13] Indian J Anaesth. 2016 May; 60 (5): 319–324. Efficacy of intermittent sub- glottic suctioning in prevention of ventilator-associated pneumonia- A preliminary study of 100 patients: doi: 10.4103/0019-5049.181592 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870944/
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  • APA Style

    Mumtaz Fathima. (2022). The Impact of Structured Teaching Program on ICU Nurses Regarding Prevention of Ventilator Associated Pneumonia. Journal of Family Medicine and Health Care, 8(3), 42-55. https://doi.org/10.11648/j.jfmhc.20220803.11

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    ACS Style

    Mumtaz Fathima. The Impact of Structured Teaching Program on ICU Nurses Regarding Prevention of Ventilator Associated Pneumonia. J. Fam. Med. Health Care 2022, 8(3), 42-55. doi: 10.11648/j.jfmhc.20220803.11

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    AMA Style

    Mumtaz Fathima. The Impact of Structured Teaching Program on ICU Nurses Regarding Prevention of Ventilator Associated Pneumonia. J Fam Med Health Care. 2022;8(3):42-55. doi: 10.11648/j.jfmhc.20220803.11

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  • @article{10.11648/j.jfmhc.20220803.11,
      author = {Mumtaz Fathima},
      title = {The Impact of Structured Teaching Program on ICU Nurses Regarding Prevention of Ventilator Associated Pneumonia},
      journal = {Journal of Family Medicine and Health Care},
      volume = {8},
      number = {3},
      pages = {42-55},
      doi = {10.11648/j.jfmhc.20220803.11},
      url = {https://doi.org/10.11648/j.jfmhc.20220803.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20220803.11},
      abstract = {Ventilator Associated Pneumonia (VAP) is one of the most common device related infections in ICUs and although with advanced intervention strategies yet it is associated with high mortality rate. Prevention of VAP is vital while caring for mechanically ventilated patient. The nurse's role in prevention of VAP is extremely significant as they are the primary care givers and provide constant care to the critically ill patient. The research was conducted to evaluate the impact of structured teaching program on ICU nurses regarding prevention of ventilator associated pneumonia. The main objectives of the research study were to assess ICU nurses knowledge about prevention of VAP, to evaluate the effectiveness of structured teaching programme on prevention of VAP among ICU nurses and to determine the association among ICU nurses knowledge regarding prevention of VAP with their selected demographic variable. Method: An evaluative research model was used without any control group using pre- experimental design, with purposive sampling technique with one group pre-test and post-test. 60 Registered ICU Nurses were participated in study and evaluated using semi- structured knowledge questionnaire. STP was implemented, using same tool 7 days later post-test was conducted. Results: Overall, pretest knowledge scores on prevention of VAP was found to be 49.8% and the overall posttest knowledge scores were recorded as 74.4% thereby 24.6% of enhancement in the mean percentage knowledge score was found which is significant at with P2 28.01), marital status (χ2 37.51), income (χ2 36.11), professional educational qualification (χ2 24.75), clinical experience (χ2 37.98), knowledge about VAP (χ2 38.5) and source of information on VAP (χ2 16.93) and no association found with gender. Conclusion: The study concluded that knowledge deficiency persist among staff nurses regarding prevention of Ventilator Associated Pneumonia and STP shows efficiency in improving their knowledge.},
     year = {2022}
    }
    

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    T1  - The Impact of Structured Teaching Program on ICU Nurses Regarding Prevention of Ventilator Associated Pneumonia
    AU  - Mumtaz Fathima
    Y1  - 2022/07/05
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    JO  - Journal of Family Medicine and Health Care
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    AB  - Ventilator Associated Pneumonia (VAP) is one of the most common device related infections in ICUs and although with advanced intervention strategies yet it is associated with high mortality rate. Prevention of VAP is vital while caring for mechanically ventilated patient. The nurse's role in prevention of VAP is extremely significant as they are the primary care givers and provide constant care to the critically ill patient. The research was conducted to evaluate the impact of structured teaching program on ICU nurses regarding prevention of ventilator associated pneumonia. The main objectives of the research study were to assess ICU nurses knowledge about prevention of VAP, to evaluate the effectiveness of structured teaching programme on prevention of VAP among ICU nurses and to determine the association among ICU nurses knowledge regarding prevention of VAP with their selected demographic variable. Method: An evaluative research model was used without any control group using pre- experimental design, with purposive sampling technique with one group pre-test and post-test. 60 Registered ICU Nurses were participated in study and evaluated using semi- structured knowledge questionnaire. STP was implemented, using same tool 7 days later post-test was conducted. Results: Overall, pretest knowledge scores on prevention of VAP was found to be 49.8% and the overall posttest knowledge scores were recorded as 74.4% thereby 24.6% of enhancement in the mean percentage knowledge score was found which is significant at with P2 28.01), marital status (χ2 37.51), income (χ2 36.11), professional educational qualification (χ2 24.75), clinical experience (χ2 37.98), knowledge about VAP (χ2 38.5) and source of information on VAP (χ2 16.93) and no association found with gender. Conclusion: The study concluded that knowledge deficiency persist among staff nurses regarding prevention of Ventilator Associated Pneumonia and STP shows efficiency in improving their knowledge.
    VL  - 8
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Author Information
  • Nursing Education and Research Department, King Fahad Hospital Madina/Rajiv Gandhi University of Health and Sciences, Bangalore, India

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