Context: Ventilator-associated pneumonia (VAP) is considered to be one of the leading cause of morbidity and mortality due to nosocomial infections among ventilated patients.
Aim: To evaluate the effect of a designed bundle protocol about ventilator associated pneumonia on nurses performance, compliance and patient outcomes.
Methods: A quasi-experimental research design was utilized to conduct of the study. Setting: This study was conducted at the intensive care unit of Benha University Hospital. Subjects: Convenience sample of 50 critical care nurses and a purposive sample consisted of 66 patients were enrolled in the current study. Tools: three tools were used to collect data (1) Nurses performance assessment checklist (2) The VAP bundle compliance checklist and (3) Patient outcomes assessment record.
Results: The present study revealed that 70% of nurses age was less than 30 years old, 88 % were married, 76 % were staff nurse, 46 % had secondary nursing education, 92% had never participated in any training sessions related to VAP prevention. 74% of studied nurses had total unsatisfactory knowledge level pre-designed bundle protocol implementation. However, 60% of studied nurses had good knowledge level immediately post designed bundle protocol implementation .70 % of studied nurses had total unsatisfactory practice level pre-designed bundle protocol implementation. However, 66% of studied nurses had good practice level immediately post designed bundle protocol implementation .Also,64 % of studied nurses had total unsatisfactory compliance level pre-designed bundle protocol implementation. However, 58% of studied nurses had good compliance level immediately post designed bundle protocol implementation .. As well, immediately after a designed bundle protocol implementation on study group patients , there is a statistical significant difference between all variables of clinical pulmonary infection scores except for oxygenation status and radiographic findings Conclusion: The study group nurses who received designed bundle protocol training would get higher knowledge, practices and compliance scores than pre deigned bundle protocol training. Also, the study group patients who cared by a designed bundle protocol would get better outcomes such as better score of CPIS, shorter length of stay in intensive care unit , less duration on mechanical ventilation compared to the control group who received routine hospital nursing care. Recommendation : the study recommended the training of the nurses on application of VAP bundle strategy . Further research is suggested on a larger sample size & estimate its effect on nurses‟ performance |
