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:: Volume 2, Issue 1 (Military Caring Sciences 2015) ::
MCS 2015, 2(1): 14-23 Back to browse issues page
Evaluation of critical care nurses’ knowledge of evidence-based guidelines for prevention of ventilator-associated pneumonia
Samaneh Shahidi Far 1, Amir Emami Zeydi 2, Behzad Taghipour 1, Hamid Sharif Nia 3, Mohammad Ali Soleimani 4, Farshad Hassan Zadeh Kiabi 4, Mohammad Ali Mehdi Soleimani 5, Mohsen Fathi 6, Mohammad Mehdi Noroozi 1, Hosein Vanhari 7
1- BSc Mazandaran University of Medical Sciences
2- PhD Student in Nursing Mazandaran University of Medical Sciences
3- Amol Faculty of Nursing and midwifery, Mazandaran University of Medical Sciences, Sari, Iran and PhD Candidate in Nursing, Faculty of Nursing and Midwifery, Baqiyatallah University of Medical Sciences, Tehran, Iran Mazandaran University of Medical Sciences
4- Assistant Professor Mazandaran University of Medical Sciences
5- Assistant Professor Qazvin University of Medical Sciences
6- MSc in Critical Care Nursing Golestan University of Medical Sciences
7- BSc Amol 17 Shahrivar Hospital, Mazandaran University of Medical Sciences, Sari, Iran
Abstract:   (12530 Views)

 Introduction: Ventilator-associated pneumonia (VAP) is the second most common nosocomial infection overall and the most common nosocomial infection among mechanically ventilated patients in the intensive care units (ICUs). It is associated with significant morbidity and mortality. Considering the importance of prevention of VAP in patients undergoing mechanical ventilation, the aim of this study was to evaluate the critical care nurses’ knowledge of evidence-based guidelines for prevention of VAP.

 Materials & Methods: In a descriptive cross-sectional study, a total of 120 critical care nurses who worked in the ICUs of in Amol and Sari city in 2013, were evaluated. A three part self-reported questionnaire including personal information, multiple choice questions for evaluation of the nurses’ knowledge regarding evidence-based guidelines for prevention of VAP and questions about the barriers of implementing evidence-based practices regarding prevention of VAP in their wards were used for data collection. The collected data were analyzed using descriptive statistics, Pearson correlation coefficient, independent t-test, ANOVA and multiple regression analysis (adjusted) using SPSS 20 software.

 Results: The results of the present study have shown that among all of the participants, 14 (11.6%) were male and 106 (88.33%) were female, with mean±SD age of 32.45±6.11 and average work experience was 8.01±5.005 years. The lowest level of knowledge of nurses (0.5%) were about using endotracheal tubes with extra lumens for drainage of subglottic secretions and the highest level of their knowledge (92.5%) were about the appropriate position for reducing the incidence of VAP in patients undergoing mechanical ventilation. Regarding taking actions based on the evidence in the prevention of VAP, 57.5% of nurses stated that some of these actions are performed routinely in their workplace. Multivariate linear regression analysis revealed that with an increase of one year of work experience, nurse’s knowledge scores have been increased by 10%.

 Discussion & Conclusion: Considering the low level of nurses’ knowledge about evidence-based guideline in the prevention of VAP and its important role in this regard allocation of resources and educational programs regarding evidence-based practice guideline for prevention of VAP and therefore changes of caring methods in patients undergoing mechanical ventilation, can have an important role in the prevention of VAP in these patients.

 

Keywords: Ventilator-associated pneumonia (VAP), Evidence-based nursing, Intensive care unit
Full-Text [PDF 2384 kb]   (5411 Downloads)    
Type of Study: Research | Subject: Special
Received: 2014/11/17 | Accepted: 2015/02/22 | Published: 2015/04/26
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Shahidi Far S, Emami Zeydi A, Taghipour B, Sharif Nia H, Soleimani M A, Hassan Zadeh Kiabi F, et al . Evaluation of critical care nurses’ knowledge of evidence-based guidelines for prevention of ventilator-associated pneumonia. MCS. 2015; 2 (1) :14-23
URL: http://mcs.ajaums.ac.ir/article-1-21-en.html


Volume 2, Issue 1 (Military Caring Sciences 2015) Back to browse issues page
مجله علوم مراقبتی نظامی Military Caring Sciences
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