Academia Open
Vol 9 No 1 (2024): June
Clinical Research

Preventive Measures of Ventilator-Associated Pneumonia among Intensive Care Unit Nurses
Tindakan Pencegahan Pneumonia Terkait Ventilator di antara Perawat Unit Perawatan Intensif


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  • Saja Kareem Jassim*
Saja Kareem Jassim
Assistant Lecturer, Fundamentals of Nursing Department, College of Nursing, University of Basrah, Basrah, Iraq, Iraq *

(*) Corresponding Author
Picture in here are illustration from public domain image or provided by the author, as part of their works
DOI: https://doi.org/10.21070/acopen.9.2024.10291
Published June 14, 2024
Keywords
  • Ventilator-associated pneumonia,
  • ICU nurses,
  • preventive practices,
  • demographic characteristics,
  • patient outcomes.
How to Cite
Jassim, S. K. (2024). Preventive Measures of Ventilator-Associated Pneumonia among Intensive Care Unit Nurses. Academia Open, 9(1), 10.21070/acopen.9.2024.10291. https://doi.org/10.21070/acopen.9.2024.10291

Copyright (c) 2024 Saja Kareem Jassim

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

General Background: Ventilator-associated pneumonia (VAP) significantly prolongs intensive care unit (ICU) hospitalizations, elevating healthcare costs and increasing mortality risk. Specific Background: Despite existing knowledge of VAP's impact, there is limited research on the preventative practices of ICU nurses, a critical factor in mitigating this condition. Knowledge Gap: This study explores ICU nurses' preventive measures for VAP and their correlation with demographic characteristics, highlighting a gap in literature. Results: Conducted from November 1, 2023, to April 10, 2024, at Basrah hospitals, the study involved 93 purposively sampled ICU nurses. The findings revealed that 48.4% of participants exhibited moderate preventive behavior, while 39.8% displayed poor preventive behavior. Notably, a significant relationship was found between the preventative behavior scores and the education level, as well as years of service in the ICU. Novelty: The study provides valuable insights into the current VAP prevention practices among ICU nurses, highlighting demographic factors that influence these behaviors. Implications: The study highlights the need for educational interventions to improve ICU nurses' preventative practices, potentially reducing VAP incidence and improving patient outcomes in intensive care settings.

Higlights:

 

  1. Moderate Preventive Behavior: 48.4% of ICU nurses showed moderate VAP prevention practices.
  2. Demographic Relationships: Education level and service years influence preventive behavior scores.
  3. Training Necessity: Targeted education needed to improve VAP prevention among ICU nurses.

 

Keywords: Ventilator-associated pneumonia, ICU nurses, preventive practices, demographic characteristics, patient outcomes.

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References

  1. . A. A. Othman and M. S. Abdelazim, "Ventilator-Associated Pneumonia in Adult Intensive Care Unit Prevalence and Complications," The Egyptian Journal of Critical Care Medicine, vol. 5, no. 2, pp. 61–63, Aug. 2017. doi: 10.1016/j.ejccm.2017.06.001.
  2. . A. Sikora and F. Zahra, "Candida Auris: Continuing Education Activity," StatPearls, 2021. [Online]. Available: https://www.ncbi.nlm.nih.gov/books/NBK563297. [Accessed: Dec. 17, 2021].
  3. . M. J. Richards, J. R. Edwards, D. H. Culver, and R. P. Gaynes, "Nosocomial Infections in Medical Intensive Care Units in the United States," Critical Care Medicine, vol. 27, no. 5, pp. 887–892, May 1999. doi: 10.1542/peds.103.4.e39.
  4. . R. N. Kinuthia, "Risk Factors and Treatment Patterns of Ventilator-Associated Pneumonia in Intensive Care Patients at Kenyatta National Hospital," Doctoral dissertation, University of Nairobi, Nairobi, Kenya, 2022. doi: 10.123456789/25140.
  5. . P. Ramirez, G. L. Bassi, and A. Torres, "Measures to Prevent Nosocomial Infections During Mechanical Ventilation," Current Opinion in Critical Care, vol. 18, no. 1, pp. 86–92, Feb. 2012. doi: 10.1097/MCC.0b013e32834ef3ff.
  6. . T. Bajpai, G. Shrivastava, G. S. Bhatambare, A. B. Deshmukh, and V. Chitnis, "Microbiological Profile of Lower Respiratory Tract Infections in Neurological Intensive Care Unit of a Tertiary Care Center from Central India," Journal of Basic and Clinical Pharmacy, vol. 4, no. 3, pp. 51–54, Jun. 2013. doi: 10.4103/0976-0105.118789.
  7. . A. A. Kalanuria, W. Zai, and M. Mirski, "Ventilator-Associated Pneumonia in the ICU," Critical Care, vol. 18, pp. 1–8, Apr. 2014. doi: 10.1186/cc13775.
  8. . S. Lukas, U. Hogan, V. Muhirwa, C. Davis, J. Nyiligira, O. Ogbuagu, and R. Wong, "Establishment of a Hospital-Acquired Infection Surveillance System in a Teaching Hospital in Rwanda," International Journal of Infection Control, vol. 12, no. 3, Sep. 2016. doi: 10.3396/ijic.v12i3.16200.
  9. . J. Fumagalli, M. Panigada, M. Klompas, and L. Berra, "Ventilator-Associated Pneumonia Among SARS-CoV-2 Acute Respiratory Distress Syndrome Patients," Current Opinion in Critical Care, vol. 28, no. 1, pp. 74–82, Feb. 2022. doi: 10.1097/MCC.0000000000000908.
  10. . C. O. Pickens, C. A. Gao, M. J. Cuttica, S. B. Smith, L. L. Pesce, R. A. Grant, M. Kang, L. Morales-Nebreda, A. A. Bavishi, J. M. Arnold, A. Pawlowski, "Bacterial Superinfection Pneumonia in Patients Mechanically Ventilated for COVID-19 Pneumonia," American Journal of Respiratory and Critical Care Medicine, vol. 204, no. 8, pp. 921–932, Oct. 2021. doi: 10.1164/rccm.202106-1354OC.
  11. . A. F. Tolentino-DelosReyes, S. D. Ruppert, and S. Y. Shiao, "Evidence-Based Practice: Use of the Ventilator Bundle to Prevent Ventilator-Associated Pneumonia," American Journal of Critical Care, vol. 16, no. 1, pp. 20–27, Jan. 2007. doi: 10.4037/ajcc2007.16.1.20.
  12. . T. P. Hellyer, V. Ewan, P. Wilson, and A. J. Simpson, "The Intensive Care Society Recommended a Bundle of Interventions for the Prevention of Ventilator-Associated Pneumonia," Journal of the Intensive Care Society, vol. 17, no. 3, pp. 238–243, Aug. 2016. doi: 10.1177/1751143716644.
  13. . S. Burja, T. Belec, N. Bizjak, J. Mori, A. Markota, and A. Sinkovič, "Efficacy of a Bundle Approach in Preventing the Incidence of Ventilator-Associated Pneumonia," Bosnian Journal of Basic Medical Sciences, vol. 18, no. 1, pp. 105–110, Feb. 2018. doi: 10.17305/bjbms.2017.2278.
  14. . Z. S. Dawood, K. M. Jassim, A. M. Tiryag, and A. S. Khudhair, "Nurses' Knowledge and Attitudes Toward Deep Vein Thrombosis: A Cross-Sectional Study," Bahrain Medical Bulletin, vol. 45, no. 4, pp. 45-50, Dec. 2023.
  15. . D. U. Dumbre, "A Study to Assess the Knowledge and Compliance of Critical Care Nurses Regarding Ventilator Care Bundle in the Prevention of Ventilator-Associated Pneumonia," Medico-Legal Update, vol. 19, no. 1, pp. 35–40, Jan. 2019. doi: 10.5958/0974-1283.2019.00035.5.
  16. . H. A. Hadi Atiyah and M. M. Abdul-Wahhab, "Nurses' Knowledge Toward Essential Care for Adult Patients Undergoing Mechanical Ventilation at Critical Care Unit in Baghdad City," Higher Education, vol. 4, no. 8, pp. 100–105, 2016. doi: 10.9790/1959-0505067276.
  17. . P. Raiju, G. R. Gireesh, B. T. Sachina, and A. Barnes, "Effectiveness of Structured Teaching Program on Knowledge Regarding Modes of Mechanical Ventilator Among Staff Nurses at a Selected Hospital, Bangalore," Asian Journal of Nursing Education and Research, vol. 5, no. 1, pp. 98–104, 2015. doi: 10.5958/2349-2996.2015.00021.X.
  18. . E. Ruririmbwa, "Assessing Measures for Preventing Ventilator-Associated Pneumonia Among Nurses Working in Intensive Care Units: A Case of Two Selected Referral Hospitals in Kigali," Doctoral dissertation, University of Rwanda, Kigali, Rwanda, 2022. [Online]. Available: http://hdl.handle.net/123456789/399.
  19. . K. A. Hassen, M. A. Nemera, A. W. Aniley, A. B. Olani, and S. G. Bedane, "Knowledge Regarding Mechanical Ventilation and Practice of Ventilatory Care Among Nurses Working in Intensive Care Units in Selected Governmental Hospitals in Addis Ababa, Ethiopia: A Descriptive Cross-Sectional Study," Critical Care Research and Practice, vol. 2023, pp. 1–6, 2023. doi: 10.1155/2023/4977612.
  20. . S. Kwak and S. Han, "Development of a Tool for Measuring Ventilator-Associated Pneumonia Prevention Behaviors of Intensive Care Unit Nurses," International Journal of Environmental Research and Public Health, vol. 19, no. 14, pp. 1–12, Jul. 2022. doi: 10.3390/ijerph19148822.
  21. . A. M. Tiryag, S. B. Dawood, and S. K. Jassim, "Nurses’ Knowledge and Attitudes About Enteral Feeding Complications by Nasogastric Tube in Intensive Care Units," Rawal Medical Journal, vol. 48, no. 3, pp. 689–693, Jul. 2023.
  22. . H. L. Lin, C. C. Lai, and L. Y. Yang, "Critical Care Nurses' Knowledge of Measures to Prevent Ventilator-Associated Pneumonia," American Journal of Infection Control, vol. 42, no. 8, pp. 923–925, Aug. 2014. doi: 10.1016/j.ajic.2014.05.012.
  23. . G. Ab Getahun, Y. Belsti, M. Getnet, D. A. Bitew, Y. Y. Gela, D. G. Belay, B. Terefe, Y. Akalu, and M. Diress, "Knowledge of Intensive Care Nurses Towards Prevention of Ventilator-Associated Pneumonia in North West Ethiopia Referral Hospitals," Annals of Medicine and Surgery, vol. 78, pp. 103895, Jun. 2022, doi: 10.1016/j.amsu.2022.103895.