EFFECT OF SENSITIZING PROGRAM ON COMPLIANCE TO MODIFIED EVIDENCE-BASED VAP BUNDLE PRACTICES ON VENTILATOR ASSOCIATED PNEUMONIA AMONG THE PATIENTS ON MECHANICAL VENTILATORS
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Keywords
Ventilator-Associated Pneumonia, VAP bundle care, Mechanical ventilator, Sensitizing program, Critical care unit, Compliance
Abstract
Background: Ventilator-associated pneumonia (VAP) is one of the leading concerns of intensivists.
Aim: It is critical that healthcare professionals follow the best evidence-based interventions that are both cost-effective and preventive in order to deliver high-quality care and decrease costs, morbidity, and mortality among ICU patients. The purpose of this study was to assess the efficacy of compliance with a modified evidence-based VAP bundle in reducing the incidence of ventilator-associated pneumonia.
Methods: For a period of 6 months (3 months before and 3 months after the implementation of the intervention), a prospective cohort interventional trial on modified evidence-based VAP bundle care) with 390 patients (180 patients in the pre-implementation group and 210 patients in the post-implementation group for 3 months) was undertaken in adult critical care units. Ventilator-associated pneumonia infection rates were expressed as incidence rates. The data on compliance with the modified evidence-based VAP bundle was collected using a structured checklist.
Results: The study results revealed a significant improvement mean rank of compliance of nurses to the modified bundle components. The VAP rate significantly decreased from 6.7 to 0.8/1000 at p0.01 in the post-implementation period, with the 'Z' value of 16.14 (p<0.001) in the post-implementation group (280.8) compared to the pre-implementation group (95.99).
Conclusion: VAP rates were significantly reduced when all the elements of the modified VAP bundle of care were strictly followed. Auditing adherence to the care bundle is a useful strategy for improving the outcome. The Hospital infection control committees (HICC) should not only adopt cost-effective care packages but also audit the adherence to each element as standard operating practice.
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DR. SASIKALA. D, Apollo College of Nursing, Chennai, The TN Dr.MGR Medical University, Chennai, India
Profesor/ Head of the Department, Apollo College of Nursing, The TN Dr.MGR Medical University, Chennai, India
Dr. Lizy Sonia Benjamin, King Khalid University, Abha, Saudi Arabia
Assistant Professor, Department of Medical-Surgical Nursing, College of Nursing, King Khalid University, Abha, Saudi Arabia
DR. AIDA SANAD ALQARNI, King Khalid University, Abha, Saudi Arabia
Dean, College of Nursing, King Khalid University, Abha, Saudi Arabia