Effect of an Educational Program for Nurses about Prevention of Ventilator Associated Pneumonia in Neonatal Intensive Care Units | ||||
Port Said Scientific Journal of Nursing | ||||
Volume 10, Issue 3, September 2023, Page 236-262 PDF (743.19 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/pssjn.2023.167690.1224 | ||||
![]() | ||||
Authors | ||||
Sahar Abd El-Sattar El-Sayed ![]() | ||||
1pediatric nursing, faculty of nursing, port said university | ||||
2pediatric nursing , faculty of nursing, Port Said university | ||||
Abstract | ||||
Background: Ventilator associated pneumonia is a sever consequence in neonates receiving mechanical ventilation which represents 6.8-32.2% of healthcare-associated infections among neonates. The study aimed to evaluate effect of an educational program for nurses about prevention of ventilator associated pneumonia in neonatal intensive care units. Subjects and methods: Design: A quasi-experimental research design was used (one group). Setting: This study was applied in neonatal intensive care units at El-Salam hospital & Specialized obstetric hospital and Al-Hayat hospital affiliated to the universal health insurance in Port Said Governorate. Subjects: The study included all nurses working in the previous settings (60 nurses) and 40 mechanically ventilated neonates. Tools: Two tools were used; questionnaire sheet and observational checklists. Results: The present study showed that only two fifths of the studied nursing staff had satisfactory total knowledge score pre-program and increased to one hundred percent immediately post program, while slightly decline at follow up phase. Also, improvements in total practices of the studied nurses throughout program phases occur which nearly one quarter of them had adequate total practice score pre-program phase, while majority of them had adequate total practice score in immediate post program phase and at follow up phase. Conclusion: The training program was successful in enhancing nurses' skills and knowledge in reducing ventilator-associated pneumonia. Recommendations: Periodic in-service training programs are recommended to enhance nurses' performance to protect newborns against ventilator-associated pneumonia. | ||||
Keywords | ||||
Educational program; Neonatal intensive care unit; Nurses; Prevention; Ventilator associated pneumonia | ||||
References | ||||
Abou Zed, F., & Mohammed, A. (2019). Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. Journal of Nursing Education and practice, 9 (10), 1-14
Akl, B., Saadoon, M., Sayed, A. (2020). Effectiveness of ventilator associated pneumonia care bundle on the pediatric critical care nurses knowledge, practice and critically ill neonates outcome. Journal of Nursing and Health Science, 9(3), 57-68 Alayed,Y., Kilani, M., Hommadi, A., Alkhalifah, M., Alhaffar, D.,& Bashir, M. (2022). Accuracy of the axillary temperature screening compared to core rectal temperature in infants. Global Pediatric Health, 9 (1), 1-7
Aloush, S. (2017). Nursing students’ knowledge about ventilator associated pneumonia prevention guidelines: effectiveness of a teaching program. American Journal of Infection Control, 45(1), 544–546
Amin, F., Samra, O., & Lawend, J. (2021). Effect of care bundle strategies on nurses' performance regarding prevention of ventilator associated pneumonia at neonatal intensive care unit. Tanta Scientific Nursing Journal, 23 (4), 96- 115
Bhalla, A., Newth, C., & Khemani, R. (2015). Respiratory support in children pediatrics and child health, 3rd ed., Elsevier, USA, Pp.214-221.
Bowden, V., & Greenberg, C. (2016). Pediatric nursing procedures, 4rd ed., Wolters kluwer, Lippincott Williams &wilkins. China,P.p 275-280 ; 511 -517; 672-677
Center for Disease Control and Prevention (2015). Guidelines for preventing health-care-associated pneumonia: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR 2015; 53 (No. RR-3)
Chakkarapani, A., Adappa, R., Ali, S., Gupta, S., Soni, N., Chicoine, L., & Hummler, H. (2020). "Current concepts of mechanical ventilation in neonates ”Part 1: Basics. International Journal of Pediatric and Adolescent Medicine, 7(1), 13–18
Dipanjali, R., Shivanada, P., Yashoda, S. (2021). Effectiveness of an educational intervention on knowledge and practice of staff nurses on prevention of ventilator associated pneumonia (VAP) among neonates in NICU. International Journal of Caring Sciences, 14(1), 1-10
Dell’Orto, V., Raschetti, R., Centorrino, R., Montane, A., Tissieres, P., Yousef, N., & De Luca, D. (2019). Short- and long-term respiratory outcomes in neonates with ventilator-associated pneumonia. Pediatr Pulmonol, 54 (12), 1982–1988.
Elbilgahy, A., Ouda, W., Elassmy, M., & Hashem, S. (2016). Prevention of pediatric ventilator associated pneumonia at pediatric intensive care unit: Effect of implementing training program for nurses, published Doctorate thesis, University of Mansoura, Egypt.
Gomes, F., Röder, D., Cunha, T., Cardoso- Filho, G., Mendes- Rodrigues, C., Silva, G., & Pereira, E. (2020). Adherence to ventilator-associated pneumonia prevention measures in intensive care. Rev. Pre. Infec. Saúde., 6(9165), 1-8
Hooven, T., & Polin, R. (2017). Pneumonia. Semin Fetal Neonatal Med., 22 (1), 206–13.
Hussien, K., Ghrayeb, F., & Al- khatib, S. (2017). Impact of education on nurses' knowledge of ventilator-associated pneumonia in neonatal settings at southern west bank hospitals: An intervention study, published Master thesis of pediatric nursing, Faculty of Health Profession, AL-Quds University.
Iosifidis, E., Pitsava, G., & Roilides, E. (2018).Ventilator -associated pneumonia in neonates and children: a systematic analysis of diagnostic methods and prevention. Future Microbiol., 13(12), 143-146.
Ismail, R., & Zahran, E. (2015). The effect of nurses training on ventilator- associated pneumonia (VAP) prevention bundle on VAP incidence rate at a critical care unit. Journal of Nursing Education and Practice, 5(12), 42-48
Jiang, K., Wang, C., Sun, C., Zhong, H., Yan, S., & Zhou, S. (2018). Ventilator-associated pneumonia in premature newborns admitted to the intensive care unit. Int J Clin Exp Med., 11(5), 4695-701
John, A., Venkatesan, L., Satchi, N., & Thiagarajan, M. (2017). Compliance in nursing modifieded neonatal ventilator associated pneumonia (VAP) preventive care bundle for newborns, published Master degree, Apollo College of Nursing, India.
Kalyan, G., Bibi, R., Kaur, R., Bhatti, R., Kumari, R., Rana, R., Kumari, R., Kaur, M., & Kaur, R. (2020) Knowledge and practices of intensive care unit nurses related to prevention of ventilator associated pneumonia in selected intensive care units of a tertiary care centre, India. Iran J Nurs Midwifery Res., 25 (1), 369-375
Lamichhane, A., & Mishra, A. (2019). Prevalence of ventilator-associated pneumonia in Neonates in a Tertiary Care Hospital in Western Nepal. J Nepal Med Assoc., 57(216), 84-87
Mahfoz, F., El Sayed, H., & Ahmed, H. (2022). Effect of design nursing instruction on mechanically ventilated children in pediatric intensive care units. Tanta Scientific Nursing Journal, 26 (3), 28-43
Malhotra, P., Kumar, N., Thapar, K., & Bagga, K. (2018). Comparative study of incidence, risk factors, etiologica agents and outcome of early and late ventilator associated pneumonia in paediatric intensive care unit at a tertiary care centre. Int. J. Contemp.Paediatric., 5(3), 708- 13
McBeth, C., Montes, R., Powne, A., North, S., & Natale, J. (2018). Interprofessional approach to the sustained reduction in ventilator-associated pneumonia in a neonatal intensive care unit. Crit Care Nurse, 38(6), 36-45
UNICEF (2021). Neonatal mortality. Retrieved from https://data.unicef.org/topic/child-survival/neonatal-mortality/
Oguz, F., Yildiz, I., Varkal, M., & Hizli, Z. (2018). Axillary and tympanic temperature measurement in children and normal values for ages. Pediatr Emerg Care, 34 (1), 169-173
Price, S., & Reichert, C. (2017). The importance of continuing professional development to career satisfaction and patient care: Meeting the needs of novice to mid-to late-career nurses throughout their career span. Administrative Sciences,
7( 2), 17-30
Sahlol, N., Madkour, L., & Soliman,Y. (2016).Ventilator associated pneumonia in a tertiary care hospital: incidence, risk factors and etiological agents. British Microbiology Research Journal, 13(1), 1–10 Sanders-Thompson, D. (2020). Examining ICU nurses' knowledge of ventilator-associated events and ventilator-associated pneumonia, published Doctoral thesis, Walden University, USA.
Shann, F. & Duke, T. (2017). Pediatric intensive care guideline, 1st ed., England, Elsevier, p.p.287- 288
Smith, S., Duell, D., & Martin, B. (2018). Clinical Nursing skills: basic to advanced skills, 8th ed., USA, F.A. Davis Company, Pp. 404, 1161, 1361.
WHO (2017). Guidelines on hand hygiene in health care first global patient safety challenge clean care is safer care. World Health Organization; Geneva.
| ||||
Statistics Article View: 279 PDF Download: 343 |
||||