Nursing workload and adherence to non-pharmacological measures in the prevention of ventilator-associated pneumonia. A pilot study
Nursing workload and adherence to non-pharmacological measures in the prevention of ventilator-associated pneumonia. A pilot study
复制标题
DOI：
10.1016/j.enfie.2017.10.002
复制
发表时间：
2017-10-01
影响因子：
1.3
通讯作者：
Delgado-Hito, P.
中科院分区：
文献类型：
--
作者：
Jam, R.;Hernandez, O.;Delgado-Hito, P.
目的：为了分析是否坚持非药物措施，在预防呼吸机相关性肺炎（VAP）与nursing workload.Methods：一个前瞻性的观察性研究，在一个单一的内科手术ICU。对负责呼吸机支持患者的护士进行评估。变量：知识问卷、非药物性VAP预防措施的应用和工作量（护理人力使用评分的9个当量）。阶段：结果：在67名ICU护士中，有54名完成了VAP预防的非药物措施的教育，并接受了观察。共观察49名护士160次。在初始和最终调查问卷中都确认了充分的知识。预防措施的应用范围从抽吸前洗手的11%到使用无菌抽吸探针的97%。护理人力使用评分的9个等效值为50 +/- 13。护士的知识和预防措施的应用之间或工作量和预防措施的应用之间的关联没有显着差异观察。结论：护士的VAP预防措施的知识不一定在日常实践中应用。不遵守这些措施并不是因为缺乏知识或工作量增加，而是可能有背景因素。(C)2017年西班牙强化和联合冠状动脉协会（SEEIUC）。由Elsevier Espana出版，S.L.U. All rights reserved.
Objective: To analyse whether adherence to non-pharmacological measures in the prevention of ventilator-associated pneumonia (VAP) is associated with nursing workload.Methods: A prospective observational study performed in a single medical-surgical ICU. Nurses in charge of patients under ventilator support were assessed. Variables: knowledge questionnaire, application of non-pharmacological VAP prevention measures, and workload (Nine Equivalents of Nursing Manpower Use Score). Phases: 1) the nurses carried out a educational programme, consisting of 60-minute lectures on non-pharmacological measures for VAP prevention, and at the end completed a questionnaire knowledge; 2) observation period; 3) knowledge questionnaire.Results: Among 67 ICU-staff nurses, 54 completed the educational programme and were observed. A total of 160 observations of 49 nurses were made. Adequate knowledge was confirmed in both the initial and final questionnaires. Application of preventive measures ranged from 11% for hand washing pre-aspiration to 97% for the use of a sterile aspiration probe. The Nine Equivalents of Nursing Manpower Use Score was 50 +/- 13. No significant differences were observed between the association of the nurses' knowledge and the application of preventive measures or between workload and the application of preventive measures.Conclusions: Nurses' knowledge of VAP prevention measures is not necessarily applied in daily practice. Failure to follow these measures is not subject to lack of knowledge or to increased workload, but presumably to contextual factors. (C) 2017 Sociedad Espanola de Enfermeria Intensiva y Unidades Coronarias (SEEIUC). Published by Elsevier Espana, S.L.U. All rights reserved.