Knowledge, Practice, Compliance, and Barriers toward Ventilator-Associated Pneumonia among Critical Care Nurses in Eastern Mediterranean Region: A Systematic Review.
Knowledge, Practice, Compliance, and Barriers toward Ventilator-Associated Pneumonia among Critical Care Nurses in Eastern Mediterranean Region: A Systematic Review.
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DOI：
10.3390/healthcare10101852
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发表时间：
2022-09-23
期刊：
影响因子：
2.8
通讯作者：
Jarrar, Mu'taman
中科院分区：
文献类型：
--
作者：
AL-Mugheed, Khaild;Bani-Issa, Wegdan;Rababa, Mohammad;Hayajneh, Audai A.;Al Syouf, Adi;Al-Bsheish, Mohammad;Jarrar, Mu'taman
关键词：
背景资料：呼吸机相关性肺炎（VAP）已被确定为住院患者的严重并发症，并与住院时间延长和费用增加有关。本研究的目的是检查知识，实践，遵守，并在地中海东部地区的重症监护护士呼吸机相关性肺炎的障碍。方法：PRISMA指南指导本系统评价。使用四个电子数据库（EMBASE、MEDLINE（通过PubMed）、SCOPUS和Web of Science）查找2000年至2021年10月发表的研究。结果：在23项研究中，14项研究中，呼吸机相关性肺炎的知识是最高的结局指标。审查结果证实，护士表现出呼吸机相关肺炎的知识水平低，11项研究评估了重症监护护士对呼吸机相关肺炎的依从性和实践。总体而言，结果显示，大多数抽样护士对呼吸机相关性肺炎的依从性和相关实践水平不足。在审查的研究中报告的主要障碍是缺乏教育（N = 6），护理人员短缺（N = 5），缺乏政策和协议（N = 4），以及缺乏时间（N = 4）。结论：该综述证实了需要采取综合干预措施来提高重症监护护士对呼吸机相关性肺炎的知识、依从性和实践。护士管理者必须解决影响护士对呼吸机相关性肺炎的知识水平、依从性和实践的障碍。
Background: Ventilator-associated pneumonia (VAP) has been identified as a serious complication among hospitalized patients and is associated with prolonged hospitalizations and increased costs. The purpose of this study was to examine the knowledge, practices, compliance, and barriers related to ventilator-associated pneumonia among critical care nurses in the eastern Mediterranean region. Methods: The PRISMA guidelines guided this systematic review. Four electronic databases (EMBASE, MEDLINE (via PubMed), SCOPUS, and Web of Science) were used to find studies that were published from 2000 to October 2021. Results: Knowledge of ventilator-associated pneumonia was the highest outcome measure used in 14 of the 23 studies. The review results confirmed that nurses demonstrated low levels of knowledge of ventilator-associated pneumonia, with 11 studies assessing critical care nurses’ compliance with and practice with respect to ventilator-associated pneumonia. Overall, the results showed that most sampled nurses had insufficient levels of compliance with and practices related to ventilator-associated pneumonia. The main barriers reported across the reviewed studies were a lack of education (N = 6), shortage of nursing staff (N = 5), lack of policies and protocols (N = 4), and lack of time (N = 4). Conclusions: The review confirmed the need for comprehensive interventions to improve critical care nurses’ knowledge, compliance, and practice toward ventilator-associated pneumonia. Nurse managers must address barriers that impact nurses’ levels of knowledge, compliance with, and practices related to ventilator-associated pneumonia.
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影响因子：
1.6
作者：
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通讯作者：
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10.1016/j.ejcdt.2013.04.008
发表时间：
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影响因子：
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作者：
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