Assessment of knowledge and implementation practices of the ventilator acquired pneumonia (VAP) bundle in the intensive care unit of a private hospital.
Assessment of knowledge and implementation practices of the ventilator acquired pneumonia (VAP) bundle in the intensive care unit of a private hospital.
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评估呼吸机的知识和实施实践在私人医院的重症监护病房中获得了肺炎（VAP）束。
DOI：
10.1186/s13756-021-01027-1
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发表时间：
2021-11-12
影响因子：
5.5
通讯作者：
Mantaring DML
中科院分区：
文献类型：
--
作者：
Abad CL;Formalejo CP;Mantaring DML
研究表明，呼吸机相关性肺炎 (VAP) 捆绑可显着降低 VAP 发生率。在这项研究中，我们使用定性和定量工具评估了重症监护病房 (ICU) 中护士和感染控制预防人员 (ICP) 的现有知识、实践和对 VAP 护理组合的遵守情况。在 60 名参与者（56 名护士和 4 名 ICP）中，有关特定循证 VAP 指南的平均知识得分为 5 分（范围 3-8），满分 10 分。自我报告对 VAP 捆绑的依从性范围为 38.5% 至 100%，其中对床头抬高的依从性完美，而对拔管准备的依从性最差。总体 VAP 中值捆绑合规性为 84.6%。缺乏有关 VAP 预防具体组成部分的知识。应定期进行正式培训和互动教育课程，以评估关键人员在 VAP 捆绑方面的能力，特别是在护士流动迅速的情况下。还应考虑保留护士的激励措施，以便随着时间的推移，可以培养对医院具体举措（例如 VAP 护理组合）的了解。在线版本包含可在 10.1186/s13756-021-01027-1 获取的补充材料。
Studies have shown that a ventilator associated pneumonia (VAP) bundle significantly decreases VAP rates. In this study, we evaluated existing knowledge, practices, and adherence of nurses and infection control preventionists (ICP) to the VAP bundles of care in the intensive care unit (ICU) by using qualitative and quantitative tools. Of 60 participants (56 nurses and 4 ICPs), mean knowledge score regarding specific evidence-based VAP guidelines was 5 (range 3–8) out of 10 points. Self-reported adherence to the VAP bundle ranged from 38.5 to 100%, with perfect compliance to head of bed elevation, and poorest compliance with readiness to extubate. Overall VAP median bundle compliance was 84.6%. Knowledge regarding specific components of VAP prevention is lacking. Formal training and interactive educational sessions should be performed regularly to assess the competency of key personnel regarding the VAP bundle, especially in the context of rapid nurse turnover. Incentives for retention of nurses should also be considered, so that knowledge of hospital specific initiatives such as the VAP bundles of care can be cultivated over time. The online version contains supplementary material available at 10.1186/s13756-021-01027-1.
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影响因子：
38.9
作者：
Combes, P;Fauvage, B;Oleyer, C
通讯作者：
Oleyer, C
影响因子：
4.9
作者：
Jansson, Miia M.;Syrjala, Hannu P.;Ala-Kokko, Tero I.
通讯作者：
Ala-Kokko, Tero I.
影响因子：
14.2
作者：
Rello, J.;Afonso, E.;Diaz, E.
通讯作者：
Diaz, E.
影响因子：
4.1
作者：
Perrin, M. E.;Hagopian, A.;Huang, B.
通讯作者：
Huang, B.
影响因子：
3.7
作者：
Caserta RA;Marra AR;Durão MS;Silva CV;Pavao dos Santos OF;Neves HS;Edmond MB;Timenetsky KT
通讯作者：
Timenetsky KT