The tittle of the article “Decreasing ventilator-associated pneumonia in adult intensive care units using the Institute for Healthcare Improvement bundle” is clearly identifying the purpose of the study. It is well illustrated the dependent and independent variables and the study population as well. The dependent variable was Ventilator- Associated Pneumonia (VAP) rate. The independent variable was implemented of VAP bundle and staffs’ compliance with all of the items in the VAP bundle. The study population is adult patients in intensive care units. Abstract:
The abstract is clearly written by the authors which provides the reader with a succinctly overview of research article in regard to the purpose of the study, method, the main findings and conclusions. The sample size of the study is not mentioned. Introduction (hypotheses, literature review, and conceptual framework):
The authors clearly stated the significance of the problem as an introduction by clearly explicit that VAP is significantly associated with increased in mortality rate of 10% to 40%, prolonged ventilator days, lengthen hospital stays and concurrently, increased hospital cost. Al-tawfig and colleagues (2010) wanted to determine the effectiveness of implementing the Ventilator Associated Pneumonia (VAP) bundle in their hospital to reduce the VAP rate.The study hypothesis is not clearly stated but it is implicit.. Literature review:
The authors literature review of the previous study presented the significant of the problem (VAP) as well as the important of implementing the VAP bundle that introduced by Institute for Healthcare Improvement (IHI) (2004) and be adhere with it in order to decrease the VAP. This bundle is a set of interventions built on evidence-based practice. It consists of five items (1) head of-bed elevation, (2) a daily...