NURS/598
January 28, 2013
Veta Massey
Nursing Research Utilization Project: Section C Research supports that a ventilator-associated pneumonia (VAP) prevention program can decrease the incidence of VAP in patients on mechanical ventilation. Educating health care workers about the several evidence-based interventions known to reduce the incidence of VAP will enhance accountability, reduce VAP, improve patient outcomes, and decrease patient care costs. Three research reports from professional journals that support the implementation of a ventilator-associated pneumonia (VAP) prevention program are titled: Reduction of ventilator-associated pneumonia: active versus passive guideline implementation; Changes in knowledge, beliefs, and perceptions throughout a multifaceted behavioral program aimed at preventing ventilator-associated pneumonia; and An Educational intervention to reduce ventilator-associated pneumonia in an integrated health system.
Article one: Reduction of ventilator-associated pneumonia Reduction of ventilator-associated pneumonia: active versus passive guideline implementation by Hawe et al. (2009), “describes an active multifaceted implementation of a VAP prevention bundle designed to improve staff compliance with evidence-based actions and reduce the incidence of VAP” (p. 1180). A VAP prevention bundle was designed, implemented passively, and actively. The study was conducted in an adult surgical/medical intensive care unit (ICU) at an European hospital. In August 2005 the hospitals critical care development group developed a VAP prevention bundle (Hawe et al. 2009). Copies of the interventions were laminated, and placed at the patient’s bedside. Senior nursing staff gave verbal and written encouragement to staff for its use in patient care. Compliance was assessed from September 1, 2005 to February 28, 2007; this was considered the passive implementation. The active implementation phase
References: Babcock, H., Zack, J., Garrison, T., Trovillion, E., Jones, M., Fraser, V., & Kollef, M. (2004). An educational intervention to reduce ventilator-associated pneumonia in an integrated health system: a comparison of effects. Chest, 125(6), 2224-2231 Bouadma, L., Mourvillier, B., Deiler, V., Derennes, N., Corre, B., Lolom, I., & Lucet, J. (2010). Changes in knowledge, beliefs, and perceptions throughout a multifaceted behavioral program aimed at preventing ventilator-associated pneumonia. Intensive Care Medicine, 36(8), 1341.doi:10.1007/s00134-010-1890-9 Casady, R. (2005). Internal Validity. Retrieved from http://www.americanhippotherapyassociation.org/wp-c ontent/uploads/2010/11/winter_2005.pdf Hawe, C. S., Ellis, K. S., Cairns, C. S., & Longmate, A. (2009). Reduction of ventilator- associated pneumonia: active versus passive guideline implementation. Intensive Care Medicine, 35(7), 1180. doi:10.1007/s00134-009-1461-0