Determination of Knowledge Levels of Nurses Working in the Emergency Department and Intensive Care Units about Evidence-Based Practices in the Prevention of Ventilator-Associated Pneumonia

Year 2021, Volume: 6 Issue: 2, 55 - 58, 30.12.2021

Leman Acun Delen , Serdar Derya , Burcu Kayhan Tetik

https://doi.org/10.52876/jcs.1004163

Abstract

Objective:The aim of this study was to determine the level of knowledge of nurses working in the Emergency Departments (ED)and Intensive Care Units (ICU)about evidence-based practices in the prevention of ventilator-associated pneumonia(EBP-VAP).
Materials and Methods:This descriptive,two-center study was conducted on nurses working in the EDs and ICUs of two public hospitals in the city center of Malatya.A total of 199 nurses who worked in the ED or ICU for at least one year were included in the study,on voluntary basis.The data were collected by using “Personal Information Form” and the “Information on Evidence-Based Practices for the Prevention of Ventilator-Associated Pneumonia Form”(EBP-VAP).
Results:The mean age of the nurses was 35.92±6.54,58.8% of them were females and 6.7% were undergraduates.The mean total VAP score of the nurses was found to be 4.76±1.57.It was determined that there was a weak positive correlation between the ages of the nurses,their years in the profession,years of working in the emergency room/intensive care unit, and their average total VAP scores (p<0.05).It was found that the mean total VAP score of the nurses who received ICU/ventilation training was 5.09±1.32,the mean total VAP score of those who did not receive training was 4.47±1.72,and the difference between the groups was statistically significant (p<0.05).The rates of correct answers given by the nurses to the questions on EBP-VAP form were endotracheal intubation type 45.2%,ventilator circuit replacement frequency 50.8%,airway humidifier type 35.2%,humidifier replacement frequency 61.8%,use of an open or closed aspiration system 57.3%,frequency of changing aspiration systems 30.2%,drainage type of subglottic secretions 55.3%, use of kinetic beds 60.3%,and patient positioning 80.4%,respectively.
Conclusion:It was found that the knowledge level of nurses about EBP in the prevention of VAP was moderate.In addition,it was concluded that receiving training about ICU/ventilator,age,working years,and working years in the ED/ ICU were variables that increase the level of knowledge of the nurses about EBP-VAP.

Keywords

Evidence-Based Practices, Nurses, VAP, Ventilator-Associated Pneumonia

References

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