EFFECTIVENESS OF STRUCTURED TEACHING PROGRAM ON KNOWLEDGE AND PRACTICE REGARDING CARE BUNDLE ON PREVENTION OF VENTILATOR-ASSOCIATED PNEUMONIA AMONG NURSES
Abstract
Mechanical ventilation is a life-saving procedure, used for critically ill patients who are unable to breath spontaneously. However, patients on mechanical ventilation are susceptible to develop complications i.e. Ventilator-Associated Pneumonia (VAP). Incidence of VAP ranges from 5% to 67%, with the highest rates seen among immuno compromised, surgical, and elderly patients. The estimated risk of developing VAP is 1.5% per day and decreases to less than 0.5% per day after the 14th day of mechanical ventilation. VAP increases the duration of hospitalization by 7 days and thereby the cost of health-care. VAP is classified into early-onset (occurring < 5 days) and late-onset (occurring ≥ 5 days) VAP after intubation.
Ventilator-Associated pneumonia (VAP) is a major cause of morbidity and mortality and is the second most common nosocomial infection among critically ill patients, affecting 6% to 52% and can reach to 76% in some specific hospital settings.
Knowledgeable and skilled nurses are crucial in providing patient care, timely and correct decision minimizes the risks to patients. Several studies have reported the lack of knowledge regarding evidence-based strategies for preventing VAP among nurses. Use of Structured Teaching Program on knowledge and practice regarding care bundle will help in preventing VAP, thus reducing the rate of morbidity significantly.References
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