关键词: Adherence Evidence-based guidelines Experience Intensive care unit Knowledge Nurse Ventilation bundle Ventilator-associated events Ventilator-associated pneumonia

Mesh : Adult Australia Clinical Competence / standards statistics & numerical data Cross-Sectional Studies Female Guideline Adherence / standards statistics & numerical data Humans Intensive Care Units / organization & administration statistics & numerical data Male Middle Aged Nurses / psychology standards statistics & numerical data Pneumonia, Ventilator-Associated / etiology physiopathology prevention & control Self Report Surveys and Questionnaires

来  源:   DOI:10.1016/j.iccn.2020.102827   PDF(Sci-hub)

Abstract:
OBJECTIVE: To explore Australian intensive care nurses\' knowledge of ventilator-associated pneumonia and self-reported adherence to evidence-based guidelines for the prevention of ventilator-associated events.
METHODS: A quantitative cross-sectional online survey was used.
METHODS: The study was conducted in two Australia intensive care units, in large health services in Victoria and an Australia-wide nurses\' professional association (Australian College of Critical Care Nurses).
METHODS: Participants\' knowledge and self-reported adherence to evidence-based guidelines.
RESULTS: The median knowledge score was 6/10 (IQR: 5-7). There was a significant positive association between completion of post graduate qualification and their overall knowledge score p = 0.014). However, there was no association (p = 0.674) between participants\' years of experience in intensive care nursing and their overall score. The median self-reported adherence was 8/10 (IQR: 6-8). The most adhered to procedures were performing oral care on mechanically ventilated patients (n = 259, 90.9%) and semi-fowlers positioning of the patient (n = 241, 84.6%). There was no relationship between participants\' knowledge and adherence to evidence-based guidelines (p = 0.144).
CONCLUSIONS: Participants lack knowledge of evidence-based guidelines for the prevention of ventilator-associated pneumonia. Specific education on ventilator-associated events may improve awareness and guideline adherence.
摘要:
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