Tolentino-DelosReyes, F. A., Ruppert, D. S., & Pamela, K. S. (2007). Evidence-based practice: Use of the ventilator bundle to prevent ventilator associated pneumonia. American Journal of Critical Care, 3 (4), 12-13.
In this article, the effect of educational program on nurses’ is studied and performance in the CCU and SICU is observed. Here, it is shown that compliance of the program improved knowledge, and helped in reducing VAP incidences. It was showed that a 30 minute education session improved both the nurses’ knowledge and clinical performance.
The relation of aspiration factor which contributes to VAP is studied. It was revealed that the pneumonia rate increase from 24% in day one to 48% in day 4 was caused by high secretions level. The clinical education project that was used to asses nurses’ knowledge on the use of VAP bundle supported the proposed change (Zaydfudim et al., 2009).
Here, the implementation of VAP dashboard system to measure and record compliance of VAP bundles is described. Statistical information is given, showing that VAP accounts for about 60% of deaths among patients with hospital-acquired pneumonia. VAP prolongs the hospital stay by about 4 to 9days while considerably rising hospitalization costs (Hawe et al., 2009).
Compliance with the VAP bundle improved from 39% to 89% for the period of August 2007 to July 2008, after the implementation of electronic VAP dashboard system, while the incidence of VAP reduced from a mean standard deviation of 15.2 to 9.3. Here, the study findings supported the proposed change through the implementation of VAP bundle dashboard system to measure and record compliance of VAP bundles (Hawe et al., 2009).
By giving examples of VAP incidence, the article provided morbidity and mortality rate in ICU, which was measured at a rate 40/1,000 patient days in 2004 and 15.9/1,000 ventilator days towards the end of 2005. By offering staff education and overall changes in the organization in order ...
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