Critical care nurses' knowledge of, adherence to and barriers towards evidence-based guidelines for the prevention of ventilator-associated pneumonia - A survey study

Intensive and Critical Care Nursing

Volumn 29, Issue 4, 2013, Pages 216-227

  Jansson, Miia ^a,b   Ala Kokko, Tero ^b   Ylipalosaari, Pekka ^b   Syrjälä, Hannu ^b   Kyngäs, Helvi ^a,b  

^a UNIVERSITY OF OULU   (Finland)

^b OULU UNIVERSITY HOSPITAL   (Finland)

Author keywords

Adherence; Barriers; Evidence based guidelines; Knowledge; Ventilator associated pneumonia

Indexed keywords

ARTICLE; ATTITUDE TO HEALTH; CROSS-SECTIONAL STUDY; EVIDENCE BASED NURSING; HUMAN; INTENSIVE CARE NURSING; NURSING; PRACTICE GUIDELINE; STANDARD; VENTILATOR ASSOCIATED PNEUMONIA;

CRITICAL CARE NURSING; CROSS-SECTIONAL STUDIES; EVIDENCE-BASED NURSING; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; PNEUMONIA, VENTILATOR-ASSOCIATED; PRACTICE GUIDELINES AS TOPIC;

EID: 84879026626     PISSN: 09643397     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.iccn.2013.02.006     Document Type: Article

References (58)

1. American Association for Respiratory Care (AARC) Clinical Practice Guidelines. Endotracheal suctioning of mechanically ventilated patients with artificial airways. Respir Care 2010, 55:758-764.
2. Ajzen I. Attitudes, personality and behavior 2005, McGraw-Hill Education, Open University Press. 2nd ed.
3. Apisarnthanarak A., Pinitchai U., Thongphubeth K., Yuekyen C., Warren D., Zack J., et al. Effectiveness of an educational program to reduce ventilator-associated pneumonia in a tertiary care center in Thailand: a 4-year study. Clin Infect Dis 2007, 45:704-711.
4. American Thoracic Society Documents (ATS) Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. AJRCCM 2005, 171:388-416.
5. Babcock H., Zack J., Garrison T., Trovillion E., Jones M., Fraser V., et al. An educational intervention to reduce ventilator-associated pneumonia in an integrated health system: a comparison of effects. Chest 2004, 125:2224-2231.
6. Berhe M., Edmond M., Bearman G. Practices and an assessment of health care workers' perceptions of compliance with infection control knowledge of nosocomial infections. AJCC 2005, 33:55-57.
7. Berrile-Cass D., Adkins F., Jones P., Fakim M. Eliminating nosocomial infections at ascension health. J Qual Patient Saf 2006, 11:612-620.
8. Bird D., Zambuto A., O'Donnell C., Silva J., Korn C., Burke R., et al. Adherence to ventilator-associated pneumonia bundle and incidence of ventilator-associated pneumonia in the surgical intensive care unit. Arch Surg 2010, 145:465-470.
9. Blamoun J., Alfakir M., Rella M.E. Efficacy of an expanded ventilator bundle for the reduction of ventilator-associated pneumonia in the medical intensive care unit. AJIC 2009, 37:172-175.
10. Bloos F., Muller S., Harz A. Effects of staff training on the care of mechanically ventilated patients: a prospective cohort study. BJA 2009, 103:232-237.
11. Blot S., Labeau S., Vandijck D., Claes B. Evidence-based guidelines for the prevention of ventilator-associated pneumonia: results of a knowledge test among intensive care nurses. Int Care Med 2007, 33:1463-1467.
12. Bouadma L., Mourvillier B., Deiler V., Le Corre B., Lolom I., Regnier B., et al. A multifaceted program to prevent ventilator-associated pneumonia: impact on compliance with preventive measures. Crit Care Med 2010, 38:789-796.
13. Bouadma L., Deslanders E., Lolom I., Le Corre B., Mourvillier B., Regnier B., et al. Long-term impact of a multifaceted prevention program on ventilator-associated pneumonia in a medical intensive care unit. CID 2010, 51:1115-1122.
14. Burns N., Grove B. The practice of nursing research: appraisal, synthesis, and generation of evidence 2009, Saunders Elsevier, United States of America. 6th ed.
15. Cabana M.D., Rand C.S., Powe N.R., Wu A.W., Wilson M.H., Abboud P.-A., et al. Why don't physicians follow clinical practice guidelines?. JAMA 1999, 282:1458-1465.
16. Caruso P., Denari S., Ruiz S., Demarzo E., Deheinzelin D. Saline instillation before tracheal suctioning decreases the incidence of ventilator-associated pneumonia. Crit Care Med 2009, 37:32-38.
17. Cason C., Tyner T., Saunders S., Broome L. Nurse's implementation of guidelines for ventilator-associated pneumonia from the Centers for Disease Control and Prevention. AJCC 2007, 16:28-36.
18. Centers for Disease Control and Prevention (CDC). Guidelines for Preventing Health-Care-Associated Pneumonia. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. Tablan OC, LJ, Anderson, RB, Besser, R, Bridges C, Hajjeh, R. MWR 2003;53:1-36.
19. Centers for Disease Control and Prevention (CDC). Guidelines for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. The Healthcare Infection Control Practices Advisory Committee. Siegel JD, Rhinehart E, Jackson M, Chiarello L. Available from: ; 2007. http://www.cdc.gov/hicpac/pdf/isolation/Isolation2007.pdf.
20. Centre for Health Protection (CHP) Recommendations on prevention of ventilator-associated pneumonia 2010, Scientific Committee on Infection Control, and Infection Control Branch, Centre for Health Protection, Department of Health, Available from:. http://www.chp.gov.hk/files/pdf/recommendations_on_prevention_of_ventilator-associated_pneumonia_r.pdf.
21. Christensen R.D., Henry E., Baer V.L., Hoang N., Snow G.L., Rigby G., et al. A low-sodium solution for airway care: results of a multicenter trial. Respir Care 2010, 55:1680-1685.
22. Cocoanour C., Peninger M., Domonoske B., Pharm D., Tao L., Wright B., et al. Decreasing ventilator-associated pneumonia in a trauma ICU. J Trauma 2006, 61:122-130.
23. Crunden E., Boyce C., Woodman H., Bray B. An evaluation of the impact of the ventilator care bundle. Nurs Crit Care 2005, 10:242-246.
24. Cutler C., Davis N. Improving oral care in patients receiving mechanical ventilation. AJCC 2005, 14:389-394.
25. Day T., Farnell S., Haynes S., Wainwright S., Wilson-Barnett J. Tracheal suctioning: an exploration of nurse's knowledge and competence in acute and high dependency ward areas. JAN 2002, 39:35-45.
26. De Wandel D., Maes L., Labeau S., Vereecken C., Blot S. Behavioral determinants of hand hygiene compliance in intensive care units. AJCC 2010, 19:230-239.
27. Dodek P., Keenan, Cook D., Heyland D., Jacka M., Hand L., et al. Evidence-based clinical practice guideline for the prevention of ventilator-associated pneumonia. Ann Int Med 2004, 141:305-313.
28. El-Khatib M., Zeineldine S., Ayoub C., Husari A., Bou-Khalil P. Critical care clinicians' knowledge of evidence-based guidelines for preventing ventilator-associated pneumonia. AJCC 2010, 19:272-277.
29. Elo S., Kyngäs H. The qualitative content analysis process. JAN 2008, 62:107-115.
30. Furr A., Binkley C., McCurren C., Carrico C. Factors affecting quality of oral care in intensive care units. JAN 2004, 48:454-462.
31. Gurses A.P., Seidl K.L., Vaidya V., Bochiccio G., Harris A.D., Xiao Y. Systems ambiguity and guideline compliance: a qualitative study of how intensive care units follow evidence-based guidelines to reduce healthcare-associated infections. BMJ Qual Saf 2008, 17:351-359.
32. Hawe C., Ellis K., Cairns C., Longmate A. Reduction of ventilator-associated pneumonia: active versus passive guideline implementation. Int Care Med 2009, 35:1180-1186.
33. Hutchins K., Karras G., Erwin J., Sullivan K. Ventilator-associated pneumonia and oral care: a successful quality improvement project. AJIC 2009, 37:590-597.
34. Institute of Healthcare Improvement (IHI). The 100,000 lives campaign: setting a goal and a deadline for improving health care quality. Berwick DM, Calkins DR, McKannon CJ, Nazem A. JAMA 2006;295:324-27.
35. Jones H., Newton J., Bower E. A survey of the oral care practices of intensive care nurses. Int Crit Care Nurs 2004, 20:69-76.
36. Karhu J., Ala-Kokko T.I., Ylipalosaari P., Ohtonen P., Laurila J.J., Syrjälä H. Hospital and long-term outcomes of ICU-treated severe community- and hospital-acquired, and ventilator-associated pneumonia patients. Acta Anaesth Scand 2011, 55:1254-1260.
37. Kaynar M., Mathew J., Hudlin M., Gingras D., Ritz R., Jackson M., et al. Attitudes of respiratory therapist and nurses about measures to prevent ventilator-associated pneumonia: a multicenter, cross-sectional survey study. Respir Care 2007, 52:1687-1694.
38. Kelleher S., Andrews T. An observational study on the open-system endotracheal suctioning practices of critical care nurses. J Clin Nurs 2008, 17:360-369.
39. Koff M.D., Corwin H.L., Beach M.L., Surgenor S.D., Loftus R.W. Reduction in ventilator associated pneumonia in a mixed intensive care unit after initiation of a novel hand hygiene program. J Crit Care 2011, 26:489-495.
40. Labeau S., Vandijck B., Claes P., Van Aken P., Blot S. Critical care nurses' knowledge of evidence-based guidelines for preventing ventilator-associated pneumonia: an evaluation questionnaire. AJCC 2007, 16:371-377.
41. Labeau S., Vandijck D., Rello J., Adam S., Rosa A., Wenisch C., et al. Evidence-based guidelines for prevention of ventilator-associated pneumonia: results of a knowledge test among European intensive care nurses. J Hosp Infect 2008, 70:180-185.
42. Marra A.R., Cal R.G., Silva C.V., Caserta R.A., Paes A.T., Moura D.F., et al. Successful prevention of ventilator-associated pneumonia in an intensive care setting. AJIC 2009, 37:619-625.
43. Masterton R.G., Galloway A., French G., Street M., Armstrong J., Brown E., et al. Guidelines for management of hospital-acquired pneumonia in the UK: report of the Working Party on Hospital-Acquired Pneumonia of the British Society for Antimicrobial Chemotherapy. J Antimicrob Chemother 2008, 62:5-34.
44. Overend T.J., Anderson C.M., Brooks D., Cicutto L., Keim M., McAuslan D., et al. Updating the evidence base for suctioning adult patients: a systematic review. Can Respir J 2009, 16:e6-e17.
45. Paraz J.D., Stockton K.A. Efficacy and safety of normal saline instillation: a systematic review. Physiotherapy 2009, 95:241-250.
46. Pogorzelska M., Larson E. Assessment of attitudes of intensive care unit staff toward clinical practice guidelines. Dimens Crit Care Nurs 2008, 27:30-38.
47. Polit D., Beck C. Nursing research. Generating and assessing evidence for nursing practice 2011, Lippincott Williams & Wilkins, Philadelphia. 9th ed.
48. Rello J., Lode H., Cornaglia G., Masterton R. A European care bundle for prevention of ventilator-associated pneumonia. Int Care Med 2010, 36:773-780.
49. Resar R., Pronovost P., Haraden C., Simmonds T., Rainey T., Nolan T. Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia. Joint Comm J Qual Patient Saf 2005, 31:243-248.
50. Ricart M., Lorente C., Diaz E., Kollef M.H., Rello J. Nursing adherence with evidence-based guidelines for preventing ventilator-associated pneumonia. Crit Care Med 2003, 31:2693-2696.
51. Safdar N., Dezfulian C., Collard H.R. Clinical and economic consequences of ventilator-associated pneumonia: a systematic review. Crit Care Med 2005, 33:2184-2193.
52. Sahay S., Panja S., Sauren P., Ray S., Rao B.K. Diurnal variation in hand hygiene compliance in a tertiary level multidisciplinary intensive care unit. AJIC 2010, 38:535-539.
53. Subirana M., Sola' I., Benito S. Closed tracheal suction systems versus open tracheal suction system for mechanically ventilated adult patients. Cochrane Database Syst Rev 2010, 7:1-50. [Review].
54. Tolentino-DelosReyes A.F., Ruppert S.D., Shiao S.Y. Evidence-based practice. Use of the ventilator bundle to prevent ventilator-associated pneumonia. AJCC 2007, 16:20-27.
55. World Health Organization (WHO). WHO Guidelines on Hand Hygiene in Health Care. First Global Patient Safety Challenge Clean Care is Safer Care; 2009.
56. Ylipalosaari P., Ala-Kokko T., Laurila J., Ohtonen P., Syrjälä H. Epidemiology of intensive care unit (ICU)-acquired infections in a 14-month prospective cohort study in a single mixed Scandinavian university hospital ICU. Acta Anaesth Scand 2006, 1192-1206.
57. Youngquist P., Carroll M., Farber M., Macy D., Madrid P., Ronning J., et al. Implementing a ventilator bundle in a community hospital. The Joint Commission Journal on Quality and Patient Safety 2007, 33:219-225.
58. Zaydfudim V., Dosset L.A., Starmer J.M., Arbogast P.G., Feurer I.D., Ray W.A., et al. Implementation of a real-time compliance dashboard to help reduce SICU ventilator-associated pneumonia with the ventilator bundle. Arch Surg 2009, 144:656-662.