Community Health Journal

Community Health Journal

The impact of Educational Intervention on Nurses' Performance and Ventilator-associated Pneumonia Rate in Intensive Care Units of Rafsanjan Hospital

Document Type : Original Article

Authors
H Ganje 1
A Khodadadizadeh 2
SH Hoseini 3
M Mobini 4
A Akbari 5
1 MSc student, Dept of Critical Care Nursing, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
2 Instructor, Dept of Medical-Surgical Nursing, School of Nursing and Midwifery, Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences.Rafsanjan, Iran.
3 Assistant Prof, Dept of Nursing Management, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
4 MSc of Physiology, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
5 Instructor, Dept of Medical-Surgical Nursing, School of Nursing and Midwifery, Social Determinants of Health Research Center. Rafsanjan University of Medical Sciences,Rafsanjan, Iran.
10.22123/chj.2020.193208.1322
Abstract
Introduction: Ventilator-associated pneumonia (VAP) is considered a severe infectious disease in Intensive Care Units (ICUs). It seems that the teaching of nurses staff may improve the quality of care and reduce the VAP rate. This study is performed to determine the effect of education on VAP and nurses' performance in Rafsanjan ICUs.
Materials and Methods: The semi-experimental study was conducted on 62 intensive care nurses, who were selected through convenience sampling and inclusion criteria. VAP rate and nurses' performance were measured three months prior to intervention. Then, the necessary education about the methods of preventing such VAP took place. After three months, nurses' performance and VAP rates were measured again. Data were analyzed by SPSS software (V.18).
Results: The results showed that the VAP rate changes before(97.8%) and after the intervention (89.2%)were not statistically significant(p=1.000).Nurses' performance on hand washing, suctioning, patient position change, scrubs wearing, mouthwash, and intubation improved after training and had a statistically significant difference  (p<0/05).
Conclusions: The study indicated that nurses' education on the prevention of infection and VAP could be effective although this intervention had only clinical impact.
Keywords
Workshop
Performance
Nurses
Ventilator-Associated Pneumonia (VAP)
Intensive Care Units
  1. Monegro AF, Regunath H. Hospital acquired infections.  [cited 2020 January]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441857
  2. Hejazi E, Salehnajafi M, Amani J. The mediating role of intrinsic motivation on the relationship between basic psychological needs and life satisfaction. Contemporary Psychology 2015;9(2):77-88. [Persian]
  3. Askarian M, Mahmoudi H, Assadian O. Incidence of nosocomial infections in a big university affiliated hospital in Shiraz, Iran: A six-month experience. International journal of preventive medicine 2013;4(3):366-72.
  4. Ducel G, Fabry J, Nicolle L. Prevention of hospital acquired infections: a practical guide. Prevention of hospital acquired infections: a practical guide. 2nd ed. Geneva, Switzerland: World Health Organization; 2002: 30-8.
  5. Darvishpoor K, Rezaei Manesh MR. Prevalence of nosocomial infections and microbial causes in Torbat heydariyeh 9dey educational and clinical hospital in 2012 and 2013. Iranian Journal of Medical Microbiology 2016;10(1):93-6. [Persian]
  6. Hamby S, Smith A, Mitchell K, Turner H. Poly-victimization and resilience portfolios: Trends in violence research that can enhance the understanding and prevention of elder abuse. Journal of Elder Abuse & Neglect 2016;28(4-5):217-34.
  7. Nassiri H, Heravi Karimooi M, Jouybari L, Sanagoo A, Chehrehgosha M. The prevalence of elder abuse in Gorgan and Aq-Qala cities, Iran in 2013. Iranian Journal of Ageing 2016;10(4):162-73. [Persian]
  8. Asgari M, Mohammadi E, FALLAHI KM, Tamadon M. The perception of chronic renal failure patients from advocacy resources in adjustment with hemodialysis: A qualitative study. IJCCN 2011; 3(4):133-42.[Persian]
  9. bikmoradi a, mardani d, Soltanian a, khatiban m. The impact of educational evidence-based hand washing program on knowledge, attitude, and adherence of intensive care units nurses. Avicenna Journal of Nursing and Midwifery Care 2013;21(3):5-13. [Persian]
  10. Speck K, Rawat N, Weiner NC, Tujuba HG, Farley D, Berenholtz S. A systematic approach for developing a ventilator-associated pneumonia prevention bundle. American journal of infection control 2016;44(6):652-6.
  11. Fan Y, Gao F, Wu Y, Zhang J, Zhu M, Xiong L. Does ventilator-associated event surveillance detect ventilator-associated pneumonia in intensive care units? A systematic review and meta-analysis. Critical care 2016;20(1):338.
  12. Sung K-T, Kim BJ, Torres-Gil F. Respectfully treating the elderly: Affective and behavioral ways of American young adults. Educational Gerontology 2010;36(2):127-47.
  13. Curtin RB, Walters BA, Schatell D, Pennell P, Wise M, Klicko K. Self-efficacy and self-management behaviors in patients with chronic kidney disease. Advances in chronic kidney disease 2008;15(2):191-205.
  14. Fatemi S, Moosavi S, Nikro R, Mohemkar  KS. Exploration of Medical Sciences Students and Educational Custodians View about Educational Equity in Clinical Environment. Research in medical education  2017;8(4):1-10.[Persian]
  15. Tajabadi A. Nurses' knowledge of national nosocomial infections surveillance systems for monitoring standards of nosocomial infections in ICU . JRCSSU 2011;19(1,2):1-10.[Persian]
  16. Morris AC, Hay AW, Swann DG, Everingham K, McCulloch C, McNulty J, et al. Reducing ventilator-associated pneumonia in intensive care: impact of implementing a care bundle. Critical care medicine 2011;39(10):2218-24.
  17. Salehifar E, Abedi S, Mirzaei E, Kalhor S, Eslami G, Ala S, et al. Evaluation of profile of Microorganisms involved in hospital-acquired infections and their antimicrobial resistance pattern in intensive care units of Emam Khomeini hospital, Sari, 2011-2012. JMUMS 2013;22(1):151-62. [Persian]
  18. Moss M, Good VS, Gozal D, Kleinpell R, Sessler CN. An official critical care societies collaborative statement: burnout syndrome in critical care health care professionals: a call for action. American Journal of Critical Care 2016;25(4):368-76.
  19. Zhang Z, Xu P, Fang Q, Ma P, Lin H, Fink JB, et al. Practice pattern of aerosol therapy among patients undergoing mechanical ventilation in mainland China: A web-based survey involving 447 hospitals. PloS one 2019;14(8):e0221577.
  20. Sahni N, Biswal M, Gandhi K, Kaur K, Saini V, Yaddanapudi LN. Effect of intensive education and training of nurses on ventilator-associated pneumonia and central line-associated bloodstream infection incidence in intensive care unit at a tertiary care center in North India. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine 2017;21(11):779.
  21. Jansson M, Kääriäinen M, Kyngäs H. Effectiveness of educational programmes in preventing ventilator-associated pneumonia: a systematic review. Journal of Hospital Infection 2013;84(3):206-14.
  22. Raberi M-p, Jamshidi N, Soltani Nejad A, Sabzevari S. Effects of nurse education on both patients’ satisfaction of teaching patients, and nurses’ knowledge, attitude and performance in intensive care units of teaching hospitals. Journal of Health and Care 2011;13(1): 30-6.[Persian]
  23. Bagheban Karimi E, Lakdizaji S, Zamanzadeh V, Hasankhani H. The Effects of Infection Control Teaching on the Knowledge and Performance of Hemodialysis Nurses in Tabriz. Iran Journal of Nursing 2018;31(111):1-9. [Persian]
  24. Alaee V, Seyedjavadi M, Mohammadi R, Aslani MR, Hashemi-biria B. The effect of clinical supervisors education to quality of nursing care of patients under mechanical ventilation in critical care units. Journal of Health And Care 2012;14(3):34-40 .[Persian]
  25. Nooredin M, Parviz S, Peyrovi H. The effect of endotracheal suctioning in-service education on patients’ oxygen saturation and heart rate chan ges in intensive care unit. Iranian Journal of Cardiovascular Nursing 2012;1(1):16-23. [Persian]
  26. Adib Hajbaghery M, Azizi Fini I. The Concept of Evidence-Based Education in Nursing and Factors Affecting It: A Qualitative Study. Iranian journal of medical education 2012;12(5):331-46.
  27. Heydari A, Zeydi AE. Barriers to and facilitators of research utilization among Iranian nurses: a literature review. Journal of caring sciences 2014;3(4):265-75. [Persian]