A study to assess the effectiveness of clinical teaching on the level of knowledge regarding nursing care bundle to prevent ventilator associated pneumonia among ICU nursing officers at AIIMS Bhopal

Ranjana Verma; Uma Phalswal; Sneha  Joseph; Yadav Pooja Nanhelal; Shalu Kumari; Sharda .; Sapna Kumari; Seema Kumari; Guriya Rani

doi:10.18203/2320-6012.ijrms20241236

Authors

Ranjana Verma Nursing College, AIIMS Bhopal, Madhya Pradesh, India
Uma Phalswal Department of Nursing, AIIMS Bhopal, Madhya Pradesh, India
Sneha Joseph Nursing College, AIIMS Bhopal, Madhya Pradesh, India
Yadav Pooja Nanhelal Nursing College, AIIMS Bhopal, Madhya Pradesh, India
Shalu Kumari Nursing College, AIIMS Bhopal, Madhya Pradesh, India
Sharda . Nursing College, AIIMS Bhopal, Madhya Pradesh, India
Sapna Kumari Nursing College, AIIMS Bhopal, Madhya Pradesh, India
Seema Kumari Nursing College, AIIMS Bhopal, Madhya Pradesh, India
Guriya Rani Nursing College, AIIMS Bhopal, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20241236

Keywords:

Clinical teaching, Knowledge, Nursing care bundles, Nursing officers, Ventilator associated pneumonia

Abstract

Background: Healthcare is a professional area bound to the ethical foundation of “do no harm.”, But in the current scenario, a rush to promote the curative scenario has led to the total downplay of the preventive aspect of care. The aim of this study was to assess the knowledge regarding nursing care bundle for the prevention of VAP among nursing officers before and after clinical teaching and to evaluate the effectiveness of clinical teaching.

Methods: This pretest-post-test study was conducted on nursing officers working in the ICU of the All-India Institute of Medical Sciences, Bhopal, Madhya Pradesh. 100 nursing officers were enrolled in the study via convenience sampling technique. The self-structured tool was validated by 10 experts with a mean CVI value of 0.94. The reliability of the self-structured knowledge questionnaire was determined by the test-retest method and found to be 0.87. The collected data was analysed for frequency, mean, standard deviation, t-test, and association.

Results: Findings showed that the mean knowledge score was 18.46±3.543 before intervention. After the intervention of video-assisted clinical teaching, a post-test was conducted, and the mean post-test knowledge scores was 25.07±2.801 at the p value <0.01. Knowledge of subjects about nursing care bundle for prevention of VAP was found to have a significant association with only educational qualification.

Conclusions: This study's findings concluded that educational interventions are necessary for the enhancement of knowledge and better compliance of nursing officers with guidelines regarding the bundle of care for the prevention of ventilator-associated pneumonia.

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References

Osti C, Wosti D, Pandey B, Zhao Q. Ventilator-associated pneumonia and role of nurses in its prevention. J Nep Medi Associat. 2017;56(208).

Zeb A, Hasnain M, Ahmad I, Khan S, Shah AA. Nurses' knowledge regarding prevention of ventilator associated pneumonia. LOJ Nurs Health Care. 2018;1:123-7.

Busi S, Ramanjamma K. Effectiveness of structured teaching programme on level of knowledge and practices regarding prevention of ventilator associated pneumonia among critical care nurses of NRI General Hospital, Guntur, AP, India. Int J Advan Nurs Manag. 2016;4(2):125-29.

Akın Korhan E, Hakverdioğlu Yönt G, Parlar Kılıç S, Uzelli D. Knowledge levels of intensive care nurses on prevention of ventilator‐associated pneumonia. Nurs Criti Care. 2014;19(1):26-33.

Dipanjali R, Shivananda PM, Yashoda S. Effectiveness of an educational intervention on knowledge and practice of staff nurses on prevention of ventilator associated pneumonia among neonates in neonatal intensive care unit. Int J Car Sci. 2020;13(2):1421-30.

Lim KP, Kuo SW, Ko WJ, Sheng WH, Chang YY, Hong MC et al. Efficacy of ventilator-associated pneumonia care bundle for prevention of ventilator-associated pneumonia in the surgical intensive care units of a medical center. J Microbiol Immunol Infect. 2015;48(3):316-21.

Yazdani M, Sabetian G, Ofish R A, Roudgari A, Feizi M. The effect of nurses training on ventilator-associated pneumonia (VAP) prevention bundle on VAP incidence rate at a critical care unit. J Nurs Edu Pract. 2015;5(12).

Eom JS, Lee MS, Chun HK, Choi HJ, Jung SY, Kim YS, et al. The impact of a ventilator bundle on preventing ventilator-associated pneumonia: a multicenter study. Am J Infect Cont. 2014;42(1):34-7.

Jam Gatell MR, Sante Roig M, Hernandez Vian O, Carrillo Santin E, Turegano Duaso C, Fernandez Moreno I, et al. Assessment of a training programme for the prevention of ventilator‐associated pneumonia. Nurs Crit Care. 2012;17(6):285-92.

Salahuddin N, Zafar A, Sukhyani L, Rahim S, Noor MF, Hussain K et al. Reducing ventilator-associated pneumonia rates through a staff education programme. J Hosp Infect. 2004;57(3):223-7.

Meherali SM, Parpio Y, Ali TS, Javed F. Nurses knowledge of evidence based guidelines for prevention of ventilator-associated pneumonia in critical care areas: a pre and post-test design. J Ayub Medical Coll. 2011;23(1):146-9.

Mishra R, Rani N. Effectiveness of structured teaching program on knowledge and practice regarding care bundle on prevention of ventilator-associated pneumonia among nurses. Int Arch Nurs Health Care. 2020;6(4):149-53.