A Quasi Experimental study to evaluate the impact of nurse led intervention to prevent ventilator associated pneumonia in critically ill patients at selected ICU of Pt. B. D. Sharma PGIMS university of health science, Rohtak.

By:

Monika Kumari and Rajpati Amrawat

Volume: 10 | Issue: 01 | Year 2024 | Subscription
International Journal of Nursing Critical Care
Received Date: 01/08/2024
Acceptance Date: 03/18/2024
Published On: 2024-03-28
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Citation:
Monika Kumari and Rajpati Amrawat A Quasi Experimental study to evaluate the impact of nurse led intervention to prevent ventilator associated pneumonia in critically ill patients at selected ICU of Pt. B. D. Sharma PGIMS university of health science, Rohtak. International Journal of Nursing Critical Care. 2024; 10(01): -p.
Abstract

Background: Healthcare professionals and patients encounter numerous challenges in dealing with emerging treatment methods and their effects. Intensive Care Units (ICUs) experience a significantly higher rate of hospital-acquired infections than regular hospital wards. These include infections related to catheters, pneumonia associated with ventilators, and infections at surgical sites. Such nosocomial infections lead to increased death rates, illness, and medical expenses. Prolonged hospital stays, extended ICU stays, and increased mechanical ventilation duration are evident in affected patients. The use of invasive devices stands out as a major risk factor for nosocomial infections in ICUs, emphasizing the importance of adhering to preventive measures. The commitment of ICU staff to evidence-based infection control measures plays a critical role in mitigating nosocomial infections. It is imperative to implement preventive strategies founded on sound evidence to curb the incidence of hospital-acquired infections.Many cases of ventilator-associated pneumonia (VAP) originate from inhaling oropharyngeal secretions laden with potentially harmful microorganisms. To a lesser extent, the inhalation of gastric secretions might also play a role in VAP development. The natural protective mechanisms against aspiration are compromised by tracheal intubation, making mechanical ventilation a significant risk factor for VAP. Consequently, patients with pulmonary infections face financial strain beyond the treatment of their initial condition. VAP, a secondary issue that can arise from intubation and mechanical ventilation, is largely preventable. A set of interventions, known as the VAP prevention bundle, has been effective in reducing its occurrence.Objective: (1)To assess the influence of nursing-led interventions on preventing ventilator-associated pneumonia among critically ill patients within both experimental and control groups. (2) To find out the association of nurse lead intervention with selected demographic variable and clinical profile of critical ill patient at selected ICU of Pt. B. D Sharma PGIMS, Rohtak.Materials and Methods: The researcher conducted the study using quasi experimental research approach and pre- experimental research design on 40 patients admitted in CTVS ICU of Pt. B. D. Sharma PGIMS Rohtak, by using non-probability consecutive sampling technique. Same patients were assigned equally to each Experimental Group-1(20) and control Group-2(20). VAP prevention was determined with the help of CPIS TOOL on day-5 Data were evaluated with unpaired-t test and Chai square.RESULT: The study shows that in the experimental group, 25% (5 patients) using mechanical ventilators were free from infection. Within the same group, 55% (11 patients) experienced mild infections, while 20% (4 patients) faced severe infections. Conversely, in the control group, 35% (7 patients) had mild infections, and a significantly higher percentage, 65% (13 patients), suffered from severe infections. This indicates that patients in the experimental group predominantly had milder infections compared to those in the control group, where severe infections were more common.Conclusion:The study’s goal was to evaluate how effective the ventilator bundle was at preventing ventilator-associated pneumonia (VAP) in patients using mechanical ventilation in the specified CTVS ICU at Pt. B.D. Sharma PGIMS, Rohtak. Results showed that the ventilator bundle successfully reduced the incidence of VAP in the experimental group of patients. Furthermore, no notable link was found between the effectiveness of VAP prevention and various demographic factors in either the experimental or control groups. As a result, research hypothesis H2 was rejected at a significance level of p ≥ 0.05.

Keywords: Knowledge, compliance, VAP bundle, patient outcomes, Nurses working in ICUs.

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Citation:

Monika Kumari and Rajpati Amrawat A Quasi Experimental study to evaluate the impact of nurse led intervention to prevent ventilator associated pneumonia in critically ill patients at selected ICU of Pt. B. D. Sharma PGIMS university of health science, Rohtak. International Journal of Nursing Critical Care. 2024; 10(01): -p.

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