کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2652256 1139614 2012 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
One evidence based protocol doesn’t fit all: Brushing away ventilator associated pneumonia in trauma patients
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
One evidence based protocol doesn’t fit all: Brushing away ventilator associated pneumonia in trauma patients
چکیده انگلیسی

SummaryObjectivesEvaluate change in ventilator associated pneumonia (VAP) and nurse's attitudes, beliefs post implementation of an evidence based practice (EBP) oral hygiene protocol.Methodology/design/settingDescriptive pre and post test design in two critical care units in a Level One Trauma Community Hospital. Oral hygiene protocol data was reanalysed to examine effects in medical surgical and trauma subgroups.Outcome measuresOral care practices, attitudes and beliefs among nurses, and VAP rates according to Centers for Disease Control and Prevention guidelines.ResultsTrauma rates increased from 6.4% to 10.0% (p = 0.346), and medical/surgical rates decreased from 3.3% to 1.0% (p = 0.042). Results revealed changes in nurses’ beliefs regarding pre-admission colonisation (p = 0.027) and having adequate training. Nurses’ perception of facility support improved, by having suitable equipment and readily available supplies. Foam swabs with moisture agents at 4 hours or less was 88.6% and toothbrush use at 12 hours or less was 71%, with significant changes in frequency of oral care post intervention.ConclusionsTrauma patients present with unique characteristics which compromise oral care. Understanding risk and prognostic factors, mechanisms of transmission and systemic inflammatory response are important when implementing EBP protocols. Nurses’ attitudes, beliefs are important, and staff adherence considered when initiating EBP changes.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Intensive and Critical Care Nursing - Volume 28, Issue 5, October 2012, Pages 280–287
نویسندگان
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