An in-depth look at ventilator-associated pneumonia in trauma patients and efforts to increase bundle compliance, education and documentation in a surgical trauma critical care unit

Buterakos, Roxanne; Jenkins, Phillip M; Cranford, James A.; Haake, R. Stephen; Maxson, Michelle; Moon, Ji-Hye; Rice, Brittney; Sachwani-Daswani, Gul

doi:10.1016/j.ajic.2022.01.029

Cited by 7 publications

(12 citation statements)

References 22 publications

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“…Nursing care for the prevention of ventilator-associated pneumonia (VAP) in ICU patients; patient care in the ICU, with the use of VAP packages in care; centered care with the objective of reducing ventilation days and ICU stay; extensive implementation of comprehensive critical care nursing protocols; infection monitoring; medication administration; prophylaxis of deep vein thrombosis; elevation of the head of the bed; professional hand washing; evaluation of the fan piping; assessment of cuff pressure; monitoring to perform weaning and spontaneous breathing test ( Buterakos et al., 2022 ).…”

Section: Resultsmentioning

confidence: 99%

“…Thus, specific nursing interventions to reduce ICP can be noted, such as maintaining the elevation of the head of the bed at 30°. Based on the data analyzed in the studies, it is possible to suggest that the proper nursing intervention was successful with a frequency of 100% in critically ill patients evaluated in the research by Buterakos et al (2022 ).…”

Section: Discussionmentioning

confidence: 99%

“…Within this context, the nursing process assists in directed and focused care on the needs presented by patients ( Barcelos et al, 2016 ). In addition, it is important to highlight that protocols are fundamental strategies for planning, implementation, and evaluation of actions, as well as in the standardization of work actions ( Buterakos et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

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Neurocritical Patients: Review of the Scope of Nursing Diagnoses and Care in the Intensive Care Unit

et al. 2023

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Objective To identify the diagnoses and nursing care for neurocritical patients in the intensive care unit. Method This is a scope review study, based on the Joanna Briggs Institute, led by the following guiding question: what are the diagnoses and nursing care for neurocritical patients in the intensive care unit? Data collection was carried out in February 2022 in a paired manner, in the following databases: EMBASE, MEDLINE, PubMed, and SCOPUS. For sample selection, the following search strategy was used: “Neurology” AND “Nursing Care” OR “Nursing Diagnosis” AND “Critical Care.” Studies were independently selected, blinded by two reviewers. Result It was possible to identify 854 studies, which after analysis by title and abstract, only 27 articles passed the eligibility, of which 10 were part of this review. Conclusion According to the analysis of the studies, it was found that nursing care, combined with a care plan for neurocritical patients, allows for better results, with a view to the quality of life and health promotion.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Neurocritical Patients: Review of the Scope of Nursing Diagnoses and Care in the Intensive Care Unit

et al. 2023

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“…respirator circuit and maintaining cuff pressure. [5][6][7][8] The worldwide mortality rate from VAP ranges from 20% to 60% of cases. In Brazil, there are still no concrete data on prevalence and mortality rates, as many hospitals do not have specific diagnostic protocols.…”

Section: Resultsmentioning

confidence: 99%

Cuidados de enfermagem e perfil epidemiológico de pacientes com pneumonia associada à ventilação mecânica

Kich

Medeiros²,

Baiocco³

et al. 2023

Rev Epidemiol Control Infect

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Justificativa e Objetivos: avaliar o perfil epidemiológico de pacientes diagnosticados com pneumonia associada à ventilação mecânica (PAVM) em Unidade de Terapia Intensiva (UTI) e investigar a adequação dos cuidados de enfermagem. Métodos: estudo quantitativo de coorte, retrospectivo, aplicado na UTI de um hospital do interior do Rio Grande do Sul. Envolveu 100% dos prontuários de pacientes com mais de 20 anos de idade, no ano de 2019, que desenvolveram PAVM. Resultados: estiveram em ventilação mecânica invasiva (VMI) 3.215 pacientes e, desses, 13 desenvolveram PAVM (2,47%). A maioria era homens (76,92%), com média de idade de 60,3 anos, cujas principais causas de internação foram problemas cardíacos (30,77%), politraumatismo (30,77%) e acidente vascular cerebral (15,39%). Os principais patógenos encontrados nos aspirados traqueais foram Acinetobacter sp (15%) e Pseudomonas aeruginosa (15%). A média de permanência na UTI foi de 30,61 dias, e foram a óbito 61,53%. Para avaliação dos cuidados de enfermagem, foi calculada a média de checklist do bundle de PAVM, aplicados, conforme a quantidade de dias em VMI. O resultado foi de 2,62 checklists por dia, sendo que a instituição preconiza quatro. Conclusão: o estudo permitiu conhecer o perfil epidemiológico dos pacientes com PAVM, além de observar a necessidade de melhora nos cuidados de enfermagem, considerando que a realização do checklist ficou abaixo do recomendado.

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“…Another study evaluated nursing education and VAP prevention bundle implementation to determine the effectiveness of educating registered nurses (RNs) on VAP prevention. A preintervention and postintervention comparison done after implementation of a unit-wide VAP bundle with nursing education led to a reduction in VAP incidence (20.8% [n = 74] vs 12.2% [n = 15]; P = .03) 8 …”

mentioning

confidence: 99%

The Impact of Nursing Education on Ventilator-Associated Pneumonia Prevention Bundle to Reduce Incidence of Infection: A Quality Improvement Project

Alfano,

Riddle,

Nordstrom

et al. 2024

Dimens Crit Care Nurs

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Background Ventilator-associated pneumonia (VAP) is a health care–acquired infection that leads to poor patient outcomes, increased length of hospital stay, exhaustion of health care resources, and unnecessary increases in health care costs. Objectives This project was designed to educate registered nurses on the importance of an evidence-based VAP prevention bundle that reduces the overall incidence of VAP infections. Methods Patients (N = 146) were enrolled in this quasi-experimental project that took place in a 14-bed neuro trauma surgical burn intensive care unit (ICU) at a level 1 trauma center. Data were collected from the chart review of patients admitted to the neuro trauma surgical burn ICU prior to and after nursing education intervention. The difference in VAP rate and enhanced nursing knowledge were the primary outcome measures. Results Data suggest improvement in several patient outcomes. Ventilator days were shortened from 17.45 days to 13.42 days (P = .085), and ICU length of stay decreased from 24.77 days to 17.62 days (P = .035). Patient laboratory data show improved white blood cell values (P < .001), less oxygen requirements (P < .001), and fewer patients meeting the diagnostic criteria for VAP (P = .073). Discussion Results suggest there were no statistically significant changes in the knowledge of registered nurses or oral care bundle compliance; however, improvements in patient data following the provider education suggest that continued education to nursing staff will have a positive impact on reducing hospital stay and significant costs associated with a VAP infection.

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An in-depth look at ventilator-associated pneumonia in trauma patients and efforts to increase bundle compliance, education and documentation in a surgical trauma critical care unit

Cited by 7 publications

References 22 publications

Neurocritical Patients: Review of the Scope of Nursing Diagnoses and Care in the Intensive Care Unit

Neurocritical Patients: Review of the Scope of Nursing Diagnoses and Care in the Intensive Care Unit

Cuidados de enfermagem e perfil epidemiológico de pacientes com pneumonia associada à ventilação mecânica

The Impact of Nursing Education on Ventilator-Associated Pneumonia Prevention Bundle to Reduce Incidence of Infection: A Quality Improvement Project

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