Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

Abstract

Background: Ventilator Associated Pneumonia (VAP) is a common syndrome in pediatrics primarily in infants and early childhood. Mechanical ventilation is one of the leading supportive modalities of management in the intensive care unit, but it conveys a lot of threats and complications. This study aimed to assess the impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates through the following: 1) Assessment of nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. 2) Designing, implementing and evaluating the impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates.Methods: Research design: A quasi-experimental design was utilized to conduct this study. Settings: The study was convoyed at Maternity & Gynecological and Children’s Hospitals affiliated to Ain shams University Hospitals from neonatal intensive care units. Sample: A convenient sample method of forty three (43) nurses, and fifty (50) neonates’ infants on mechanical ventilation was included in the study as a single study group. Tools: The questionnaire format, the observation checklist and implementation of nursing guidelines was assessed the nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. The implementation of nursing guidelines was premeditated as reference guidelines for nurses.Results: There were statistically significant differences between mean scores of the pre and post test as regards nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates.Conclusions: Application of the nursing guidelines has a positive outcome on improving nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. Recommendations: The current study recommended that directing a written protocol for prevention of ventilator associated pneumonia in neonates to support satisfactory knowledge, and competent practices are actually required at neonatal intensive care units.

Assessment Quality of Nursing Care Provided to Neonates with Respiratory Distress Syndrome at Intensive Care Unit in AL- Nasiriyah City Hospitals

“…Related to years of experience in the neonatal intensive care unit, the results show that there is a significant relationship between years of experience in the neonatal intensive care unit and nurses' knowledge toward quality of nursing care in neonatal respiratory distress syndrome domains. These results agree with study done by Ahmed &Abosamra, (2015), who found a highly significant relation between years of experience and nurses' knowledge (p.value = 0.000) (9) . While these results disagreement with study done by Hammod& Mohammed, (2016), who found a no significant relation between years of experience and nurses' knowledge (24) .…”

“…Related to years of experience in the neonatal intensive care unit, the results indicated that a highest percentage of the study sample are under 2 years and they are (50.0%) nurses. This result agrees with study done by Ahmed &Abosamra, (2015).This study shows the majority of study sample (68%)have less five years of experience (9) .…”

“…These results also agree with Ahmed et al, (2014), who found significant relation between age and nurses' knowledge (21) . These results also agree with Ahmed &Abosamra, (2015), who found highly significant relation between age and nurses' knowledge (9) . These results also agree with Aferu, (2015), who found significant relation between age and nurses' knowledge (20) .…”

Effect of Care Bundle Strategies on Nurses' Performance Regarding Prevention of Ventilator Associated Pneumonia at Neonatal Intensive Care Units

“…Validity and reliability: (21) who found that there were highly significant differences between the mean scores of nurses' knowledge before and after the intervention. Also, congruent with Sanders-Thompson (2020) (22) who represented that the nurses had a high level of knowledge…”

A Mobile-Assisted Peer Assessment Approach for Evidence-Based Nursing Education

“…From another perspective, researchers have stated that, for most learners, it remains a big challenge to make proper decisions. 29,30 Without sufficient practice and the opportunities to perceive medical cases from diverse perspectives when making decisions, students' evidence-based nursing learning performance could be disappointing. That is, the adoption of an effective learning strategy to promote students' learning outcomes in PICO is required.…”