Nursing workload and adherence to non-pharmacological measures in the prevention of ventilator-associated pneumonia. A pilot study

Jam, R.; Hernández, O.; Mesquida, J.; Turégano, C.; Carrillo, E.; Pedragosa, R.; Gómez, V.; Martí, L.; Vallès, Jordi; Delgado‐Hito, Pilar

doi:10.1016/j.enfie.2017.10.002

Cited by 6 publications

(5 citation statements)

References 40 publications

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“…However, unlike our study, these studies focused on nurse‐to‐patient ratio to evaluate nursing workload from a general viewpoint and did not evaluate the actual workload of individual attending nurses. The results of our preliminary study had suggested that increased workload measured by the NEMS did not account for failure to apply non‐pharmacological preventive measures (Jam et al, ). Daud‐Gallotti et al .…”

Section: Discussionmentioning

confidence: 82%

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Nursing workload and compliance with non‐pharmacological measures to prevent ventilator‐associated pneumonia: a multicentre study

Jam

Mesquida

Hernández³

et al. 2018

Nursing in Critical Care

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Most critical care nurses have good baseline knowledge of non-pharmacological measures to prevent ventilator-associated pneumonia. Failure to comply with these measures is probably more related with behavioural, structural and organizational aspects than with nursing workload. Interventions to improve compliance might be more effective if they focus on factors such as work climate and professionals' attitudes.

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Section: Discussionmentioning

confidence: 82%

“…A pilot study found that workload did not seem to affect compliance with non‐pharmacological preventive measures (Jam et al, ). The present Spanish multicentre study aimed to verify these preliminary findings.…”

Section: Introductionmentioning

confidence: 99%

Nursing workload and compliance with non‐pharmacological measures to prevent ventilator‐associated pneumonia: a multicentre study

Jam

Mesquida

Hernández³

et al. 2018

Nursing in Critical Care

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“…Similar to the present results, previous studies have demonstrated that nurses had good knowledge of VCB. 10,11,20,21,22 Indeed, the nurses who had high knowledge of VCB were significantly more compliant with VCB guidelines. 21,22,23 Several studies, however, have reported that high VCB knowledge among nurses is primarily due to frequent training on the job and the impact of continuing nursing education.…”

Section: Discussionmentioning

confidence: 98%

Knowledge of Ventilator Care Bundles among Registered Nurses in the Intensive Care Unit at Sarawak General Hospital, Malaysia

Hussein,

Hatta,

Musa

et al. 2023

imjm

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INTRODUCTION: Ventilator Care Bundles (VCB) is a group of evidence-based highimpact interventions for mechanically ventilated patients. The study aims to identify the knowledge of VCB among Intensive Care Unit (ICU) nurses at the local hospital in Sarawak, Malaysia. MATERIALS AND METHODS: A quantitative cross-sectional survey was conducted among 30 nurses who worked in the ICU at Sarawak General Hospital, Malaysia. A modified questionnaire with 20 items was used to measure the level of knowledge. Data analysis was performed using the Statistical Package for the Social Sciences Statistics 26.0 for Windows with p< 0.05 was considered statistically significant. RESULTS: The results revealed that 86.7% (n=30) of respondents had a high-level knowledge of the VCB. There is a significant relationship between the level of knowledge of VCB and qualification as a Registered Nurse (p=0.03), ICU post-basic qualification (p=0.02), and level of nursing education (p<0.001). The level of knowledge was significantly related to the level of education (r=0.71; p<0.001), the number of years qualified as a registered nurse (r=0.38; p=0.03), and post-basic qualification (r=0.42; p=0.02). CONCLUSION: The good level of knowledge regarding VCB implementation among registered nurses indicates that they are well-equipped with the proper knowledge for caring for mechanically ventilated patients.

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“…Therefore, the psychological and pain management of patients is also a major concern. Thus, combining the results of the above analysis and the experience of previous related studies, [26][27][28][29] we developed nursing strategies targeting the prevention of postoperative flap transfer infections and put them into use in the clinical practice. The results denoted that the operative time, intraoperative bleeding, incision healing time, first postoperative time to bed on their own, and hospital stay were dramatically shorter in the observation group than in the control group, and postoperative pain and adverse reactions were reduced, indicating that the nursing strategy developed in this study can improve the safety of flap transfer and shorten the postoperative recovery period of patients.…”

Section: Discussionmentioning

confidence: 99%

Study on the prevention and nursing intervention of infection after flap transfer for hand trauma

Guo,

2023

Medicine

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To analyze the factors associated with infection after flap transfer for hand trauma and use them to develop nursing strategies and observe the effects of their application. Eighty-two patients admitted to our hospital for flap transfer for hand trauma from January 2020 to May 2020 were selected for the retrospective analysis. Logistic regression analysis was performed to analyze the factors associated with postoperative infections to develop care strategies. Another 88 patients admitted for flap transfer for hand trauma from September 2020 to June 2021 were retrospectively analyzed and divided into the observation (n = 44) and control groups (n = 44) according nursing strategies that they received. The operative time, intraoperative bleeding, incision healing time, first postoperative time to get out of bed on their own and hospital stay were compared between the 2 groups. The patients postoperative adverse effects and flap survival rates were also counted. visual analogue score, total active motion, manual muscle test, Barthel index, self-rating anxiety scale, self-rating depression scale scores were used to assess patients pain, hand function recovery and psychology before and after treatment. Logistic regression analysis manifested that postoperative bed rest time, affected limb immobilization, and pain were independent factors affecting postoperative infection after flap transfer (P < .05). After using targeted care strategies, the observation group had dramatically shorter operative time, intraoperative bleeding, incision healing time, time to first postoperative bed release on their own, and hospital stay, less postoperative pain and adverse effects, and higher flap survival rate than the control group (P < .05). Total active motion, manual muscle test, and Barthel index were higher in the observation group than in the control group after treatment, while self-rating anxiety scale and self-rating depression scale scores were lower than in the control group (P < .05). Finally, total satisfaction was higher in the observation group than in the control group (P < .05). Postoperative bedtime, fixation of the affected limb, and pain are independent factors affecting postoperative infection after flap transfer for hand trauma. Implementing infection prevention care strategies based on these factors can effectively improve the safety of flap transfer, reduce the possibility of infection, and shorten the recovery period of patients, which has high clinical application value.

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Nursing workload and adherence to non-pharmacological measures in the prevention of ventilator-associated pneumonia. A pilot study

Cited by 6 publications

References 40 publications

Nursing workload and compliance with non‐pharmacological measures to prevent ventilator‐associated pneumonia: a multicentre study

Nursing workload and compliance with non‐pharmacological measures to prevent ventilator‐associated pneumonia: a multicentre study

Knowledge of Ventilator Care Bundles among Registered Nurses in the Intensive Care Unit at Sarawak General Hospital, Malaysia

Study on the prevention and nursing intervention of infection after flap transfer for hand trauma

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