Implementation of VAP Clinical Guideline (Bundle)
Implementation of VAP Clinical Guideline (Bundle)
This project was separated into 2 parts. First, RNs were pretested on nursing competencies related to VAP risk factors and preventive measures, then provided an educational component to enhance their knowledge of problems and solutions. Second, researchers established VAP rate in the ICU before implementation of the CPG, then re-determination the VAP rate after implementation of the RN educational component and the appropriate guidelines.
The first part of the study consisted of a voluntary questionnaire distributed to the nursing staff to assess their knowledge of VAP before a series of educational sessions. A nursing educational program with several different modes of information delivery was used: information posted on a bulletin board, a journal club, a PowerPoint presentation, and an information brochure.
The second part of the study began by reviewing the charts of patients on ventilators in the ICU from August through September 2010 to determine the VAP rate before implementation of the CPG (the control group). The education component was then completed and the CPG (Table 3) was implemented. The staff was allowed to become comfortable using the CPG in practice, and then the VAP rate was examined for the months of August through September 2011 (the experimental group).
Data collected for both the control and experimental groups included age, ventilation days, LOS, weight, mortality, severity of illness score (SOI), RN education, surgical vs. medical patients, ICU days, sex, and whether or not the patient developed VAP.
Bivariate statistical analysis was done using the SPSS 11.5 for Windows software package. Permission for this study was obtained from the internal review boards from both Daemen College in Amherst, New York, and the State University of New York at Buffalo.
Methods
This project was separated into 2 parts. First, RNs were pretested on nursing competencies related to VAP risk factors and preventive measures, then provided an educational component to enhance their knowledge of problems and solutions. Second, researchers established VAP rate in the ICU before implementation of the CPG, then re-determination the VAP rate after implementation of the RN educational component and the appropriate guidelines.
The first part of the study consisted of a voluntary questionnaire distributed to the nursing staff to assess their knowledge of VAP before a series of educational sessions. A nursing educational program with several different modes of information delivery was used: information posted on a bulletin board, a journal club, a PowerPoint presentation, and an information brochure.
The second part of the study began by reviewing the charts of patients on ventilators in the ICU from August through September 2010 to determine the VAP rate before implementation of the CPG (the control group). The education component was then completed and the CPG (Table 3) was implemented. The staff was allowed to become comfortable using the CPG in practice, and then the VAP rate was examined for the months of August through September 2011 (the experimental group).
Data collected for both the control and experimental groups included age, ventilation days, LOS, weight, mortality, severity of illness score (SOI), RN education, surgical vs. medical patients, ICU days, sex, and whether or not the patient developed VAP.
Bivariate statistical analysis was done using the SPSS 11.5 for Windows software package. Permission for this study was obtained from the internal review boards from both Daemen College in Amherst, New York, and the State University of New York at Buffalo.