Examining the Effectiveness of Ventilator Bundles in Preventing Ventilator-Associated Pneumonia in Mechanical Ventilation Patients at Selected Hospitals in Nashik

Avinash Pawar

Abstract


The objective of this study was to assess how the application of a ventilator bundle can effectively prevent cases of ventilator-associated pneumonia (VAP) in patients undergoing mechanical ventilation in designated hospitals in Nashik. The study adopted a quantitative evaluative approach, implementing a genuine experimental control group design. A total of 40 patients on mechanical ventilators were chosen, with 20 patients each assigned to the experimental and control groups through non-probability purposive sampling. "Information was collected utilizing a partially structured interview questionnaire.We utilized descriptive statistics, encompassing frequency, percentage, mean, and standard deviation, and inferential statistics involving the chi-square test for data analysis. The findings revealed that in the experimental group, 30% of patients were in the age range of 21-30 years, while in the control group, 35% were between 51-60 years old. Most patients in both cohorts were males, constituting 70% in the experimental group and 75% in the control group. A notable proportion of patients in both groups required ventilation due to CNS Disease issues.In terms of suctioning frequency, more patients in the experimental group underwent 2nd hourly suctioning (60%), whereas in the control group, a higher percentage underwent 3rd hourly suctioning (40%). Approximately 50% of patients in both groups had a history of smoking. During the post-test, fewer patients in the experimental group (25%) developed infections compared to the control group (35%) with mild infections and 20% with severe infections in the experimental group, and 65% with severe infections in the control group.In the post-test, the experimental group had an average score of 1.7±1.04, while the control group had a mean score of 2.95±1.76. The calculated ‘t’ value of 5.20 exceeded the table value of 2.02, demonstrating significance at p ≤ 0.05 level. As a result, research hypothesis (H1) was corroborated, indicating the efficacy of the ventilator bundle in preventing ventilator-associated pneumonia among patients undergoing mechanical ventilation.Moreover, the study identified a correlation between preventing ventilator-associated pneumonia and specific demographic variables in both the experimental and control groups

Keywords


: Effectiveness, Ventilator Bundle Ventilator Associated Pneumonia, Mechanical Ventilator

References


REFERENCES

Books:

. Arlene, L, Polaski. (2010). “Core principle and practice of Medical Surgical

Nursing”. (2nd edition). Haryana: Elsevier Publication.

.Barbara, K, Timby. Nancy, E. Smith. (2007). “Introduction to Medical Surgical

Nursing”. (9th edition). Philadelphia: Lippincott Williams and Wilkin.

. Black Joyce M. & Jane Hokanson Hawks. (2005). “Medical Surgical Nursing”.

(7th edition). Philadelphia: W.B.Saunders Company.

. Brunner and Suddarth. (2004). “Medical surgical Nursing”. (12th

edition).Philadelphia: Lippincott Williams and Wilkins.

. Denise,T, Polit Hungler. (2007). “Essentials of Nursing

Research Methods,Appratials and Utilization”. (8th edition). New York:

Lippincott.

. Ignatavicius Workman. (2010). “Medical Surgical Nursing”. (6th

edition).Philadelphia: Saunders.

. James, B, Fink. (2005). “Clinical Practice in Respiratory Care”. (4th edition).

Lippincott.

. Jaya Kuruvilla. (2007). “Essentials of Critical Care Nursing”. (2nd edition).

Banglore: Jaypee Publications.

. Joan, T, Dolan. (1991). “Critical Care Nursing: Clinical Management through

the Nursing Process”. (2nd edition). Singapore: F A. Davis Company Publication.

Lachmann. (2008).”Mechanical Ventilator Clinical Application

and Patho- physiology”. (1st edition). Saunders Elsevier.

Lewis Heitkemper. (2007). “Medical Surgical Nursing”. (7th edition). Haryana:

Elsevier,

Linda, D, Urden. (2008). “Priorities in Critical Care Nursing”. (6th edition).

New York: Elsevier Publications.

Linda, D. (2006).” Critical Care Nursing”. (6th edition). New Delhi: Mosby

Publication.

Linda, M., Valenti. (2008).” Critical Care Nursing: Nursing Intervention &

Colloborative Management”. (2nd edition). Philadelphia: Lippincott Publications.

Linton. (2010).” Introduction to Medical Surgical Nursing”. (4th

edition).Haryana: Elsevier Publications.

Mahajan, B.K. (1997).”Methods in Biostatistics” (8th edition).New Delhi:

Jaypee Publish.

Mary Quitnet Perrin. (2009). “Understanding the Essentials Of Critical Care

Nursing”. (2nd edition). UK: Pearson Publications.

Nancy Burns. (1987). “Nursing research”. (3rd edition). Philadelphia: WB

Suanders Company,.

Pamela, L, Swearingen. (1990). “Manual of Critical Care Nursing; Nursing

Intervention and Collaborative Management” Philadelphia: MosbyPublications.

Patricia Gonce Morton. (2009). “Critical Care Nursing: A Holistic Care

Approach” (9th edition). Philadelphia: Lippincott Williams and Wilkin

Publication.

Shaffer’S. (1991). “Medical Surgical Nursing”. (7th edition). New Delhi: B.I

Publications Private.

Sheree Comer. (2005). “Delmark’s Critical Care Nursing”. (2nd

edition).Scotland: Thomson Publications.

Suzanne, C, Smeltzer, Brenda G. Bare. (2008). “Medical Surgical Nursing”.

(11thedition). Philadelphia: Lippincott Williams and Wilkings Publications.

Journals:

Asoka Gunaratne. (2010). “An audit on ventilator associated pneumonia in the

Intensive Care Unit”. International Journal of Anesthesia, Pain & Intensive care,

, 128-132. 2 . Conway Morris. (2012).” Application of ventilator care bundle

and its impact on VAP”. Journal of British Association Of Critical Care, 15(2):

- 190.

. Deborah Dawson. (2011). “Implementing quality initiatives using a bundled

approach”. Journal of Intensive & Critical Care, 27(3): 117 – 120.

. Deven Juneja. (2011)” Prevention and Management Of VAP: A survey on

current practices by the intensivists in the Indian Sub-continent”. Indian Journal of

Anesthesia, 55, 122 –128.

. Hina Gadani. (2010).” Ventilator-associated pneumonia: Incidence, outcome,

risk factor and measures to be taken for prevention”. Indian Journal of

Anaesthesia, 535 – 540.

. Jain Divatia. (2012). “Management of Sepsis In Indian ICU’s: Ventilator

Bundle”.Journal of Critical Care, 5(6): 90- 98.

. Mandal, A, K. (2011). “Implementation of a ventilator care bundle to reduce the

incidence of ventilator acquired pneumonia”. Journal of BMC, 5(6): 71- 75.

. Morris, A, C. (2009). “Reducing ventilator-associated pneumonia in

intensivecare: impact of implementing a care bundle”. Journal of Critical Care

Medicine: 2218 – 2224.

Richard Gillespie. (2008). “Prevention and management of ventilator-

associated pneumonia – the Bundle approach”. South Asian Journal Of Critical

Care, 10(3): 54- 62.

Sangeet Narang. (2011). “Impact of the ventilator bundle on ventilator-

associated pneumonia in intensive care unit”. International Journal Of Quality

Health Care: 23(5). 119- 124.

Suresh Agarwal. (2012. “Ventilator bundle on the incidence of VAP in

Surgical,Intensive Care Units”. Indian Journal of Pathology & Microbiology, 224

– 231.

Thomas Benet. (2008). “Ventilator Associated Pneumonia”. American Journal

of Respiratory and Critical Care Medicine, 7(5): 867 – 903.

Thomas Roding. (2005).”Ventilator-associated pneumonia in a surgical

intensive care unit”. Journal of Critical Care, 2(3): 167 – 173.

Vinod, A. (2010). “Clinical and economic consequences of ventilator

associated pneumonia: a systemic review”. Journal of Critical Care Medicine:

- 93.

Vishal, B, Shete. (2012). “Using evidence – based practice to prevent

ventilator associated Pneumonia”. Journal Of Critical Care Nurse, 32: 21- 31.

Yetin Mehta. (2006). “Ventilator-associated pneumonia: Incidence, risk

factors, Outcome, and microbiology”. Journal of Cardiothoracic & Vascular

Anesthesia, 4(9): 22- 28.

Yogesh Harde. (2013). “Detection of ventilator associated pneumonia, using

clinical pulmonary infection score (CPIS) in critically ill neurological

patients.”Journal of Anesthesiology & Science, 3(1): 225 – 231.

Net References:

. Cook, et al. (2008). Endotracheal Suction: A systemic Review. Volume 14.124-

http://www.actamedcolomb.org.co

. Manthous, C. (2009). Mechanical Ventilation, American Thoracic Society

Patients information Series. www.ncib.nlm.nih.gov

. Maria Isabel, (2009). Factors Related with Ventilator Associated Pneumonia in

an Intensive Care Unit. Volume 34. 164-168. http://www.lifesciencesite.com

. Nahed Kanded and Nayera Tanawy. (2012). Current Nursing practice for

prevention of VAP in ICUS. www.thoracic.org/assemblies/

. Tod Fraser (2011). Diagnosis of ventilator associated pneumonia.

http://crit.iq.com/index.php/blog/single/diagnosis-VAP Unpublished Thesis

. Angeline Kurian. (2012).” Impact of Adherence to a Ventilator Associated

Pneumonia (vap) Bundle on the incidence of VAP in PICU”. Rajiv Gandhi

University of Health Sciences, Karnataka.

. Santhosha Rani.Goda.(2009).” A Study To Assess The Knowledge Of Staff

Nurses Who Are Working In Various Intensive Care Units In Government

General Hospital In Bangalore Regarding VAP (Ventilatory Associated

Pneumonia) and its prevention”. Rajiv Gandhi University of Health Sciences,

Karnataka.

. Shany John. (2010). “A Study to Assess the Effectiveness of Structured

Teaching Programme on Knowledge of Critical Care Nurses, regarding Ventilator

Associated Pneumonia Bundle (VAP bundle), in reducing Ventilator Associated

Pneumonia ( VAP) among Mechanically Ventilated Patients in a selected

Hospital, Bangalore.”. R




DOI: https://doi.org/10.37591/rrjos.v12i2.3287

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