Murray State University
Back to Basics: Nursing Interventions that Decrease Ventilator Pneumonia
Institution
Murray State University
Faculty Advisor/ Mentor
Kathleen Farrell
Abstract
Purpose: To recognize the benefits of basic nursing interventions and their significance in decreasing Ventilator associated pneumonia (VAP) and to evaluate the impact of using the VAP Bundle in delivering quality nursing care. Research Question: Is Ventilator associated pneumonia (VAP) preventable with the implementation of the VAP bundle? Significance/Background: Basic nursing interventions can decrease and possibly eradicate VAP, which is the most common and lethal nosocomial infection. As part of its 100,000 Lives Campaign, The Institute for Healthcare Improvement (IHI) advocated the use of life-saving interventions (bundles) to reduce or prevent VAP. This research examines the VAP occurrence rate and nurses’ perception of the implementation process. Method: Prevalence aggregate data was examined to determine the implemented Ventilator bundle’s effectiveness in decreasing the occurrence rates of VAP. Nursing staff (n=30) were surveyed to gain their perspective of the VAP bundle implementation process. Design: A quantitative, retrospective cohort study of all ventilated patients from February 1, 2006 - July 31, 2006 and a descriptive study of nurses' perception of the VAP bundle implementation process in a small, rural hospital in the south central United States to determine the effectiveness of a Ventilator Bundle project on patient outcomes. Findings: Preliminary findings suggest the NNIS risk index rate decreased from 9.85% to 2.67%. Nursing reports correlate VAP bundle implementation with favorable process and clinical outcomes. Implementation of VAP bundle has significant benefits to increasing positive patient outcomes.
Back to Basics: Nursing Interventions that Decrease Ventilator Pneumonia
Purpose: To recognize the benefits of basic nursing interventions and their significance in decreasing Ventilator associated pneumonia (VAP) and to evaluate the impact of using the VAP Bundle in delivering quality nursing care. Research Question: Is Ventilator associated pneumonia (VAP) preventable with the implementation of the VAP bundle? Significance/Background: Basic nursing interventions can decrease and possibly eradicate VAP, which is the most common and lethal nosocomial infection. As part of its 100,000 Lives Campaign, The Institute for Healthcare Improvement (IHI) advocated the use of life-saving interventions (bundles) to reduce or prevent VAP. This research examines the VAP occurrence rate and nurses’ perception of the implementation process. Method: Prevalence aggregate data was examined to determine the implemented Ventilator bundle’s effectiveness in decreasing the occurrence rates of VAP. Nursing staff (n=30) were surveyed to gain their perspective of the VAP bundle implementation process. Design: A quantitative, retrospective cohort study of all ventilated patients from February 1, 2006 - July 31, 2006 and a descriptive study of nurses' perception of the VAP bundle implementation process in a small, rural hospital in the south central United States to determine the effectiveness of a Ventilator Bundle project on patient outcomes. Findings: Preliminary findings suggest the NNIS risk index rate decreased from 9.85% to 2.67%. Nursing reports correlate VAP bundle implementation with favorable process and clinical outcomes. Implementation of VAP bundle has significant benefits to increasing positive patient outcomes.