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العنوان
Prevention of pediatric ventilator-associated pneumonia at pediatric intensive care unit :
المؤلف
El-Bilgahy, Amal Ahmed Abd El-Wahed.
هيئة الاعداد
باحث / أمل أحمد عبدالواحد البلجيهى
مشرف / وفاء السيد عبدالجليل عودة
مشرف / محمد محمد علي العاصمي
مشرف / سحر فاروق هاشم
مناقش / إيمان أمين محمد
مناقش / رباب السيد حسن
الموضوع
Pneumonia. Respirators (Medical equipment) Respiratory therapy - Complications. Pneumonia, Bacterial - Etiology.
تاريخ النشر
2015.
عدد الصفحات
269 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
طب الأطفال
تاريخ الإجازة
1/1/2015
مكان الإجازة
جامعة المنصورة - كلية التمريض - Pediatric Nursing Department.
الفهرس
Only 14 pages are availabe for public view

from 269

from 269

Abstract

Ventilator-associated pneumonia (VAP) is defined as nosocomial pneumonia developing 48 hour or more after initiation of mechanical ventilation. It is the second most common nosocomial infection in pediatric intensive care units (PICUs), accounting for 20% of all nosocomial infections in the pediatric population. The prevention of VAP is a major focus of many recent safety initiatives and focuses on modification of risk factors. The main aim of the study was to evaluate the effect of implementing training program for nurses on prevention of pediatric ventilator-associated pneumonia. A quasi-experimental research design was used in the study. The study was carried out in medical Pediatric Intensive Care Unit at Mansoura University Children hospital. The study involved a convenient sample of 40 nurses regardless of their age, education and years of experience. The study also was carried on 42 pediatric patients of both gender and fulfilling the inclusion criteria. The pediatric patients were divided into two equal groups (control and study group). Four tools were used for data collection including questionnaire to assess the nurses’ knowledge about pediatric ventilator-associated pneumonia and its prevention, pediatric ventilator-associated pneumonia prevention observation checklist, assessment sheet for health condition of the pediatric patient & modified clinical pulmonary infection score tool. The results of the present study indicated that, the nurses’ knowledge and practices of ventilator-associated pneumonia and its prevention in PICU was improved after the implementation of the training program either immediately or 3 months later than before its implementation. In addition, this study demonstrated that an educational program for PICU nurses was associated with decreases in the incidence of ventilator-associated pneumonia. There is also a need for periodic refreshing in-service training program that should be provided to nurses’ in PICU in order to improve their knowledge and practices regarding VAP prevention.