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Title: Nurses' Adherence to Ventilator-Associated Pneumonia (VAP) Prevention Guidelines in the Teaching Hospitals of Iran University of Medical Sciences, 2024
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Masoomeh Ahmadzadeh   , Mansoureh Ashghali Farahani , Morteza Mohammadzadeh , Hanieh Gholamnejad |
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Abstract: (301 Views) |
introduction: Ventilator-associated pneumonia is one of the common infections in intensive care unit patients, which can increase hospitalization duration and mortality rates. Preventing VAP requires teamwork, especially from nurses who play a crucial role in respiratory care. However, due to the high number of patients, limited time, and insufficient training, the implementation of preventive measures is not carried out properly. This study aimed to assess the adherence of nurses to ventilator-associated pneumonia prevention guidelines in the teaching hospitals affiliated with Iran University of Medical Sciences in 2024.
Methods: A cross-sectional study was conducted involving 265 intensive care unit nurses from educational hospitals in Tehran. The study utilized two questionnaires: one to collect demographic information and another to assess nurse compliance with guidelines for the prevention of ventilator-associated pneumonia, which had a single domain with a scoring range of zero to thirty-four. Data analysis was performed using SPSS version 18, employing both descriptive and inferential statistical methods, including Pearson correlation coefficient, independent t-test, and one-way analysis of variance (ANOVA).
Results: The findings showed that nurses' adherence to VAP prevention protocols was 66.8%, with a mean adherence score of 25.33 ± 4.13. The highest and lowest adherence rates were related to the use of heat and moisture exchangers (HME filters) (1.94 ± 0.23) and the use of sterile gloves during open suctioning (0.83 ± 0.77), respectively.
Conclusion: This study demonstrated that the level of nurses' adherence to ventilator-associated pneumonia prevention protocols in intensive care units is satisfactory and acceptable. These findings indicate the effectiveness of these protocols and highlight the importance of adherence in reducing the risk of pneumonia. Accordingly, it is recommended that regular training sessions and adequate supervision be implemented to enhance compliance with these guidelines.
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| Keywords: adherence, Nurse, Ventilator Associated Pneumonia |
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Full-Text [PDF 383 kb]
(99 Downloads)
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Type of Study: Quantitative-Research |
Subject:
Special
Received: 2025/01/24 | Accepted: 2025/03/29 | Published: 2025/04/30
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