Literature Search

Grap, Mary. ,Munro, Cindy. , Hummel, Russel. , Jessica. , Elswick, and Sessler Curtis. 2005. Effect of Backrest Elevation on the Development of Ventilator-Associated Pneumonia. AACN. Retrieved from ajcc. aacnjournals. org on bunt 3, 2012. get up Background Ventilator-associated pneumonia is a common complication of mechanical ventilation. Backrest position and era spend resupine are critical risk of infection factors for aspiration, increasing the risk for pneumonia. Empirical demonstration of the effect of backbone positions on the incidence of ventilator-associated pneumonia, especially during mechanical ventilation over time, is limited. Objective To describe the relationship amongst back aggrandisement and development of ventilator-associated pneumonia. Methods It is a nonexperimental, longitudinal, descriptive design was apply. The Clinical pulmonic transmittance correspond was used to determine ventilator-associated pneumonia. Backrest crown was measured cont inuously with a transducer system. Data were obtained from laboratory results and checkup records from the go about of mechanical ventilation up to 7 days. Results Sixty-six subjects were monitored (276 patient days).Mean back elevation for the good discipline period was 21. 7. Backrest elevations were less than 30 72% of the time and less than 10 39% of the time. The mean Clinical Pulmonary Infection Score increased but not significantly, and backrest elevation had no direct effect on mean scores. A model for predicting the Clinical Pulmonary Infection Score at day 4 included baseline score, percentage of time worn out(p) at less than 30 on study day 1, and score on the Acute Physiology and inveterate wellness Evaluation II, explaining 81% of the variability (F=7. 1, P=. 003). literature Search 3 Conclusions Subjects spent the majority of the time at backrest elevations less than 30. Only the combination of early, low backrest elevation and adversity of illness affected the incidence of ventilator-associated pneumonia. Amelia Ross. (2006). The impact of an evidence-based practice facts of life curriculum on the fiber of viva wish well in the pr even outtion of ventilator-associated pneumonia. Retrieved from, www. elsevierhealth. com/journals/iccn. on March 2, 2012.Abstract BACKGROUND Despite strong evidence in the literature on the role of unwritten care in the prevention of ventilator-associated pneumonia (VAP), nurses continue to status vocal care as a comfort measure with low priority and utilize suds swabs kind of than toothbrushes. Although an evidence-based verbal care protocol existed and scoop out-practice oral care tools were available, the VAP pass judgment had not significantly fall even though nurses reported providing oral care. OBJECTIVESThe aim of the study was to determine if an evidence-based practice (EBP) educational program would ameliorate the quality of oral care delivered to mechanically ventilated patients th ereby, reducing the VAP rate. RESULTS Improvement in oral health was demonstrated by a decrease in median scores on the spoken mind Guide (pre (11. 0), post (9. 0)). A t-test analysis revealed a statistically significant difference (p=0. 0002). The frequentlyness of oral care documentation also improved as demonstrated by a substantiating transpose to the more frequent timeframes. The VAP rates have decreased by 50% following the EBP education Literature Search 4 ntervention. CONCLUSIONS The implementation of an EBP educational program focused on patient moment rather than a task to be performed improved the quality of oral care delivered by the nurse staff. Carolyn L. , Cason, Tracy, Tyner. , Sue, Saunders, Lisa, Broom. , 2007. Nurses capital punishment of Guidelines for Ventilator-Associated Pneumonia from the Centers for Disease Control and Prevention. AACN. Retrieved from ajcc. aacnjournals. org on March 1, 2012. Abstract Background Ventilator-associated pneumonia acc ounts for 47% of infections in patients in intensifier care units.Adherence to the best nursing practices recommended in the 2003 guidelines for the prevention of ventilator-associated pneumonia from the Centers for Disease Control and Prevention should compact the risk of ventilator-associated pneumonia. Objective To evaluate the extent to which nurses working in intensive care units implement best practices when managing enceinte patients receiving mechanical ventilation. Methods Nurses attending education seminars in the United States completed a 29-item questionnaire about the lawsuit and oftenness of care provided. Results Twelve hundred nurses completed the questionnaire.Most (82%) reported form with hit-washing guidelines, 75% reported draining gloves, half(a) reported elevating the head of the bed, a third reported performing subglottic suctioning, and half reported having an oral care protocol in their hospital. Nurses in hospitals with an oral care protocol rep orted better compliance with hand washing and maintaining head-of-bed elevation, were more likely to regularly provide oral care, and were more familiar with rates of ventilator-associated pneumonia and the organisms gnarly than were nurses working in hospitals without such protocols.Literature Search5 Conclusions The guidelines for the prevention of ventilator-associated pneumonia from the Centers for Disease Control and Prevention are not consistently or uniformly implemented. Practices of nurses employed in hospitals with oral care protocols are more often appropriate with the guidelines than are practices of nurses employed in hospitals without such protocols. Significant reductions in rates of ventilator-associated pneumonia may be achieved by broader implementation of oral care protocols. Grap, Mary. ,Munro, Cindy. , Hummel, Russel. , Jessica. Elswick, and Sessler Curtis. 2005. Effect of Backrest Elevation on the Development of Ventilator-Associated Pneumonia. AACN. Retriev ed from ajcc. aacnjournals. org on March 3, 2012. Abstract Background Ventilator-associated pneumonia is a common complication of mechanical ventilation. Backrest position and time spent supine are critical risk factors for aspiration, increasing the risk for pneumonia. Empirical evidence of the effect of backrest positions on the incidence of ventilator-associated pneumonia, especially during mechanical ventilation over time, is limited. Objective To describe the relationship between backrest elevation and development of ventilator-associated pneumonia. Methods It is a nonexperimental, longitudinal, descriptive design was used. The Clinical Pulmonary Infection Score was used to determine ventilator-associated pneumonia. Backrest elevation was measured continuously with a transducer system. Data were obtained from laboratory results and medical records from the start of mechanical ventilation up to 7 days. Results Sixty-six subjects were monitored (276 patient days).Mean backres t elevation for the entire study period was 21. 7. Backrest elevations were less than 30 72% of the time and less than 10 39% of the time. The mean Clinical Pulmonary Infection Score increased but not significantly, and backrest elevation had no direct effect on mean scores. A model for predicting the Clinical Pulmonary Infection Score at day 4 included baseline score, percentage of time spent at less than 30 on study day 1, and score on the Acute Physiology and Chronic Health Evaluation II, explaining 81% of the variability (F=7. 1, P=. 003). Literature Search 3 Conclusions Subjects spent the majority of the time at backrest elevations less than 30. Only the combination of early, low backrest elevation and severity of illness affected the incidence of ventilator-associated pneumonia. Amelia Ross. (2006). The impact of an evidence-based practice education program on the role of oral care in the prevention of ventilator-associated pneumonia. Retrieved from, www. elsevierhealth. com/ journals/iccn. on March 2, 2012.Abstract BACKGROUND Despite strong evidence in the literature on the role of oral care in the prevention of ventilator-associated pneumonia (VAP), nurses continue to view oral care as a comfort measure with low priority and utilize foam swabs rather than toothbrushes. Although an evidence-based oral care protocol existed and best-practice oral care tools were available, the VAP rates had not significantly decreased even though nurses reported providing oral care. OBJECTIVESThe aim of the study was to determine if an evidence-based practice (EBP) educational program would improve the quality of oral care delivered to mechanically ventilated patients thereby, reducing the VAP rate. RESULTS Improvement in oral health was demonstrated by a decrease in median scores on the Oral Assessment Guide (pre (11. 0), post (9. 0)). A t-test analysis revealed a statistically significant difference (p=0. 0002). The frequency of oral care documentation also improved as demonstrated by a positive shift to the more frequent timeframes. The VAP rates have decreased by 50% following the EBP education Literature Search 4 ntervention. CONCLUSIONS The implementation of an EBP educational program focused on patient outcome rather than a task to be performed improved the quality of oral care delivered by the nursing staff. Carolyn L. , Cason, Tracy, Tyner. , Sue, Saunders, Lisa, Broom. , 2007. Nurses Implementation of Guidelines for Ventilator-Associated Pneumonia from the Centers for Disease Control and Prevention. AACN. Retrieved from ajcc. aacnjournals. org on March 1, 2012. Abstract Background Ventilator-associated pneumonia accounts for 47% of infections in patients in intensive care units.Adherence to the best nursing practices recommended in the 2003 guidelines for the prevention of ventilator-associated pneumonia from the Centers for Disease Control and Prevention should reduce the risk of ventilator-associated pneumonia. Objective To evaluate t he extent to which nurses working in intensive care units implement best practices when managing adult patients receiving mechanical ventilation. Methods Nurses attending education seminars in the United States completed a 29-item questionnaire about the type and frequency of care provided. Results Twelve hundred nurses completed the questionnaire.Most (82%) reported compliance with hand-washing guidelines, 75% reported wearing gloves, half reported elevating the head of the bed, a third reported performing subglottic suctioning, and half reported having an oral care protocol in their hospital. Nurses in hospitals with an oral care protocol reported better compliance with hand washing and maintaining head-of-bed elevation, were more likely to regularly provide oral care, and were more familiar with rates of ventilator-associated pneumonia and the organisms involved than were nurses working in hospitals without such protocols.Literature Search5 Conclusions The guidelines for the p revention of ventilator-associated pneumonia from the Centers for Disease Control and Prevention are not consistently or uniformly implemented. Practices of nurses employed in hospitals with oral care protocols are more often congruent with the guidelines than are practices of nurses employed in hospitals without such protocols. Significant reductions in rates of ventilator-associated pneumonia may be achieved by broader implementation of oral care protocols.