معرفة الممرضين و الممرضات حول الالتهاب الرئوي المرتبط بالتنفس الاصطناعي في وحدات العناية المركزة لحديثي الولادة في مستشفيات جنوب الضفة الغربية بفلسطين: دراسة تدخليه.
Impact of Education on Nurses' Knowledge of Ventilator-Associated Pneumonia in Neonatal Settings at Southern West Bank Hospitals: An Intervention Study
كامل محمد احمد حسين
Kamel Mohammad Ahmed Hussein
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Background: Ventilator-associated pneumonia (VAP) is a serious complication that can lead to a significant morbidity and mortality in critically ill patients in the neonatal intensive care units. These complications could range from prolonging the intubation period to an increase intensive care unit and hospital length of stay and costs. Aim of the Study: The purpose of this study was to determine the impact of evidencebased educational program on knowledge of neonatal intensive care nurses of VAP prevention at Bethlehem and Hebron Hospitals in Palestine. Design: A prospective educational intervention, using a pre-test and a post-test experimental design with the experimental and the control groups. Setting: This study was conducted in the neonatal intensive care units at four governmental and private hospitals in cities of Bethlehem and Hebron. Subjects: A total of 87 participants were randomly assigned to the control group (n= 38) and the intervention group (n = 49). Tools: A 30-items VAP prevention bundle knowledge test was completed at baseline and post-test (3 months later). Nurses in the intervention group received education lessons for 12 consecutive weeks. A post-intervention survey that assessed knowledge changes was completed by participants after being exposed to the intervention. A mixed, betweenwithin ANOVA was used to compare the nurses’ knowledge changes over time (repeated measures). Results: Findings from this study show the following results: (1) neonatal intensive care units nurses at Southern Palestinian Hospitals in both the intervention and control groups have poor knowledge at baseline regarding VAP (2) on post-test, NICU nurses’ knowledgeof VAP prevention bundle have improved after an educational intervention program (preintervention 65.7% versus post-intervention 86.7%) for the intervention group. Whereas, the general mean scores for the nurses in the control group didn't change over the same time frame. Moreover, no significant differences have been found for general knowledge scores by years of experience, previous training, gender & education level, while significant difference has been found for knowledge scores by place of work (p= 0.011). Conclusion and Recommendations: The current study shows that nurses were having unsatisfactory total knowledge at the pre-program implementation, however, the score of total knowledge increased after the program. Therefore, further studies with different andlarge sample populations are recommended to add to these findings. Therefore, Hospital administrations in collaboration with continuous education committee should focus on establishing educational programs and protocols to prevent and reduce the incidence of VAP and to enhance nurses’ knowledge on preventions of Ventilator-Associated Pneumonia.