معرفة الممرضين و الممرضات حول الالتهاب الرئوي المرتبط بالتنفس الاصطناعي في وحدات العناية المركزة لحديثي الولادة في مستشفيات جنوب الضفة الغربية بفلسطين: دراسة تدخليه.
Date
2017-05-03
Authors
كامل محمد احمد حسين
Kamel Mohammad Ahmed Hussein
Journal Title
Journal ISSN
Volume Title
Publisher
AL-Quds University
جامعة القدس
جامعة القدس
Abstract
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.
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Keywords
الصحة النفسية المجتمعية , Community Mental Health