Development of Patients with Ventilator Care Model to Prevent Ventilator Associated Pneumonia In Ranong Hospital

Main Article Content

Sirirat Nakrod
Niramol Oucharoen
Kanlayanee Nakarit

Abstract

The purpose of this research and development were to develop a model for take care of patient with ventilator to prevent ventilator associated pneumonia in Ranong Hospital. The sample group were 88 nursing personnel and the 301 patients of age more than 15 year old and were not affected by pneumonia on admission. Data were analyzed using descriptive and pair-sample t-test statistics.


The results of the study found that more than 90% of participants felt that development of patient with ventilator care model to prevent ventilator associated pneumonia among nursing personnel. The knowledge score of nurses increased from 18.8 to 25.62. Correct practice rates in post-intervention phase 93.14% compared with 71.79% in pre-intervention. The mortality rate was reduced significantly (p <0.05). But VAP incidence rate, length of stay and duration of mechanical ventilation were not significantly different (p > 0.05). It could be concluded that that concept of collaborative quality improvement could be applied to develop a model for take care of patient with ventilator to prevent ventilator associated pneumonia among nursing personal in Ranong Hospital.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Nakrod S, Oucharoen N, Nakarit K. Development of Patients with Ventilator Care Model to Prevent Ventilator Associated Pneumonia In Ranong Hospital. J Royal Thai Army Nurses [Internet]. 2020Sep.1 [cited 2020Oct.21];21(2):295-04. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/239937
Section
Research Articles

References

1. Nuritanon J. Airway Management. Thai Emergency Medicine Journal. 2009; 3: 61–9. (in Thai)

2. Klinchet N, Swangjit S. Patients’Peadiness with Success in Weaning from Medchanical Ventilation. Journal of Royal Thai Army Nurses. 2018;24(2):79-91.(in Thai)

3. Magill, S. S., Edwards, J. R., & Bamberg, W. Multistate Point-Prevalence Survey of Health Care- Associated Infections, 2011. New England Journal of Medicine. 2014; 370:1198-1208.

4. University Hospital, Nursing Director Consortium. Infection control rate report 2008 – 2011. Thammasat University hospital ; 2012.

5. Keyt,H., Faverio,P., & Restrepo, M.L. Prevention of ventilator-associated pneumonia in the intensive care unit: a review of the clinically relevant recent advancements. India journal of Medical research.2014;139(6):814-21.

6. Adam,A.E.,White,C.l.,&Kennedy,T.G.Implementing an evidence based intervention to improve care for ventilator-dependent residents in a nursing home facility. Clinical Nursing Studies. 2015;3(2):109-14.

7. Bootsayatham N, Vanichkul N, Sindhu S, Silarat T. The Relationships among Serum Creatinine Level,Ejection Fraction, Depression, Cardio Pulmonary Bypass Time, Physical Condition and Extubation Time in Patients with Elective Open Heart Surgery. Journal of Royal Thai Army Nurses. 2017;17(3):115-22.(in Thai)

8. Institute for Healthcare Improvement (IHI). The Breakthrough Series IHI’s Collaborative Model for Achieving Breakthrough Improvement. IHI Innovation Series white paper, Institute for Healthcare Improvement, Boston;2003: 1-20.

9. Centers for Disease Control and Prevention. Guidelines for Preventing Health CareAssociated Pneumonia, 2003. Recommendation of CDC and the Healthcare infection Control Practices Advisory Committee.2004; MMWR. 53(RR-03): 1-36. (in Thai)

10. Panida K,Tongpran N,Srisuda A. Effects of the development for promotional program for the implementation of ventilator associated pneumonia prevention-guidelines. Journal of Nursing Division.2017;44(3):34-57. (in Thai)

11. Somsup R, Prajanpol J, PhemPhul C, Vibulchai N, Pakkangway P, Lttarat J. Nursing Quality Improvement for Patient Safety of Critical Patients with Mechanical Ventilators in General Wards.Journal of Royal Thai Army Nurses. 2019;20(3):114-26.(in Thai)

12. Okgun Alcan, A., Demir Korkmaz, F., & Uyar, M. Prevention of ventilator-associated pneumonia: Use of the care bundle approach. American journal of infection control. 2016; 44(10):173- 6.

13. Ferreira, C.R., Soza, D.f., Cunha,T.m.,Tavares, m., Reis, s.s.a., Pedroso, R. S., et al. The Effectiveness of a bundle in the prevention of ventilatorassociated pneumonia. The Brazilian journal of infectious disease. 2016;20(3):267-71.

14. Sarat S. Gerontological Nursing :Common Problems and Caring Guideline. 3 rded. Bangkok: The Publisher of Chulalongkorn University; 2011.(in Thai)

15. Wisetsiri P,Unahalekhaka A,Kasatpibal N. Development of a Model for Promoting Practices to Prevent Drug-resistant Organisms Infections among Nursing Personnel, Medical Department of a Tertiary Care Hospital. Nursing Journal. 2015; 42(3):119-34.