Effects of Clinical Nursing Practice Guidelines for Preventing Ventilator Associated Pneumonia in Neonates Neonatal Intensive Care Unit of Sakon Nakhon Hospital
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Abstract
This quasi-experimental research was to study the effect of clinical nursing practice guidelines on the prevention of ventilator associated pneumonia in newborns by 1) studying the practice of professional nurses; 2) comparing the incidence of ventilator-associated pneumonia; 3) studying the satisfaction of professional nurses after using the clinical nursing practice guideline. The sample consisted of 16 professional nurses working in the neonatal intensive care unit and 30 neonates using mechanical ventilation at the neonatal intensive care unit, divided into groups that use the old guidelines and those that use new nursing practice guidelines. Each group consisted of 15 people. Research measurements were a clinical nursing practice guideline for the prevention of ventilator-associated pneumonia in newborns that researchers developed using empirical evidence. The measurements used to collect data consisted of a general record for registered nurses, and neonates using mechanical ventilation appraisal, the measurement for compliance with guidelines, and a satisfaction assessment form after using the guideline. The data were analyzed by 1) analyzing the personal information of the 2 sample group, and analyzing the data using nursing practice guidelines of professional nurses by frequency and percentage. Comparing personal information data of neonatal between groups using the old guideline and the new nursing developed guideline by Chi-square test and independent t-test. Analysis of the satisfaction of professional nurses after using the nursing guideline was measured by using percentage, mean, and standard deviation.
The results were as follow: 1) Professional nurses caring for ventilated newborns followed the newly developed clinical nursing practice guidelines for the prevention of ventilator associated pneumonia in newborns. The overall application of the developed nursing practice guideline was at a high level (87.72%), same as with the aspiration prevention (100%), primary care to prevent infection (92.18%), cleaning and disinfection of ventilators and equipment (90.62%), care of ventilators and equipment (87.62%), patient care to prevent infection (80%). However, the scores of weaning of ventilators was at a moderate level (78.12%). 2) For the newborns who are nursing according to the developed nursing practice guidelines, the incidence of ventilator associated pneumonia (Mean = 9.53, SD = 0.83) was lower than the group using the old guideline (Mean = 21.27, SD = 1.29) with a statistical significance level of .05 and 3) After using the professional nursing practice guidelines, satisfaction in all aspects was at the highest level (Mean = 4.64, SD = 0.48).
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