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Changes in knowledge, beliefs, and perceptions throughout a multifaceted behavioral program aimed at preventing
Lila Bouadma1, Bruno Mourvillier, Véronique Deiler
1Service de Réanimation Médicale et des Maladies Infectieuses, Hôpital Bichat-Claude-Bernard, Assistance Publique-Hôpitaux de Paris, Université Paris 7 Denis Diderot, 46 rue Henri-Huchard, 75877 Paris Cedex 18, France. lila.bouadma@bch.ap-hop-paris.fr
Intensive Care Medicine
|May 1, 2010
Summary
A multifaceted program improved healthcare workers' knowledge and cognitive factors for preventing ventilator-associated pneumonia (VAP). The positive impact was greatest for those with lower initial cognitive profiles, showing sustained improvement over one year.
Area of Science:
- Healthcare quality improvement
- Infection prevention and control
- Medical education and behavior change
Background:
- Ventilator-associated pneumonia (VAP) prevention necessitates addressing healthcare worker (HCW) behavior.
- A complex, multifaceted approach is required for effective VAP prevention strategies.
Purpose of the Study:
- To assess changes in individual factors influencing HCW behavior within a VAP prevention program.
- Evaluate the impact of a multifaceted intervention on cognitive factors related to VAP prevention.
Main Methods:
- A VAP prevention program implemented in a medical intensive care unit (ICU) involving HCWs.
- Utilized a multidisciplinary task force, education, observation, feedback, technical improvements, and reminders.
- Assessed knowledge, beliefs, and perceptions using tests and questionnaires pre-intervention and at 1 and 12 months post-intervention.
Main Results:
- Significant positive changes in HCW knowledge and cognitive factors were observed immediately after the educational session.
- Perceived susceptibility, seriousness, knowledge, benefits, and self-efficacy were significantly associated with knowledge.
- Positive cognitive changes were sustained and reinforced at the 1-year follow-up, with the greatest impact seen in HCWs with lower baseline cognitive profiles.
Conclusions:
- Gradual behavioral changes occurred throughout the VAP prevention program.
- The intervention demonstrated a pronounced positive effect on HCWs with lower baseline cognitive profiles.
- Multifaceted behavioral interventions can effectively enhance VAP prevention knowledge and practices.
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