Related Experiment Video
Updated: May 1, 2026
07:36
Mechanical Ventilation Boot Camp Curriculum
Published on: March 12, 2018
9.7K
Development and psychometric testing of ventilator bundle questionnaire and observation schedule.
Miia M Jansson1, Tero I Ala-Kokko2, Hannu P Syrjälä3
1Division of Intensive Care, Department of Anesthesiology, Oulu University Hospital, Oulu, Finland; Institute of Health Science, University of Oulu, Oulu, Finland.
American Journal of Infection Control
|April 1, 2014
Summary
New tools, the ventilator bundle questionnaire (VBQ) and ventilator bundle observation schedule (VBOS), were developed to assess critical care nurses' adherence to ventilator bundles. These instruments demonstrate acceptable psychometric properties for clinical practice evaluation.
Area of Science:
- Nursing Research
- Clinical Practice Assessment
- Healthcare Quality Improvement
Background:
- Lack of validated instruments to assess critical care nurses' knowledge and skills regarding ventilator bundles.
- Ventilator-associated pneumonia (VAP) prevention relies on adherence to evidence-based guidelines.
- Need for reliable tools to measure adherence to ventilator bundles in critical care settings.
Purpose of the Study:
- To develop and psychometrically test a ventilator bundle questionnaire (VBQ).
- To develop and psychometrically test a ventilator bundle observation schedule (VBOS).
- To provide valid and reliable instruments for assessing adherence to ventilator bundles.
Main Methods:
- Development of VBQ and VBOS based on literature review of pharmacologic and nonpharmacologic interventions.
- Content validation of both instruments.
- Reliability testing (stability and equivalence) of the VBOS using a sample of critical care nurses in Finland.
Main Results:
- The final VBQ comprised 49 multiple-choice questions.
- The VBOS consisted of 86 dichotomous items.
- High content validity (0.99-1.0) and intraclass correlation coefficients (0.93-1.0) for the VBOS were achieved.
Conclusions:
- The VBQ and VBOS possess acceptable psychometric properties for assessing ventilator bundle adherence.
- These instruments can objectively evaluate the implementation of evidence-based guidelines in clinical practice.
- Further validation with diverse populations is recommended to enhance generalizability.
Related Concept Videos
01:20Assessment of Ventilation I: Respiratory Rate
2.8K
Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
2.8K
01:29Assessment of Ventilation II: Respiratory Depth and Rhythm
2.9K
Respiratory Depth
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
2.9K
01:23Assessment of Respiration
2.3K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
2.3K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
3.4K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
3.4K
01:19Respiratory Assessment: Purpose and Indications
2.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
2.1K
01:25Pulmonary Function Tests
1.2K
Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
1.2K