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Teaching Bundle Care Approach to Intensive Care Nurses to Prevent Ventilator Associated Pneumonia with a Stratified
Dimensions of Critical Care Nursing : DCCN
|September 27, 2023
Summary
A new teaching module significantly improved intensive care unit nurses' knowledge and skills in ventilator-associated pneumonia (VAP) care. While initial gains were substantial, a 6-month follow-up indicated some decay in VAP bundle knowledge and skills.
Area of Science:
- Medical Education
- Infectious Disease Prevention
- Critical Care Nursing
Background:
- Module-based teaching offers a structured approach to complex medical topics.
- Ventilator-associated pneumonia (VAP) remains a significant concern in intensive care units.
- Effective training is crucial for nurses to implement VAP prevention strategies.
Purpose of the Study:
- To evaluate the efficacy of a VAP bundle care teaching module with debriefing sessions.
- To assess the impact of the module on nurses' knowledge and skills regarding VAP prevention.
- To identify any decay in knowledge and skills over time.
Main Methods:
- A cohort of 200 paramedical staff participated in a module including lectures, debriefing, reflection, and feedback.
- Knowledge was assessed via pre- and post-tests.
- Skills were evaluated using Directly Observed Procedural Skills (DOPS) assessments.
- Follow-up at 6 months assessed knowledge and skill retention.
Main Results:
- Significant improvement in median DOPS scores from 6 to 13 (P < .001).
- A notable increase in nurses meeting or exceeding expectations for VAP bundle care skills post-module (P < .001).
- A decline in both knowledge and skills was observed at the 6-month follow-up.
Conclusions:
- A validated teaching module incorporating debriefing sessions effectively enhances nurses' understanding and application of VAP bundle care.
- The module demonstrates utility in improving critical care nursing competency for VAP prevention.
- Strategies to mitigate knowledge and skill decay post-training should be considered.
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