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Murine Oropharyngeal Aspiration Model of Ventilator-associated and Hospital-acquired Bacterial Pneumonia
Published on: June 28, 2018
Implementing a Standardized Bundle to Prevent Nonventilator Hospital-Acquired Pneumonia in Adults
Sarah W Rickard1, Jennifer Drake, Mary-Michelle M Viars
1Sarah W. Rickard is a clinical nurse educator at Sutter Eden Medical Center in Castro Valley, CA. Jennifer Drake is a clinical educator for onboarding at Inova Alexandria Hospital in Alexandria, VA. Mary-Michelle M. Viars is an RN unit supervisor at Inova Mount Vernon Hospital in Alexandria, VA, where Jackie R. Ely is a physical therapist. Shanta P. Subedi is an RN-5 at Inova Fairfax Medical Campus in Falls Church, VA, where Shova Mahat is an RN-4 and RN unit supervisor and Megan M. Hathaway is a speech language pathologist. Megan E. Zimmerman is an occupational therapist at Penn State Health Milton S. Hershey Medical Center in Hershey, PA. Amanda P. Bettencourt is an assistant professor in the University of Pennsylvania School of Nursing in Philadelphia and an implementation science consultant. Maureen Kirkpatrick McLaughlin is an implementation science consultant in Charles Town, WV. Kathleen Russell-Babin is an independent consultant in Millstone Township, NJ. Contact author: Kathleen Russell-Babin, kathleen.russell-babin@inova.org. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Implementation science (IS) helps sustain evidence-based practices. A nurse-led team used IS to implement a pneumonia prevention bundle across three hospital units, reducing hospital-acquired pneumonia.
Area of Science:
- Implementation science
- Healthcare quality improvement
- Nursing research
Background:
- Sustaining evidence-based practices in clinical settings is challenging.
- Implementation science (IS) provides frameworks to overcome these challenges.
- Nonventilator hospital-acquired pneumonia (NV-HAP) remains a significant patient safety concern.
Purpose of the Study:
- To describe the application of IS concepts and tools by a nurse-led team.
- To detail the implementation of a standardized nursing bundle to reduce NV-HAP.
- To report on the process of implementing an evidence-based intervention in a multisite health system.
Main Methods:
- Utilized IS concepts, methods, and tools.
- Employed a nurse-led team approach.
- Implemented a standardized nursing bundle across three adult inpatient units.
Main Results:
- Successfully implemented a standardized nursing bundle.
- Demonstrated the application of IS in a real-world clinical setting.
- Aimed to reduce the incidence of NV-HAP.
Conclusions:
- IS facilitates the sustainment of evidence-based practices.
- Nurse-led initiatives can effectively utilize IS for quality improvement.
- Standardized nursing bundles, guided by IS, can improve patient outcomes.
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