Development of Clinical Nursing Practice Guideline for Preventing Ventilator Associated Pneumonia in Intensive Care Unit, Lamphun Hospital.

Abstract

Ventilator- Associated Pneumonia (VAP) is the most important problem in the hospital, which affected on patients to high mortality and losing the hospital budgets. The objective of this study is to develop nursing practice to the clinical nursing practice guideline for preventing VAP in intensive care units. Lamphun Hospital between June2013 until June 2014.The researches was conducted in 3 phases: the first phase was to developed clinical nursing practice guidelines and manual preparation to prevent VAP. The second phase was published and promoted to use nursing practice guideline in Intensive Care Unit, target in 43 nurses. The third phase was evaluating nursing intervention, The results showed that: 1. The activities of clinical nursing practice guidelines to preventing VAP consists of 6 categories, such as 1) Effective hand washing before and after contact to patients. 2) Caring of the prone and roll. 3) Caring of air way suction 4) Caring of enteral feeding tube5) To maintain cleanliness of the mouth and teeth.6) Caring of intubation and mechanical on ventilator. After implement this develop clinical nursing practice guideline, the target nurses perform clinical nursing practice guideline for preventing VAP is greater than before, all 6 Categories statistical significance at the 0.01 level, up from 76.04 percent to 83.93 incidence of VAP after promoting to practice clinical nursing guideline decreased from 6.90 to 3.34 times per 1,000 days on a ventilator. This study showed that, the development and clinical nursing practice guideline to prevent VAP were strengthens skills to nurses and health personnel and more effectives on patients. So should promote the continuous and sustainable.