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This study aimed to examine: 1) effects of using nursing practice guidelines for ventilator associated pneumonia (VAP) prevention on the incidence of VAP; 2) nurses’ perception for the importance of nursing practice guidelines for VAP prevention before and after using the guideline; and 3) the adherence of nurses to nursing practice guidelines for VAP prevention. The participatory action research was used as the conceptual framework in this study. The nursing practice guidelines for the prevention of VAP in the surgical intensive care unit comprised the following six parts: 1) mouth care; 2) positioning; 3) enteral feeding; 4) suction secretion; 5) respiratory care and ventilator circuit; and 6) implementation of guidelines for weaning ventilators. Representative samplings were purposive including 32 surgical critical care nurses and 77 patients while receiving mechanical ventilation in the surgical intensive care unit. Data collections were conducted for 4 months. The findings of the study revealed that after using nursing practice guidelines for VAP prevention, the incidence of VAP was decreased from 6.14 to 1.14 times in 1000 ventilator days. The mean score of nurses’ perception for the importance of nursing practice guidelines for VAP prevention were high in both before and after intervention. The mean score of nurses’ adherence to nursing practice guidelines for VAP prevention after intervention was higher than that before the intervention. The findings that reflect implementation of nursing practice guidelines for VAP prevention by using participatory action research could reduce the incidence of VAP.
Keywords : Ventilator associated pneumonia, Perception of importance, Adherence, Participatory action research
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
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