University of Oulu

Jansson, M., Ala-Kokko, T., Ylipalosaari, P., Syrjälä, H., & Kyngäs, H. (2013). Critical care nurses’ knowledge of, adherence to and barriers towards evidence-based guidelines for the prevention of ventilator-associated pneumonia – A survey study. Intensive and Critical Care Nursing, 29(4), 216–227. https://doi.org/10.1016/j.iccn.2013.02.006

Critical care nurses’ knowledge of, adherence to and barriers towards evidence-based guidelines for the prevention of ventilator-associated pneumonia : a survey study

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Author: Jansson, Miia1,2; Ala-Kokko, Tero2; Ylipalosaari, Pekka3;
Organizations: 1Institute of Health Science, University of Oulu, Finland
2Division of Intensive Care, Department of Anesthesiology, Oulu University Hospital, Oulu, Finland
3Department of Infection Control, University Hospital, Oulu, Finland
4Oulu University Hospital, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2019090226289
Language: English
Published: Elsevier, 2013
Publish Date: 2019-09-02
Description:

Abstract

Objectives: To explore critical care nurses’ knowledge of, adherence to and barriers towards evidence-based guidelines for prevention of ventilator-associated pneumonia.

Design: A quantitative cross-sectional survey.

Methods: Two multiple-choice questionnaires were distributed to critical care nurses (n = 101) in a single academic centre in Finland in the autumn of 2010. An independent-samples t-test was used to compare critical care nurses’ knowledge and adherence within different groups. The principles of inductive content analysis were used to analyse the barriers towards evidence-based guidelines for prevention of ventilator-associated pneumonia.

Results: The mean score in the knowledge test was 59.9%. More experienced nurses performed significantly better than their less-experienced colleagues (p = 0.029). The overall, self-reported adherence was 84.0%. The main self-reported barriers towards evidence-based guidelines were inadequate resources and disagreement with the results as well as lack of time, skills, knowledge and guidance.

Conclusion: There is an ongoing need for improvements in education and effective implementation strategies.

Clinical implications: The results could be used to inform local practice and stimulate debate on measures to prevent ventilator-associated pneumonia. Education, guidelines as well as ventilator bundles and instruments should be developed and updated to improve infection control.

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Series: Intensive and critical care nursing
ISSN: 0964-3397
ISSN-E: 1532-4036
ISSN-L: 0964-3397
Volume: 29
Issue: 4
Pages: 216 - 227
DOI: 10.1016/j.iccn.2013.02.006
OADOI: https://oadoi.org/10.1016/j.iccn.2013.02.006
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
3141 Health care science
Subjects:
Copyright information: © 2013 Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/.
  https://creativecommons.org/licenses/by-nc-nd/4.0/