The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates
Background. Ventilator-associated pneumonia (VAP) is a worrisome, yet potentially preventable threat in critically ill patients. Evidence-based clinical practices targeting the prevention of VAP have proven effective, but the most optimal methods to ensure consistent implementation and compliance re...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/682621 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832564443208220672 |
|---|---|
| author | W. Bradley Dosher Elena C. Loomis Sherry L. Richardson Jennifer A. Crowell Richard D. Waltman Lisa D. Miller Muhammad Nazim Faisal A. Khasawneh |
| author_facet | W. Bradley Dosher Elena C. Loomis Sherry L. Richardson Jennifer A. Crowell Richard D. Waltman Lisa D. Miller Muhammad Nazim Faisal A. Khasawneh |
| author_sort | W. Bradley Dosher |
| collection | DOAJ |
| description | Background. Ventilator-associated pneumonia (VAP) is a worrisome, yet potentially preventable threat in critically ill patients. Evidence-based clinical practices targeting the prevention of VAP have proven effective, but the most optimal methods to ensure consistent implementation and compliance remain unknown.
Methods. A retrospective study of the trend in VAP rates in a community-hospital’s open medical intensive care unit (MICU) after the enactment of a nurse-led VAP prevention team. The period of the study was between April 1, 2009, and September 30, 2012. The team rounded on mechanically ventilated patients every Tuesday and Thursday. They ensured adherence to the evidence-based VAP prevention. A separate and independent infection control team monitored VAP rates.
Results. Across the study period, mean VAP rate was 3.20/1000 ventilator days ±5.71 SD. Throughout the study time frame, there was an average monthly reduction in VAP rate of 0.27/1000 ventilator days, P<0.001 (CI: −0.40–−0.13). Conclusion. A nurse-led interdisciplinary team dedicated to VAP prevention rounding twice a week to ensure adherence with a VAP prevention bundle lowered VAP rates in a community-hospital open MICU. The team had interdepartmental and administrative support and addressed any deficiencies in the VAP prevention bundle components actively. |
| format | Article |
| id | doaj-art-f4ed1b3b746c43a1bf1093996c8e993e |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-f4ed1b3b746c43a1bf1093996c8e993e2025-02-03T01:11:00ZengWileyCritical Care Research and Practice2090-13052090-13132014-01-01201410.1155/2014/682621682621The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia RatesW. Bradley Dosher0Elena C. Loomis1Sherry L. Richardson2Jennifer A. Crowell3Richard D. Waltman4Lisa D. Miller5Muhammad Nazim6Faisal A. Khasawneh7School of Medicine, Texas Tech University Health Sciences Center, Amarillo, TX 79106, USAAdult Critical Care Services, Northwest Texas Hospital, Amarillo, TX 79106, USAInfection Control, Northwest Texas Hospital, Amarillo, TX 79106, USAInfection Control, Northwest Texas Hospital, Amarillo, TX 79106, USARespiratory Care, Northwest Texas Hospital, Amarillo, TX 79106, USAAdult Critical Care Services, Northwest Texas Hospital, Amarillo, TX 79106, USADepartment of surgery, Texas Tech University Health Sciences Center, Amarillo, TX 79106, USASection of Critical Care Medicine, Department of Internal Medicine, Texas Tech University Health Sciences Center, 1400 S. Coulter Street, Amarillo, TX 79106, USABackground. Ventilator-associated pneumonia (VAP) is a worrisome, yet potentially preventable threat in critically ill patients. Evidence-based clinical practices targeting the prevention of VAP have proven effective, but the most optimal methods to ensure consistent implementation and compliance remain unknown. Methods. A retrospective study of the trend in VAP rates in a community-hospital’s open medical intensive care unit (MICU) after the enactment of a nurse-led VAP prevention team. The period of the study was between April 1, 2009, and September 30, 2012. The team rounded on mechanically ventilated patients every Tuesday and Thursday. They ensured adherence to the evidence-based VAP prevention. A separate and independent infection control team monitored VAP rates. Results. Across the study period, mean VAP rate was 3.20/1000 ventilator days ±5.71 SD. Throughout the study time frame, there was an average monthly reduction in VAP rate of 0.27/1000 ventilator days, P<0.001 (CI: −0.40–−0.13). Conclusion. A nurse-led interdisciplinary team dedicated to VAP prevention rounding twice a week to ensure adherence with a VAP prevention bundle lowered VAP rates in a community-hospital open MICU. The team had interdepartmental and administrative support and addressed any deficiencies in the VAP prevention bundle components actively.http://dx.doi.org/10.1155/2014/682621 |
| spellingShingle | W. Bradley Dosher Elena C. Loomis Sherry L. Richardson Jennifer A. Crowell Richard D. Waltman Lisa D. Miller Muhammad Nazim Faisal A. Khasawneh The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates Critical Care Research and Practice |
| title | The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates |
| title_full | The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates |
| title_fullStr | The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates |
| title_full_unstemmed | The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates |
| title_short | The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates |
| title_sort | effect of a nurse led multidisciplinary team on ventilator associated pneumonia rates |
| url | http://dx.doi.org/10.1155/2014/682621 |
| work_keys_str_mv | AT wbradleydosher theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT elenacloomis theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT sherrylrichardson theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT jenniferacrowell theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT richarddwaltman theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT lisadmiller theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT muhammadnazim theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT faisalakhasawneh theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT wbradleydosher effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT elenacloomis effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT sherrylrichardson effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT jenniferacrowell effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT richarddwaltman effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT lisadmiller effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT muhammadnazim effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates AT faisalakhasawneh effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates |