Educational technology in the implementation of measures to prevent ventilator-associated pneumonia
DOI:
https://doi.org/10.17058/reci.v16i.20512Keywords:
Intensive Care Units , Pneumonia Ventilator Associated , Patient Care Bundles , Evidence-Based Nursing, Biomedical TechnologyAbstract
Background and Objectives: Ventilator-associated pneumonia (VAP) is associated with high mortality rates, increased length of hospital stay, and higher costs. Implementing bundles of measures is recommended to reduce the incidence of VAP; however, a lack of adequate training is a barrier to implementing these measures. This study aims to evaluate the effect of educational technologies on the implementation of a VAP prevention bundle among a multidisciplinary team in an adult ICU. Methods: This is a before-and-after experimental study evaluating a multidisciplinary educational intervention with the implementation of the VAP bundle in an adult ICU, conducted from June 2023 to February 2024. The study was organized into three phases: phase I pre-intervention, phase II educational intervention, and phase III post-intervention. Results: 320 assessments of adherence to VAP prevention measures were conducted, and 34 ICU professionals participated in the educational activities. Following the intervention, there was a significant increase in overall adherence to the package of measures (from 22.6% to 43.3%, P<0.001). A reduction in the incidence density rate (ID) of VAP was identified after the intervention (from 12.9 to 9.8 per thousand days of mechanical ventilation).Conclusion: Educational interventions positively impact adherence to the set of measures. The knowledge gained during the study interventions was applied in patient care practice, resulting in a reduction in VAP ID in the analyzed scenario.
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