International Journal of Nursing Education
  • Year: 2018
  • Volume: 10
  • Issue: 3

A comparative study to assess the competency among ICU nurses in using ventilator associated pneumonia bundle to prevent ventilator associated pneumonia in selected government and private hospitals of New Delhi.

1Lecturer, Yashoda College of Nursing, Hyderabad;

2Associate Professor, Rufaida College of Nursing

3Tutor, Rufaida College of Nursing

4Professor cum Dean, Jamia Hamdard (Deemed to be University)

*Corresponding Author: Urmila Bhardwaj Associate Professor, Rufaida college of Nursing, Jamia Hamdard (Deemed to be University) Email: urmila_48@rediffmail.com

Online published on 6 September, 2018.

Abstract

Ventilator-Associated Pneumonia (VAP) is described as parenchyma lung infection occurring in more than 48 hours after initiation of mechanical ventilation. A Bundle is a structured way of improving the process of care and patient outcome. Components of the VAP bundle targets head of the bed elevation 30–45°, oral chlorhexidine care & suctioning, deep vein thrombosis prophylaxis, peptic ulcer disease prophylaxis, daily sedation vacation &Extubation trials.

To assess and compare the level of competency among ICu nurses of government and private hospitals in the use of VAP bundle. To determine the relationship between knowledge and skills and to establish relationship between competency of ICU nurses with selected demographic variables (professional qualification, experience of ICU nurses, In-service education)

Quantitative (Non Experimental) Research Approach, Comparative Descriptive Research Design. Structured Questionnaire and structured observational checklist was used. Non probability purposive sampling was adopted. Sample size 60 ICU nurses: 30-government hospital (Safdarjung) and 30-private hospital (Indraprastha Apollo) New Delhi, respectively.

The gain in good skills of ICu nurses of government hospital in using VAP bundle to prevent VAP was not influenced by their knowledge but was influenced in private hospital. No significant association was found between level of knowledge and skills scores and the selected demographic variables.

The study concluded that the use of VAP bundle to prevent VAP by ICu nurses were better in private hospital than the government hospital.

Keywords

Intensive care unit, Intensive care unit nurses, ventilator associated pneumonia, ventilator associated pneumonia bundle, competency