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J Pediatr Intensive Care 2024; 13(02): 168-173
DOI: 10.1055/s-0041-1740589
Original Article

Ventilator-Associated Pneumonia Bundle of Care Training of Nursing Officers Using Simulation and Its Impact on Their Knowledge and Incidence of Ventilator-Associated Pneumonia: A Quasi-Experimental Study

Ravi Kumar Jeengar
1   Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Bharat Choudhary
2   Department of Trauma & Emergency (Pediatrics), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Daisy Khera
1   Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Simranjeet Singh
1   Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Suray Prakash Purohit
3   Pediatric Intensive Care Unit, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Kuldeep Singh 
1   Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
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Funding None.
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Abstract

The objective of this study was to assess the effectiveness of simulation-based training (SBT) of a ventilator-associated pneumonia (VAP) bundle of care on the knowledge and practice of nursing officers working in the pediatric intensive care unit (PICU) and its impact on the incidence of VAP. This study was a single-center, pre- and postsimulation-based educational interventional tool conducted in a six-bed PICU located in Western Rajasthan, India. Thirty nursing officers working in the PICU participated in the study. Baseline knowledge and practice regarding VAP bundle of care were assessed using a questionnaire and practice checklist. It was followed by 1:1 SBT of the VAP bundle of care following which all participants were immediately reassessed and then again at 3 months postintervention. The incidence of VAP (events/1,000 ventilation days) was subsequently compared both at 6 months pre- and postintervention. Thirty nursing officers participated in the study of which 63% were male. Baseline knowledge and practice increased significantly immediately after the VAP bundle of care training and then again at 3 months in comparison to preintervention testing (baseline 20.27 ± 4.51, immediate postintervention 26.0 ± 3.67, 3 months postintervention 23.97 ± 4.69). The incidence of VAP showed a declining trend from 46.1 to 36.5/1,000 ventilation days; however, this finding was not statistically significant (p = 0.22). The simulation-based teaching program significantly enhanced nursing officers' knowledge and practice toward utilization of a preventive VAP bundle of care. There was decay in knowledge with time indicating that repetitive sessions are required at regular intervals to sustain this effect.

Keywords

ventilator-associated pneumonia - simulation - PICU - children - nursing - training

Note

This article was presented as an oral presentation at the SIMULUS 6—National Paediatric Simulation conference 2021 and was awarded first prize. Institutional ethical clearance received from reference letter no. AIIMS Jodhpur (AIIMS/IEC/2020/3017). The study was performed at Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.




Publication History

Received: 10 September 2021

Accepted: 12 November 2021

Article published online:
16 December 2021

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