The Effect of An Educational Program on Intensive Care Units Nurses' Knowledge Regarding Prevention Of Ventilator-Associated Pneumonia

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Ashraf Ismail Alamery
Mohammad Ibraheem Yacoub
Ossaama A. Zaqqout
Ghaith Bani Melhem


Ventilator Associated pneumonia prevention, Educational Program, Critical care nurses, level of knowledge, Evidence-based guideline


Background: Ventilator-associated pneumonia is one of the most common Healthcare-Associated Infections (HAI). Worldwide, VAP ranges from 6 to 52% and might be as much as 76% of all intubated patients in some developing countries. VAP accounts for 15% to 45% of the mortality rate in critical care settings. Despite advances in medical science, VAP continues to be one of the biggest threats in ICUs, being responsible for most infections in critically ill patients, and leading to prolonged ventilator dependency and prolonged stays in ICUs.
Aim: This study evaluated the effectiveness of implementing an educational program on the knowledge of ICU nurses from different healthcare sectors regarding VAP prevention guidelines.
Methods: One group pretest-posttest design was used. A total of 156 critical care registered nurses from 12 hospitals attended an educational program of four hours. Eight sessions were conducted in total. Nurses were asked to complete an adapted 19-itemtem questionnaire based on strategies and guidelines adopted by CDC for VAP prevention, which was used to evaluate nurses' actual knowledge of VAP prevention guidelines.
Results: ICU nurses mostly demonstrated a knowledge deficit regarding VAP prevention guidelines (pretest M = 8.79). The educational program was effective in increasing nurses' level of knowledge (posttest M = 14.9). Results have shown a statistically significant mean difference between pretest and posttest (p < .05). Nurses' actual level of knowledge was positively correlated with type of health sector, participants' ages, and attendance of previous educational sessions regarding VAP prevention.
Conclusion: The study evaluated the effectiveness of an educational program on critical care nurses' knowledge regarding VAP prevention. The introduced program was efficient and positively influenced nurses' knowledge wherever results demonstrated a knowledge deficit toward VAP prevention guidelines by the nurses who participated in this study. The importance of conducting frequent educational programs is essential to supporting nurses' knowledge. Implementation and dissemination of VAP prevention evidence-based guidelines on caring for intubated patients in critical care units is a prerequisite to improving nurses' level of knowledge and improving quality of nursing care.

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1. Gillespie, R. (2010). Prevention and management of ventilator-associated pneumonia the Care Bundle approach . Southern African Journal of Critical Care, 25(2), 44-52.
2. Sedwick, M. B., Lance-Smith, M., Reeder, S. J., & Nardi, J. (2012). Using evidence-based practice to prevent ventilator-associated pneumonia. American Association of Critical-Care Nurses, 32(4), 41-51.
3. Dakshinamoorthy, S., & Chidambaranathan. (2018). Compliance of Infection Control VAP Bundle in Critical Care Unit Nurses in tertiary Care Hospital at Chennai. International Journal of Nursing Education, 10(1), 121-124.
4. Abo Elseoud, A. R., AboSereal, M. M., Abed El Razek, G. M., & Hussein, S. (2016). An interventional study for reducing Ventilator Associated Pneumonia in Surgical Intensive Care Unit, Zagazig University Hospitals. International Journal of Current Microbiology and Applied Sciences, 5 (2), 202-214.
5. Bouadma, L., Mourvillier, B., Deiler, V., Derennes, N., Le Corre, B., Lolom, I., . . . Lucet, J.-C. (2010). Changes in knowledge, beliefs, and perceptions throughout a multifaceted behavioral program aimed at preventing ventilator-associated pneumonia. Intensive Care Medicine Journal, 36, 1341-1347.
6. Rajan, T., Devi, A., Thomas, U. M., Mamatha, G., Williams, S. (2018). Knowledge and Practice of Staff Nurses Regarding Oral Hygiene in Critically Ill Patients Admitted in Critical Care Units of Selected Hospitals at Mysuru, with a View to Develop an Oral Care Protocol. International Journal of Nursing Education, 10(1), 125-131.
7. Thompson, D., S. (2020). Examining ICU Nurses’ Knowledge of Ventilator-Associated Events and Ventilator-Associated Pneumonia. [Unpublished Doctoral dissertation]. Walden University.
8. Ministry of Health. (2012). Annual Statistical report. Retrieved September 15, 2013, from
9. Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155-159.
10. Batiha, A. M., Bashaireh, I., AlBashtawy, M., & Shennaq, S. (2013). Exploring the competency of the Jordanian intensive care nurses towards endotracheal tube and oral care practices for mechanicall ventilated patients: An observational study. Global Journal of Health Science, 5(1), 203-213.
11. Jahansefat, L., Vardanjani, M. M., Bigdelian, M., Massoumi, G., Khalili, A., and Mardani, D. (2016). Exploration of knowledge of, adherence to, attitude and barriers toward evidence-based guidelines (EBGs) for prevention of ventilator-associated pneumonia (VAP) in healthcare workers of pediatric cardiac intensive care units (PCICUs): A Quali-Quantitative survey. International Journal of Medical Research & Health Sciences, 5 (9), 67-73.
12. Mohamad, f., Salah, Z., Chakib, A., Ahmad, H., & Pierre K. (2010). Critical care clinicians' knowledge of evidence-based guidelines for preventing ventilator associated pneumonia. American Journal of Critical Care, 19(3), 272-277.
13. Llaurado, M., Labeau, S., Vandijck, D., Rello, J., Rosa, A., Riera, A., . . . Blotd, S. (2011). Southern European Intensive Care Nurses’ Knowledge of Evidence-Based Guidelines for Preventing Ventilator-Associated Pneumonia. Intenive Medicine Journal, 35(1),6-12.
14. Aysha, z. M., Alaa El-Din2, S. M., Attia, N. R., & Akab, M. I. (2016). Efficacy of Implementing Nursing Care Protocol on the Incidence of Ventilator Associated Pneumonia in Intensive Care Unit at Tanta Emergency Hospital. Journal of American Science, 2016, 12(2), 40-52.