2.50
Hdl Handle:
http://hdl.handle.net/10755/203181
Type:
Presentation
Title:
Ventilator Associated Pneumonia (VAP) and the Research Process
Abstract:
(Summer Institute) Problem: The VAP rate was perceived as problem in the TICU in a level one trauma center. It was suggested that we use Chlorhexidine impregnated cloths to decrease our perceived elevated rate of VAP. A project was undertaken by a graduate student to validate VAP rates and the need for alternative prevention methods. Evidence: The Joint Commission sets patient safety goals to include the reduction of the risk of health care–associated infections. VAP is the most common complication in patients in an ICU setting and accounts for 47% of all infections causing an increase in morbidity and mortality. AACN recommends elevated HOB, hand-hygiene, oral care, education, and use of gloves. Chlorhexidine impregnated wipes have been shown to decrease hospital acquired infections and VAP rates. Strategy: We began by ascertaining baseline levels by using the trauma registry data of trauma patients and VAP diagnosis. These levels would then be used to validate the perception of increased VAP rates in this setting. Practice Change: None required. Evaluation: We found that VAP was actually not a problem in the TICU. The current interventions in place have been successful in decreasing VAP and no changes are needed. Results: This project resulted in a deeper understanding of the research process and the importance of validating that a problem actually exists before planning and intervention. Recommendations: Recommendations include improving one’s familiarity with the research process prior to undertaking a project such as always obtaining baseline data. It is also recommended to find a mentor to assist with the process. Lessons Learned: Beginning a research project takes time and patience along with an understanding of the research process. Bibliography: Awuor, G. (2010). Getting involved in research: my experience as a data collector. Gastroenterology Nursing, 33(3), 242-243. Cason, C.L., Tyner, T., Saunders, S., & Broome, L. (2007). Nurses’ implementation of guidelines for ventilator-associated pneumonia from the Centers for Disease Control and Prevention. American Journal of Critical Care, 16, 28-37. Cornell University Library (2010). The seven steps of the research process. Retrieved from http://olinuris.library.cornell.edu/ref/research/skill1.htm. Evans, H.L., Dellit, T.H., Chan, J., Nathens, A.B., Maier, R.V., & Cuschieri, J. (2010). Effect of chlorhexidine whole-body bathing on hospital-acquired infections among trauma patients. Archives of Surgery, 145(3), 240-246. Fink, A. (2005). Evaluation fundamentals: insights into the outcomes, effectiveness, and quality of health programs. Thousand Oaks, CA: Sage Publications. Forbes, A. (2009). Clinical intervention research in nursing. International Journal of Nursing Studies, 46(4), 557-568. Kleinpell, R.M. (2009). Promoting research in clinical practice: strategies for implementing research initiative. Journal of Trauma Nursing, 16(2), 114-119. Polit, D.F. & Tatano-Beck, C. (2008). Nursing research: generating and assessing evidence for nursing practice. Philadelphia, PA: Lippincott, Williams, & Williams. Porter-O’Grady,T. & Malloch, K. (2007). Quantum Leadership: a resource for health care innovation. Jones and Bartlett Publishers: Sudbury, MA. [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]
Keywords:
VAP; Research
Repository Posting Date:
16-Jan-2012
Date of Publication:
3-Jan-2012
Sponsors:
UTHSCSA Summer Institute

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleVentilator Associated Pneumonia (VAP) and the Research Processen_GB
dc.identifier.urihttp://hdl.handle.net/10755/203181-
dc.description.abstract(Summer Institute) Problem: The VAP rate was perceived as problem in the TICU in a level one trauma center. It was suggested that we use Chlorhexidine impregnated cloths to decrease our perceived elevated rate of VAP. A project was undertaken by a graduate student to validate VAP rates and the need for alternative prevention methods. Evidence: The Joint Commission sets patient safety goals to include the reduction of the risk of health care–associated infections. VAP is the most common complication in patients in an ICU setting and accounts for 47% of all infections causing an increase in morbidity and mortality. AACN recommends elevated HOB, hand-hygiene, oral care, education, and use of gloves. Chlorhexidine impregnated wipes have been shown to decrease hospital acquired infections and VAP rates. Strategy: We began by ascertaining baseline levels by using the trauma registry data of trauma patients and VAP diagnosis. These levels would then be used to validate the perception of increased VAP rates in this setting. Practice Change: None required. Evaluation: We found that VAP was actually not a problem in the TICU. The current interventions in place have been successful in decreasing VAP and no changes are needed. Results: This project resulted in a deeper understanding of the research process and the importance of validating that a problem actually exists before planning and intervention. Recommendations: Recommendations include improving one’s familiarity with the research process prior to undertaking a project such as always obtaining baseline data. It is also recommended to find a mentor to assist with the process. Lessons Learned: Beginning a research project takes time and patience along with an understanding of the research process. Bibliography: Awuor, G. (2010). Getting involved in research: my experience as a data collector. Gastroenterology Nursing, 33(3), 242-243. Cason, C.L., Tyner, T., Saunders, S., & Broome, L. (2007). Nurses’ implementation of guidelines for ventilator-associated pneumonia from the Centers for Disease Control and Prevention. American Journal of Critical Care, 16, 28-37. Cornell University Library (2010). The seven steps of the research process. Retrieved from http://olinuris.library.cornell.edu/ref/research/skill1.htm. Evans, H.L., Dellit, T.H., Chan, J., Nathens, A.B., Maier, R.V., & Cuschieri, J. (2010). Effect of chlorhexidine whole-body bathing on hospital-acquired infections among trauma patients. Archives of Surgery, 145(3), 240-246. Fink, A. (2005). Evaluation fundamentals: insights into the outcomes, effectiveness, and quality of health programs. Thousand Oaks, CA: Sage Publications. Forbes, A. (2009). Clinical intervention research in nursing. International Journal of Nursing Studies, 46(4), 557-568. Kleinpell, R.M. (2009). Promoting research in clinical practice: strategies for implementing research initiative. Journal of Trauma Nursing, 16(2), 114-119. Polit, D.F. & Tatano-Beck, C. (2008). Nursing research: generating and assessing evidence for nursing practice. Philadelphia, PA: Lippincott, Williams, & Williams. Porter-O’Grady,T. & Malloch, K. (2007). Quantum Leadership: a resource for health care innovation. Jones and Bartlett Publishers: Sudbury, MA. [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]en_GB
dc.subjectVAPen_GB
dc.subjectResearchen_GB
dc.date.available2012-01-16T11:01:53Z-
dc.date.issued2012-01-03en_GB
dc.date.accessioned2012-01-16T11:01:53Z-
dc.description.sponsorshipUTHSCSA Summer Instituteen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.