Ventilator-Associated Pneumonia (VAP) is a serious hospital-acquired infection that occurs in patients who are on mechanical ventilation for more than 48 hours. It leads to prolonged hospitalization, increased morbidity and mortality, and higher treatment costs. The study focuses on addressing this critical health problem through the implementation of standardized nursing practice guidelines (VAP bundle) to reduce its incidence and improve patient outcomes. Ventilator-Associated Pneumonia (VAP
Conditions
Interventions
VAP Bundle
1.Elevating the head of the bed .
2.Effective hand hygiene (5 moments, 7 steps).
3.Aspiration Precaution.
4.Oral care/brushing with 0.12% Chlorhexidine at least twice a day.
5.Weaning: Dail
Active Comparator Procedure/Surgery
VAP Bundle
Sponsors
Phrapokklao Hospital.
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1.Patients receiving mechanical ventilation in MICU 3 who meet the inclusion criteria (those using the ventilator for more than 48 hours are the focus of VAP incidence tracking). 2.Professional nurses who regularly work in MICU 3 (number of nurses not specified in snippets, but is the group receiving training and assessment).
Exclusion criteria
Exclusion criteria: 1.Patients who already have pneumonia or develop it within the first 48 hours of mechanical ventilation. 2.Patients who are transferred to another ICU during the study. 3.Patients who die or are extubated before the data collection period is completed. 4.Patients with limited therapeutic plans, such as those with DNR orders or receiving end-of-life care.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the prevention of ventilator-associated pneumonia 3 month questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| the prevention of ventilator-associated pneumonia 3 month GCP Guideline | — |
Countries
Thailand
Contacts
Public Contactponglada kulrungruang
Phrapokklao Hospital.
Outcome results
None listed