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对护士进行呼吸机相关性肺炎预防指南教育是否能提高他们的依从性?

Does educating nurses with ventilator-associated pneumonia prevention guidelines improve their compliance?

机构信息

Adult Health Nursing Department, Faculty of Nursing, Al albayt University, Mafraq, Jordan.

出版信息

Am J Infect Control. 2017 Sep 1;45(9):969-973. doi: 10.1016/j.ajic.2017.04.009. Epub 2017 May 16.

DOI:10.1016/j.ajic.2017.04.009
PMID:28526315
Abstract

BACKGROUND

This study aimed to compare the compliance with ventilator-associated pneumonia (VAP)-prevention guidelines between nurses who underwent an intensive educational program and those who did not, and to investigate other factors that influence nurses' compliance.

METHOD

A 2-group posttest design was used to examine the effect of the VAP-prevention guidelines education on nurses' compliance. Participants were randomly assigned to experimental and control groups.

RESULTS

The overall nurses' compliance scores were moderate. There was no statistically significant difference in compliance between the nurses who received VAP education and those who did not (t[100] = -1.43; P = .15). The number of beds in the unit and the nurse-patient ratio were found to influence nurses' compliance.

CONCLUSION

Education in VAP-prevention guidelines will not improve nurses' compliance unless other confounding factors, such as their workload, are controlled. It is imperative to reduce nurses' workload to improve their compliance and enhance the effectiveness of education.

摘要

背景

本研究旨在比较接受强化教育计划的护士与未接受教育计划的护士在遵守呼吸机相关性肺炎(VAP)预防指南方面的差异,并探讨影响护士遵守率的其他因素。

方法

采用 2 组后测设计来检验 VAP 预防指南教育对护士遵守率的影响。参与者被随机分配到实验组和对照组。

结果

总体而言,护士的遵守率处于中等水平。接受 VAP 教育的护士与未接受教育的护士之间的遵守率差异无统计学意义(t[100] = -1.43;P = .15)。单位床位数和护士-患者比例被发现会影响护士的遵守率。

结论

除非控制其他混杂因素,如工作量,否则进行 VAP 预防指南教育不会提高护士的遵守率。减轻护士的工作量对于提高他们的遵守率和增强教育效果至关重要。

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