Kalyan Geetanjli, Bibi Ravina, Kaur Ravinder, Bhatti Reena, Kumari Reeta, Rana Romina, Kumari Rupa, Kaur Manpreet, Kaur Rupinder
BSN, MSN, PhD Scholar, Tutor National Institute of Nursing Education, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Nursing Officer, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Iran J Nurs Midwifery Res. 2020 Sep 1;25(5):369-375. doi: 10.4103/ijnmr.IJNMR_128_18. eCollection 2020 Sep-Oct.
Ventilator-Associated Pneumonia (VAP) is a recognized nosocomial infection and a leading cause of high morbidity and mortality. Intensive Care Unit (ICU) nurses are in the best position to put the known evidence-based strategies into practice to prevent VAP. The aim of the present study is to assess the knowledge and practices of ICU nurses related to prevention of VAP in selected ICUs of a tertiary care centre in India (2013-2014) and to find out the association between knowledge and practices.
A descriptive survey was conducted in the different ICUs of a tertiary care hospital in India. Purposive sampling technique was used and 108 ICU staff nurses were enrolled during the period of data collection. The tool used for data collection was a self-developed valid and reliable knowledge-based questionnaire and an observational checklist. The descriptive (frequency and percentages) and inferential (Chi-square test) statistics was used.
Out of the 108 nurses enrolled in the study, 82 (75.93%) had average, 24 (22.22%) had good and only 2 (1.85%) of the ICU nurses had poor knowledge. Assessment of the practices revealed that 68 (94.44%) nurses had average and only 4 (5.55%) nurses had good practice. There was no association between the knowledge and practices of ICU nurses related to prevention of VAP. (χ = 0.14, = 0.710).
Although the nurses were having good to average knowledge scores, their practices were not associated with knowledge scores. There is a need to find out the ways that would help the nurses to adhere to good practices.
呼吸机相关性肺炎（VAP）是一种公认的医院感染，也是高发病率和高死亡率的主要原因。重症监护病房（ICU）护士最有条件将已知的循证策略付诸实践以预防VAP。本研究的目的是评估印度一家三级医疗中心特定ICU中ICU护士关于预防VAP的知识和实践，并找出知识与实践之间的关联（2013 - 2014年）。
在印度一家三级医疗医院的不同ICU中进行了一项描述性调查。采用目的抽样技术，在数据收集期间招募了108名ICU注册护士。用于数据收集的工具是一份自行编制的有效且可靠的基于知识的问卷和一份观察清单。使用了描述性（频率和百分比）和推断性（卡方检验）统计方法。
在参与研究的108名护士中，82名（75.93%）知识水平中等，24名（22.22%）知识水平良好，只有2名（1.85%）ICU护士知识水平较差。对实践情况的评估显示，68名（94.44%）护士实践水平中等，只有4名（5.55%）护士实践水平良好。ICU护士在预防VAP方面的知识与实践之间没有关联（χ² = 0.14，P = 0.710）。
尽管护士的知识得分良好至中等，但他们的实践与知识得分无关。有必要找出有助于护士坚持良好实践的方法。
