Alanazi Samiyah, Alonazi Wadi B
Department of Health Administration, College of Business Administration, King Saud University Riyadh, Riyadh, Saudi Arabia.
Front Med (Lausanne). 2024 Nov 20;11:1365742. doi: 10.3389/fmed.2024.1365742. eCollection 2024.
Few surveys have focused on ventilator-associated pneumonia occurring in critically ill patients undergoing intubation and mechanical ventilation. Limited knowledge among healthcare workers may impede compliance with evidence-based guidelines for preventing ventilator-associated pneumonia. We evaluate the knowledge of intensive care professionals related to preventing ventilator-associated pneumonia in the intensive care units.
Cross-sectional survey.
Adult critical care departments in four tertiary hospitals in Riyadh in Saudi Arabia.
Adult intensive care units attending physicians (intensivist, non-intensivist), Nurses, and Respiratory Therapist who works in ICUs.
We analyzed 758 questionnaires (100% response rate) from four tertiary hospitals in Riyadh provinces. Nurses constitute the largest group, with most of all professions being Saudi nationals at [343(45.3%)]. Physicians are primarily male, accounting for [127(16.8%)], while the Respiratory Therapy field is predominantly female at [91(12%)]. Our analysis involved, chi-square test to explore potential variations in knowledge among participants with diverse demographic variables. The finding of this was significant positive correlation between some elements. It provides valuable insights into the intricate associations between demographic characteristics and healthcare practices related to VAP prevention ( < 0.05). Demographic factors significantly influence health practices related to ventilator associated pneumonia bundle prevention.
Our research identifies key factors influencing ventilator associated pneumonia prevention in critical care settings and provides actionable recommendations for healthcare institutions to enhance patient safety. While this research has extensively examined physicians, nurses and respiratory therapists, there is a depth of investigations comparing the knowledge and practices of these specialists within tertiary hospitals in Riyadh. Conducting such a study is imperative to address knowledge gaps and promote practices that mitigate the adverse outcomes of ventilator associated pneumonia on healthcare systems. This study underscores the pivotal role of education, professional experience, and demographic factors in shaping medical procedures and practices. Targeted interventions in these areas could potentially enhance adherence to the bundle. The study suggests the importance of targeted education programs, mentorship initiatives, and ongoing research to enhance patient outcomes in critical care settings.
很少有调查关注接受插管和机械通气的重症患者发生的呼吸机相关性肺炎。医护人员知识有限可能会妨碍对预防呼吸机相关性肺炎的循证指南的遵循。我们评估重症监护专业人员在重症监护病房预防呼吸机相关性肺炎方面的知识。
横断面调查。
沙特阿拉伯利雅得市四家三级医院的成人重症监护科室。
在重症监护病房工作的成人重症监护病房主治医师（重症医学专家、非重症医学专家）、护士和呼吸治疗师。
我们分析了利雅得省四家三级医院的758份问卷（回复率100%）。护士占比最大，所有职业中大多数是沙特国民，有343人（45.3%）。医生主要是男性，占127人（16.8%），而呼吸治疗领域主要是女性，有91人（12%）。我们的分析采用卡方检验，以探索不同人口统计学变量参与者之间知识的潜在差异。结果发现某些因素之间存在显著正相关。这为人口统计学特征与预防呼吸机相关性肺炎的医疗实践之间的复杂关联提供了有价值的见解（P<0.05）。人口统计学因素显著影响与呼吸机相关性肺炎集束预防相关的医疗实践。
我们的研究确定了重症监护环境中影响呼吸机相关性肺炎预防的关键因素，并为医疗机构提高患者安全性提供了可行的建议。虽然这项研究广泛调查了医生、护士和呼吸治疗师，但在利雅得的三级医院中，对这些专科医生的知识和实践进行比较的调查仍有深入空间。开展这样的研究对于填补知识空白和推广减轻呼吸机相关性肺炎对医疗系统不良后果的实践至关重要。本研究强调了教育、专业经验和人口统计学因素在塑造医疗程序和实践中的关键作用。在这些领域进行有针对性的干预可能会提高对集束的依从性。该研究表明了有针对性的教育项目、指导计划和持续研究对于改善重症监护环境中患者结局的重要性。
