Effectiveness of Multifaceted Bundle Interventions on Selected Outcomes Variables of Ventilator Associated Problems, Knowledge and Compliance of Bundle Care Among Nursing Professionals in Intensive Care Unit at Selected Hospital, Jaipur City, Rajasthan
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Abstract
Introduction: Pneumonia is an acute lung inflammation often diagnosed through chest x-rays. Ventilator-associated pneumonia (VAP) occurs in ICU patients on mechanical ventilation, with diagnosis challenging due to varied pathogens. Lung ultrasound and respiratory sampling are emerging diagnostic tools.
Methodology: This study aimed to evaluate the effectiveness of multifaceted bundle interventions on selected outcomes variables of ventilator associated problems among nursing professionals in intensive care unit at selected tertiary care hospital, Jaipur city. Additionally, it sought to examine the association of knowledge and compliance of bundle care regarding ventilator associated problems among nursing professionals with their selected demographic variables. Utilizing a quantitative evaluative research approach, a pre experimental one group pre test & post test research design was adopted. Samples were selected the convenient sampling techniques. Data were collected from 40 nursing professionals by using structured knowledge questionnaire and checklist.
Result: The multifaceted bundle intervention significantly enhanced the knowledge of nursing professionals regarding ventilator-associated pneumonia (VAP). Statistical analysis showed substantial improvements in knowledge areas, such as general information on VAP and VAP bundle care, with t-values of 5.30 and 5.90, respectively, both well above the tabulated value at a 0.05 significance level. Similarly, compliance with various aspects of bundle care also improved, particularly in ventilator care measures, endotracheal suctioning, oral care, extubation and weaning trials, and DVT prophylaxis, with t-values exceeding the critical value. However, the intervention was not effective in improving compliance in infection control measures, patient positioning, and peptic ulcer prophylaxis, where t-values were below the critical value.
Conclusion: Overall, the intervention proved beneficial in enhancing both knowledge and compliance among nursing professionals, particularly in areas critical to VAP prevention and management.