Abstract:
BACKGROUND:Ventilator-associated pneumonia (VAP) is an ongoing challenge for critical care nurses as they use current evidence-based strategies to decrease its incidence and prevalence. Mechanical intubation negates effective cough reflexes and impedes mucociliary clearance of secretions, causing leakage and microaspiration of virulent bacteria into the lungs. VAP is responsible for 90% of nosocomial infections and occurs within 48 hours of intubation. VAP is a major health care burden in terms of mortality, escalating health care costs, increased length of ventilator days and length of hospital stay. AIM:(1) To provide a review of the literature on VAP bundle (VAPB) practices. (2) To describe the etiology and risk factors and define bundled practices. (3) To discuss an explanatory framework that promotes knowledge translation of VAPBs into clinical settings. (4) To identify areas for further research and implications for practice to decrease the incidence of VAP. METHODS:Electronic searches in MEDLINE, EMBASE, CINAHL, PsycINFO, and Cochrane Collaboration were conducted using keywords specific to VAP. The inclusion criteria were: (1) Studies were original quantitative research published in an English peer-reviewed journal for the years 1997 to 2007. (2) Each study included an examination of bundled practices. (3) The clinical outcomes of critically ill adults with VAP were assessed. The studies were identified from the bibliographies of key references. Six studies were accepted based on the inclusion criteria. Each contributing author conducted the review and analysis of selected studies independently. The findings were compared and contrasted by all authors to establish consensus. RESULTS:Evidence shows that VAPB practices decrease VAP rates. Bundled practices result in decreased ventilator days, intensive care unit length of stay, and mortality rates. A strong association was seen, with an increased clinician compliance with VAPB protocols with decreased VAP rates. CONCLUSIONS AND IMPLICATIONS:Methodologically robust randomized controlled trials are required to examine the efficacy of VAPBs and determine causality between VAPBs and clinical outcomes. Organizational commitment is needed to adopt a conceptual framework that promotes effective knowledge translation, incorporating factors of evidence, context, and facilitation of VAPBs into clinical settings. Instituting nurse-led intervention champion leaders to facilitate reliable and consistent implementation of VAPBs into practice is warranted.
journal_name
Worldviews Evid Based Nursjournal_title
Worldviews on evidence-based nursingauthors
O'Keefe-McCarthy S,Santiago C,Lau Gdoi
10.1111/j.1741-6787.2008.00140.xsubject
Has Abstractpub_date
2008-01-01 00:00:00pages
193-204issue
4eissn
1545-102Xissn
1741-6787pii
WVN140journal_volume
5pub_type
杂志文章,评审abstract:BACKGROUND:There is a growing nursing literature that views missed care as an inevitable consequence of work intensification associated with the rationing of nursing and material resources available to deliver care. Global studies recognize that missed care is now ubiquitous, although studies tend to be conducted in on...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12285
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Arts-based approaches to knowledge translation are emerging as powerful interprofessional strategies with potential to facilitate evidence uptake, communication, knowledge, attitude, and behavior change across healthcare provider and consumer groups. These strategies are in the early stages of development. T...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12053
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Mental health professionals experiencing work-related stress may experience burn out, leading to a negative impact on their organization and patients. AIM:The aim of this study was to examine the effects of yoga classes on work-related stress, stress adaptation, and autonomic nerve activity among mental hea...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/wvn.12097
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:The appropriate nursing staff mix is imperative to the provision of quality care. Nurse staffing levels and staff mix vary from country to country, as well as between care settings. Understanding how staffing skill mix impacts patient, organizational, and financial outcomes is critical in order to allow poli...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/wvn.12283
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Published clinical practice guidelines on surgical site infection prevention are available; however, adherence to these guidelines remains suboptimal. AIMS:The aim of this study was to evaluate the effectiveness and perceived benefits of intervention and implementation strategies co-created by researchers a...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12436
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:Globalization of health care demands nursing education programs that equip students with evidence-based patient safety competences in the global context. Nursing students' entrance into clinical placements requires professional readiness. Thus, evidence-based learning activities about patient safety must be ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12088
更新日期:2015-06-01 00:00:00
abstract::Immediate skin-to-skin contact (SSC) after birth benefits the health of mothers and newborns by increasing breastfeeding rates, stabilizing the newborn's temperature, and encouraging bonding (Moore, Anderson, Bergman, & Dowswell, 2012). Although immediate SSC after a vaginal birth was common practice at our hospital, ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12057
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Cognitive behavioral therapy for insomnia (CBT-I) has been shown to improve depressive symptoms in older adults with comorbid insomnia and depression. However, it remains unclear whether brief CBT-I is effective for improving depressive symptoms in community-dwelling older adults with insomnia symptoms of va...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/wvn.12342
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Transitions of care (TOC) from hospitals is a continuing focus for quality improvement to reduce readmissions. Sufficient resources to offer interventions remain an issue for hospitals, leading to efforts to target high-risk patients and identify effective interventions. OBJECTIVES:Describe and measure effe...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12260
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:The field of knowledge utilization has been hampered by several issues including: the synonymous use of multiple terms with little attempt at definition precision; an overexamination of knowledge utilization as product, rather than a process; and a lack of progress to cross disciplinary boundaries to advance...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2010.00197.x
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Bridging the research-practice gap is a challenge for health care. Fostering awareness of and interest in research and development (R & D) can serve as a platform to help nurses and others bridge this gap. Strategic communication is an interdisciplinary field that has been used to achieve long-term interest ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12109
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Anxiety is the most common mental health problem in children, yet less than one third of children with anxiety disorders seek treatment. Cognitive-behavioral therapy (CBT) is recommended as a first-line treatment for childhood anxiety. However, current practice generally does not include CBT due to issues of...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/wvn.12024
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:Traumatic brain injury (TBI) is an acquired brain injury that occurs when there is sudden trauma that leads to brain damage. This acute complex event can happen when the head is violently or suddenly struck or an object pierces the skull or brain. The current principal treatment of TBI includes various pharm...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/wvn.12167
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:To improve the overall quality and effectiveness of the Canadian health care system through better decisions supported by research-based evidence (RBE), the Canadian Health Services Research Foundation (CHSRF) and partners have created the Executive Training for Research Application (EXTRA) program. OBJECTI...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2011.00218.x
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:An increasing number of nursing practice guidelines (NPGs) of varying methodological and reporting quality have been issued and published in international journals. Currently, the quality of NPGs in mainland China has not been explored. OBJECTIVE:To assess the quality of NPGs in China mainland using the AGR...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12127
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Preparation for hospital discharge after birth became a global concern when hospitals in many developing countries began implementing shorter lengths of stay for uncomplicated deliveries. A mother's perceived readiness for hospital discharge may be influenced by many factors that can ultimately shape postdis...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12208
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:The capacity for self-care and positive mental health (PMH) has an influence on well-being and on one's approach to chronic illness. PURPOSE:The aim was to determine the level of PMH and self-care agency as well as the relations among sociodemographic variables, PMH, and the level of self-care among patient...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12453
更新日期:2020-08-01 00:00:00
abstract:AIMS:Parenting interventions in this review refer to supportive parenting training provided for parents or primary caregivers of children and adolescents with type 1 diabetes mellitus (T1DM). The review aimed to synthesize evidence about parenting interventions in parents or caregivers of children and adolescents with ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,meta分析
doi:10.1111/wvn.12399
更新日期:2019-12-01 00:00:00
abstract:AIM:The primary purpose of this study was to identify research priorities for nurses and midwives across the Health Service Executive (HSE) North West region. The rationale for the study was underlined during meetings of HSE North West Directors of Nursing and Midwifery in January 2011. It was agreed that a more strate...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12035
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND:Nurses are increasingly engaged in evidence-based practice (EBP) processes to answer significant questions and guide nursing practice. However, there are no criteria to evaluate the rigor and quality of EBP projects, making the decision about whether to implement a recommended practice change questionable. ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2012.00264.x
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:One out of three adults is obese, making obesity the most common presenting chronic medical condition in the primary care setting. Obesity is associated with an increased risk of developing secondary illnesses resulting in a higher rate of morbidity. This chronic condition is a constant challenge facing inte...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1524-475X.2004.04038.x
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to examine the Oral Health-Related Quality of Life (OHRQOL) and Oral Health Impact Profile (OHIP) of oral and dental health patients in terms of gender, educational status, and the reason for coming to the oral health center. Also, we investigated the relationships between OHRQOL a...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12398
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Central venous catheters (CVCs) have provided many benefits in modern-day medical practice; however, they also put patients at risk of catheter-related complications. Numerous studies have been carried out in relation to the management of central venous catheters with conflicting results. While there were se...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1524-475X.2005.04085.x
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:The Evidence-Based Practice Identification and Change (EPIC) intervention is a complex multifaceted knowledge translation strategy that combines the use of evidence and continuous quality improvement to change health care professional practices. However, there is no measure to evaluate the fidelity (degree t...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2010.00182.x
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Adverse events related to opioid-induced unintended advancing sedation and respiratory depression in hospitalized patients are occurring with increased frequency, and these adverse events can have a negative impact on quality and cost outcomes. AIM:The goal of this paper is to inform nurses on best practice...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12061
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:It is known that registered nurses' (RNs') work context is related to their use of research and that it can affect nurse and patient satisfaction, as well as the outcomes of care. However, little is known about the relationship between work context and nurses' adherence to clinical practice guidelines. The a...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12046
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:Metacognitive training (MCT) was developed in 2007 and widely used to modify the delusions for patient with schizophrenia. However, its effectiveness remains unclear. AIMS:To investigate the overall effectiveness of MCT for delusion in schizophrenia patients from 2007 to 2016, and to investigate the variabl...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1111/wvn.12282
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Evidence shows that 3-5-year-old children undergo important physical and behavioral changes that include being affected by the amount of food they are served, with larger portions of food served resulting in greater dietary intake. This may be a key finding as researchers continue to identify effective treat...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1741-6787.2012.00257.x
更新日期:2013-05-01 00:00:00
abstract:PURPOSE:To conduct a baseline assessment of nurses' perceptions of knowledge, attitude, and skill level related to evidence-based practice (EBP) and research utilisation; determine the level of organisational readiness for implementing EBP and research; and examine the effectiveness of a computer-based educational prog...
journal_title:Worldviews on evidence-based nursing
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1111/j.1741-6787.2008.00123.x
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:This paper shows patients' enactment of choice in mixed methods, multidisciplinary study on the use of bedrails as restraints. APPROACH:Under the pressure of the implementation of impending legislation, patients from a Canadian elderly care rehabilitation unit were recruited to be part of this study and ass...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2006.00042.x
更新日期:2006-01-01 00:00:00