Bridging Innovation to Prevent Ventilator-Associated Pneumonia: A Descriptive Qualitative Study among Critical Care Nurses
DOI:
https://doi.org/10.24198/jkp.v9i3.1923Keywords:
innovation, Ventilator-Associated Pneumonia, nurses, critical care, ventilatorAbstract
Background: Ventilator-Associated Pneumonia (VAP) is still a concern for individuals who are dependent on a ventilator. It is envisaged that the growth of technology-based innovations would lead to the creation of remedies for the prevention of VAP.
Purpose: The purpose of this study was to learn more about ICU nurses’ perspectives on nursing innovations to avoid VAP in patients who are on ventilators.
Methods: Throughout July and August of 2021, a descriptive qualitative research study was conducted. Through the use of the snowball sampling approach, a total of 30 critical care nurses were recruited. During the interview procedure, each participant had around 40 minutes of time for an in-depth interview using a semi-structured format. In order to analyse the findings of the interviews, the technique proposed by Colaizzi was used.
Results: The following four themes emerged: 1) Development of tools to prevent infection, 2) Innovation to monitor cuff tension, 3) Improvement of nurses’ skills and knowledge in using technology, and 4) Nurses’ burden in using technology.
Conclusion: Nurses may benefit from considering VAP management as a part of technology-based innovation strategy. Nurses have praised the invention for measuring and monitoring the ETT cuff as a source of optimism for future advancement.
Downloads
References
Akbiyik, A., Hepçivici, Z., Eşer, I., Uyar, M., & Çetin, P. (2021). The effect of oropharyngeal aspiration before position change on reducing the incidence of ventilator- associated pneumonia. European Journal of Clinical Microbiology & Infectious Diseases, 40(3), 615-622. https://doi.org/10.1007/s10096-019-03789-4
Asurakkody, T. A., & Shin, S. Y. (2018). Innovative behavior in nursing context: A concept analysis. Asian Nursing Research, 12(4), 237-244. https://doi.org/10.1016/j.anr.2018.11.003
Atashi, V., Yousefi, H., Mahjobipoor, H., & Yazdannik, A. (2018). The barriers to the prevention of ventilator-associated pneumonia from the perspective of critical care nurses: A qualitative descriptive study. Journal of Clinical Nursing, 27(5-6), e1161-e1170. https://doi.org/10.1111/jocn.14216
Barchielli, C., Marullo, C., Bonciani, M., & Vainieri, M. (2021). Nurses and the acceptance of innovations in technology-intensive contexts: the need for tailored management strategies. BMC Health Services Research, 21(639). https://doi.org/10.1186/s12913-021-06628-5
Divatia J.V., Pulinilkunnathil J.G., & Myatra S.N. (2020) Nosocomial Infections and Ventilator-Associated Pneumonia in Cancer Patients. In: Nates J., Price K. (eds) Oncologic Critical Care (pp. 1419-1439). Springer, Cham.
Fromentin, M., Ricard, J.-D., & Roux, D. (2021). Respiratory microbiome in mechanically ventilated patients: a narrative review. Intensive Care Medicine, 47(3), 292-306. https://doi.org/10.1007/s00134-020-06338-2
Haque, M., Sartelli, M., McKimm, J., & Abu Bakar, M. Bin. (2018). Health care-associated infections – an overview. Infection and Drug Resistance, 11, 2321-2333. https://doi.org/10.2147/IDR.S177247
Heath, L. (2015). Triangulation: Methodology. International Encyclopedia of the Social & Behavioral Sciences, 639-644. https://doi.org/10.1016/B978-0-08-097086-8.44059-6
Huter, K., Krick, T., Domhoff, D., Seibert, K., Wolf-Ostermann, K., & Rothgang, H. (2020). Effectiveness of digital technologies to support nursing care: Results of a scoping review. Journal of Multidisciplinary Healthcare, 13, 1905-1926. https://doi.org/10.2147/JMDH.S286193
Kerr, D., Ratcliff, J., Tabb, L., & Walter, R. (2020). Undergraduate nursing student perceptions of directed self-guidance in a learning laboratory: An educational strategy to enhance confidence and workplace readiness. Nurse Education in Practice, 42. https://doi.org/10.1016/j.nepr.2019.102669
Klompas, M., Branson, R., Eichenwald, E. C., Greene, L. R., Howell, M. D., Lee, G., Magill, S. S., Maragakis, L. L., Priebe, G. P., Speck, K., Yokoe, D. S., & Berenholtz, S. M. (2014). Strategies to prevent ventilator-associated pneumonia in acute care hospitals: 2014 update. Infection Control & Hospital Epidemiology, 35(8), 915-936. https://doi.org/10.1086/677144
Koch, P., Zilezinski, M., Schulte, K., Strametz, R., Nienhaus, A., & Raspe, M. (2020). How perceived quality of care and job satisfaction are associated with intention to leave the profession in young nurses and physicians. International Journal of Environmental Research and Public Health, 17(8), 1-12. https://doi.org/10.3390/ijerph17082714
Kong, J. (2009). Effect of digital problem-based learning cases on student learning outcomes in ophthalmology courses. Archives of Ophthalmology, 127(9), 1211-1214. https://doi.org/10.1001/archophthalmol.2009.110
Korstjens, I., & Moser, A. (2018). Series: Practical guidance to qualitative research. Part 4: Trustworthiness and publishing. European Journal of General Practice, 24(1), 120-124. https://doi.org/10.1080/13814788.2017.1375092
Kózka, M., Sega, A., Wojnar-Gruszka, K., Tarnawska, A., & Gniadek, A. (2020). Risk factors of pneumonia associated with mechanical ventilation. International Journal of Environmental Research and Public Health, 17(2), 1-7. https://doi.org/10.3390/ijerph17020656
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic Inquiry. SAGE Publications.
Morrow, R., Rodriguez, A., & King, N. (2015). Colaizzi’s descriptive phenomenological method. In The Psychologist, 28(8).
O’Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for reporting qualitative research. Academic Medicine, 89(9), 1245-1251. https://doi.org/10.1097/ACM.0000000000000388
Osti, C., Wosti, D., Pandey, B., & Zhao, Q. (2017). Ventilator-associated pneumonia and role of nurses in its prevention. JNMA; Journal of the Nepal Medical Association, 56(208), 461-468. http://www.ncbi.nlm.nih.gov/pubmed/29453481
Pepito, J. A., & Locsin, R. (2019). Can nurses remain relevant in a technologically advanced future? International Journal of Nursing Sciences, 6(1), 106-110. https://doi.org/10.1016/j.ijnss.2018.09.013
Polit, D. F., & Beck, C. T. (2012). Nursing research, generating and assessing evidence for nursing practice. Wolters Kluwer Health.
Powell-Cope, G., Nelson, A. L., & Patterson, E. S. (2008). Patient care technology and safety. in patient safety and quality: An evidence-based Handbook for Nurses. http://www.ncbi.nlm.nih.gov/pubmed/21328784
Powell-Cope, G., Nelson, A. L., & Patterson, E. S. (2008). Patient Care Technology and Safety. In R. G. Hughes (Ed.), Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Agency for Healthcare Research and Quality.
Samra, S. R., Sherif, D. M., & Elokda, S. A. (2017). Impact of VAP bundle adherence among ventilated critically ill patients and its effectiveness in adult ICU. Egyptian Journal of Chest Diseases and Tuberculosis, 66(1), 81-86. https://doi.org/10.1016/j.ejcdt.2016.08.010
Torres, A., Niederman, M. S., Chastre, J., Ewig, S., Fernandez-Vandellos, P., Hanberger, H., Kollef, M., Bassi, G. L., Luna, C. M., Martin-Loeches, I., Paiva, J. A., Read, R. C., Rigau, D., Timsit, J. F., Welte, T., & Wunderink, R. (2017). International ERS/ESICM/ESCMID/ALAT guidelines for the management of hospital-acquired pneumonia and ventilator-associated pneumonia. European Respiratory Journal, 50(3). https://doi.org/10.1183/13993003.00582-2017
Vance, G., Koczen-Doyle, D., Mcgee-Mccullough, D., Kuzma, A.M., Butler-Lebair, M. (2010). Nursing Care in the Intensive Care Unit Setting: The Role of the Nurse in the ICU. In: Criner, G., Barnette, R., D’Alonzo, G. (eds) Critical Care Study Guide (pp. 225-238). Springer.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Yulis Setiya Dewi, Arina Qona'ah, Hidayat Arifin, Rifky Octavia Pradipta, Rosita Rosita, Lizy Sonia Benjamin
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors retain copyright and grant Jurnal Keperawatan Padjadjaran right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0) license, that allows others to freely share and remix the work with an acknowledgment of the work's authorship and initial publication in Jurnal Keperawatan Padjadjaran.
