Bridging Innovation to Prevent Ventilator-Associated Pneumonia: A Descriptive Qualitative Study among Critical Care Nurses

Authors

  • Yulis Setiya Dewi Faculty of Nursing, Universitas Airlangga
  • Arina Qona'ah Faculty of Nursing, Universitas Airlangga
  • Hidayat Arifin (Scopus ID: 57211333166; h-index: 3); (WoS ResearcherID: S-3346-2018); Faculty of Nursing, Universitas Padjadjaran
  • Rifky Octavia Pradipta Faculty of Nursing, Universitas Airlangga
  • Rosita Rosita Faculty of Nursing, Universitas Airlangga
  • Lizy Sonia Benjamin College of Nursing, King Khalid University

DOI:

https://doi.org/10.24198/jkp.v9i3.1923

Keywords:

innovation, Ventilator-Associated Pneumonia, nurses, critical care, ventilator

Abstract

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.

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Author Biography

Hidayat Arifin, (Scopus ID: 57211333166; h-index: 3); (WoS ResearcherID: S-3346-2018); Faculty of Nursing, Universitas Padjadjaran

Scopus ID: 57211333166

WoS ResearcherID: S-3346-2018

Orcid ID: 0000-0002-5647-5721

SINTA ID: 670938

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.

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Published

2021-12-29

How to Cite

Dewi, Y. S., Qona’ah, A., Arifin, H., Pradipta, R. O., Rosita, R., & Benjamin, L. S. (2021). Bridging Innovation to Prevent Ventilator-Associated Pneumonia: A Descriptive Qualitative Study among Critical Care Nurses. Jurnal Keperawatan Padjadjaran, 9(3), 232–239. https://doi.org/10.24198/jkp.v9i3.1923