Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit

Detalhes bibliográficos
Autor(a) principal: Silva,Sabrina Guterres da
Data de Publicação: 2014
Outros Autores: Salles,Raquel Kuerten de, Nascimento,Eliane Regina Pereira do, Bertoncello,Kátia Cilene Godinho, Cavalcanti,Cibele D'Avila Kramer
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Texto & contexto enfermagem (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072014000300744
Resumo: We aimed at evaluating compliance with a bundle to prevent ventilator-associated pneumonia in an Intensive Care Unit. It is a quantitative, descriptive and cross-sectional study, conducted in a public hospital in the state of Santa Catarina. Data were collected in July and August of 2012. The sample consisted of 1,146 observations of the four elements that compose the bundle (head of bed elevation between 30-45°; endotracheal suctioning; cuff pressure between 20-30 cmH2O; and oral care with 0.12% chlorhexidine). Expected compliance was equal to a positivity rate ≥80%. Data analysis revealed overall bundle compliance of 794 (69.2%). When analyzed separately, two practices presented expected compliance (84.7%): oral care and suctioning. Head of bed elevation had the lowest compliance (55.5%), followed by cuff pressure (61.8%). We observed the need for strategies that promote the quality of all the elements that compose the bundle in order for its use to be effective.
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spelling Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unitIntensive care unitsPneumonia, ventilator-associatedNursing assessmentPatient care teamWe aimed at evaluating compliance with a bundle to prevent ventilator-associated pneumonia in an Intensive Care Unit. It is a quantitative, descriptive and cross-sectional study, conducted in a public hospital in the state of Santa Catarina. Data were collected in July and August of 2012. The sample consisted of 1,146 observations of the four elements that compose the bundle (head of bed elevation between 30-45°; endotracheal suctioning; cuff pressure between 20-30 cmH2O; and oral care with 0.12% chlorhexidine). Expected compliance was equal to a positivity rate ≥80%. Data analysis revealed overall bundle compliance of 794 (69.2%). When analyzed separately, two practices presented expected compliance (84.7%): oral care and suctioning. Head of bed elevation had the lowest compliance (55.5%), followed by cuff pressure (61.8%). We observed the need for strategies that promote the quality of all the elements that compose the bundle in order for its use to be effective.Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem2014-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072014000300744Texto & Contexto - Enfermagem v.23 n.3 2014reponame:Texto & contexto enfermagem (Online)instname:Universidade Federal de Santa Catarina (UFSC)instacron:UFSC10.1590/0104-07072014002550013info:eu-repo/semantics/openAccessSilva,Sabrina Guterres daSalles,Raquel Kuerten deNascimento,Eliane Regina Pereira doBertoncello,Kátia Cilene GodinhoCavalcanti,Cibele D'Avila Kramereng2015-09-29T00:00:00Zoai:scielo:S0104-07072014000300744Revistahttp://www.scielo.br/tcePUBhttps://old.scielo.br/oai/scielo-oai.phptextoecontexto@nfr.ufsc.br1980-265X0104-0707opendoar:2015-09-29T00:00Texto & contexto enfermagem (Online) - Universidade Federal de Santa Catarina (UFSC)false
dc.title.none.fl_str_mv Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit
title Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit
spellingShingle Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit
Silva,Sabrina Guterres da
Intensive care units
Pneumonia, ventilator-associated
Nursing assessment
Patient care team
title_short Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit
title_full Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit
title_fullStr Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit
title_full_unstemmed Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit
title_sort Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit
author Silva,Sabrina Guterres da
author_facet Silva,Sabrina Guterres da
Salles,Raquel Kuerten de
Nascimento,Eliane Regina Pereira do
Bertoncello,Kátia Cilene Godinho
Cavalcanti,Cibele D'Avila Kramer
author_role author
author2 Salles,Raquel Kuerten de
Nascimento,Eliane Regina Pereira do
Bertoncello,Kátia Cilene Godinho
Cavalcanti,Cibele D'Avila Kramer
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Silva,Sabrina Guterres da
Salles,Raquel Kuerten de
Nascimento,Eliane Regina Pereira do
Bertoncello,Kátia Cilene Godinho
Cavalcanti,Cibele D'Avila Kramer
dc.subject.por.fl_str_mv Intensive care units
Pneumonia, ventilator-associated
Nursing assessment
Patient care team
topic Intensive care units
Pneumonia, ventilator-associated
Nursing assessment
Patient care team
description We aimed at evaluating compliance with a bundle to prevent ventilator-associated pneumonia in an Intensive Care Unit. It is a quantitative, descriptive and cross-sectional study, conducted in a public hospital in the state of Santa Catarina. Data were collected in July and August of 2012. The sample consisted of 1,146 observations of the four elements that compose the bundle (head of bed elevation between 30-45°; endotracheal suctioning; cuff pressure between 20-30 cmH2O; and oral care with 0.12% chlorhexidine). Expected compliance was equal to a positivity rate ≥80%. Data analysis revealed overall bundle compliance of 794 (69.2%). When analyzed separately, two practices presented expected compliance (84.7%): oral care and suctioning. Head of bed elevation had the lowest compliance (55.5%), followed by cuff pressure (61.8%). We observed the need for strategies that promote the quality of all the elements that compose the bundle in order for its use to be effective.
publishDate 2014
dc.date.none.fl_str_mv 2014-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072014000300744
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072014000300744
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0104-07072014002550013
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem
publisher.none.fl_str_mv Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem
dc.source.none.fl_str_mv Texto & Contexto - Enfermagem v.23 n.3 2014
reponame:Texto & contexto enfermagem (Online)
instname:Universidade Federal de Santa Catarina (UFSC)
instacron:UFSC
instname_str Universidade Federal de Santa Catarina (UFSC)
instacron_str UFSC
institution UFSC
reponame_str Texto & contexto enfermagem (Online)
collection Texto & contexto enfermagem (Online)
repository.name.fl_str_mv Texto & contexto enfermagem (Online) - Universidade Federal de Santa Catarina (UFSC)
repository.mail.fl_str_mv textoecontexto@nfr.ufsc.br
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