Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care unit
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , |
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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Texto & contexto enfermagem (Online) |
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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 |
_version_ |
1750118392290869248 |