Download or read book Significance of Specialized Education on Nurses Compliance Rate with Oral Care Protocol for Mechanically Ventilated Patients in Adult Intensive Care Unit written by Marharyta Dulevich and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Varieties of documented studies suggest the oral care protocol for mechanically ventilated patients significantly decrease rate of ventilator-associated pneumonia in adult population. Nevertheless, practice reveals a lack of specialized education in regards of oral care protocol and as a result- unsatisfactory compliance rate among nurses involved in care of mechanically ventilated patients. Oral care instructions and follow-up actions have been proved its effectiveness and efficiency. Meanwhile, high oral care compliance rate is associated with better patients' outcomes, shorter intensive care unit stay and hospitalization, lower mortality rate, and financial benefit for a hospital. Implementing specialized education for critical care nurses with systematic follow-up actions can increase the compliance rate with all mentioned above positive outcomes. This project is focused on comprehensive literature review, clinical observation of current practices and policies, and proposal of improvement actions.
Download or read book Oral Care Education with VAP Bundle for Intubated ICU Patients written by Jennifer Herman and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients in the Intensive Care Unit (ICU) intubated with mechanical ventilators had a higher incidence of pneumonia than other patients, resulting in a higher mortality rate. Ventilator Associated Pneumonia (VAP) rates demonstrated a significant increase after a patient has been intubated for more than two days. Research indicates that bacterial colonization is a major cause of pneumonia resulting in higher VAP rates. A survey of multiple studies has indicated that a VAP care bundle that includes oral care for the patient can reduce the VAP rate to near zero. The VAP care bundle is composed of elevating the patient's head, brushing the patients' teeth with sterile water, and suctioning the fluid from various collection points to remove the potential bacterial colonization. Additional research indicates nursing staff are effective in implementing procedures learned during their initial training, or will readily adopt a new procedure when the training includes the evidence to support the expected results of the procedure. The implantation of this solution includes initial training of the staff, in addition to educational posters posted in critical locations. A committee designated to track the implementation of the program will adjust the implementation plan based on ongoing metrics collected. At the end of the implementation period, the committee will prepare a report detailing the results of the VAP care bundle for distribution in the facility of the implementation. In addition, the committee will oversee the development of a white paper detailing the project and the results for dissemination across the health care industry, particularly to similar ICU facilities.
Download or read book Mechanical Ventilation written by David C. Shelledy and published by Jones & Bartlett Learning. This book was released on 2019-03-28 with total page 722 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mechanical Ventilation provides students and clinicians concerned with the care of patients requiring mechanical ventilatory support a comprehensive guide to the evaluation of the critically ill patient, assessment of respiratory failure, indications for mechanical ventilation, initiation of mechanical ventilatory support, patient stabilization, monitoring and ventilator discontinuance. The text begins with an introduction to critical respiratory care followed by a review of respiratory failure to include assessment of oxygenation, ventilation and acid-base status. A chapter is provided which reviews principles of mechanical ventilation and commonly used ventilators and related equipment. Indications for mechanical ventilation are next discussed to include invasive and non-invasive ventilation. Ventilator commitment is then described to include establishment of the airway, choice of ventilator, mode of ventilation, and initial ventilator settings. Patient stabilization is then discu
Download or read book AACN Procedure Manual for Critical Care E Book written by American Association of Critical-Care Nr and published by Elsevier Health Sciences. This book was released on 2010-08-06 with total page 1313 pages. Available in PDF, EPUB and Kindle. Book excerpt: The AACN Procedure Manual for Critical Care, 6th Edition presents procedures for the critical care environment in an illustrated, consistent, and step-by-step format. The Procedures and Patient Monitoring sections are presented in a tabular format that includes special considerations and rationales for each intervention. References have been meticulously reviewed to ensure that the most authoritative and timely standards of practice are used. Additionally, the references supporting care recommendations are identified according to the latest AACN Evidence Leveling System to ensure that you have a complete understanding of the strength of the evidence base. UNIQUE! AACN-sponsored content ensures the highest standards of practice Comprehensive, clear, easy-to-use format allows you to quickly find and review the exact content you need Rationales provide complete information on every procedure Identified AP procedures help you judge whether a procedure is in your scope of practice Patient safety highlighted with new icons for patient identification and time-out Joint Commission Universal Protocols CDC Standard Precautions for hand washing and applying protective clothing and equipment highlighted with new icons UNIQUE! Clarity of Evidence Leveling helps you quickly grasp the strength of the evidence supporting the care recommendations Reviewed and Updated References comply with the highest standards of critical care practice Alphabetical procedures index inside the front cover provides easy access Reader-friendly design changes make it easier to identify and utilize special features
Download or read book Continuing Education for Experienced Nurses Caring for Mechanically Ventilated Patients written by Joseph French Kastely and published by . This book was released on 2019 with total page 75 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurses in step-down and progressive care units frequently care for patients on mechanical ventilation with less resources then their counterparts in the ICU. Maintaining the competency of the nurses who work on these units is vital to ensuring optimal patient outcomes. Continuing education in this specialty has been shown to be beneficial in maintaining nurse competence, increasing evidence-based practices, and improving patient outcomes. Based on a needs assessment, a project was developed to provide education to nurses working on a respiratory unit at a large urban hospital. The project utilized a theoretical frame work based on Malcom Knowles' adult education theory and David Kolb's experiential learning cycle. The project included development of a teaching plan, evaluation criteria, and a competency validation tool. Implications for future research were also discussed.
Download or read book Effect of Oral Care for the Prevention of Ventilator Associated Pneumonia written by Minni Kannampuzha and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator associated pneumonia and its detrimental effects on patient, family and health care settings are a big concern for the current healthcare system. Ventilator associated pneumonia (VAP) is one of the most common hospital acquired infections among patients in the ICU, with an estimated incidence of 10 and– 20% in some institutions (CDC, 2012). VAP continues to be substantially associated with patient morbidity and mortality and also increases utilization of healthcare resources, longer hospital stays and higher health care costs (Sandrock and Daly, 2012). Numerous studies demonstrated a significant reduction of incidences of VAP following the introduction of a practice change in oral care (Cutler and Sluman, 2014). This paper will discuss methods of developing the use of ventilator care bundle with oral care, the importance of multidisciplinary approach like involving respiratory therapists to provide oral care to improve the compliance of oral care in mechanically ventilated intensive care unit patients (ICU), implementation of change as well as outcome of ventilator care bundles with oral care for the prevention of VAP in mechanically ventilated ICU patients. VAP has great significance to nursing because nursing staff are able to implement interventions that can prevent infection, thereby relieving the financial burdens on patients and organizations.
Download or read book Oral Biofilms written by S. Eick and published by Karger Medical and Scientific Publishers. This book was released on 2020-12-21 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biofilms are highly organized polymicrobial communities that are embedded in an extracellular matrix and formed on natural and artificial surfaces. In the oral cavity, biofilms are formed not only on natural teeth, but also on restorative materials, prosthetic constructions, and dental implants. Oral diseases like caries, gingivitis, periodontitis, and also pulp inflammation are associated with biofilms. This publication is an up-to-date overview on oral biofilms from different clinically relevant perspectives. Experts comprising basic researchers and clinicians report on recent research relating to biofilms - from general summaries to recommendations for daily clinical work. This book covers all aspects of oral biofilms, including models used in the laboratory, biofilms in dental water unit lines, periodontal and peri-implant biofilms, caries-related biofilms, halitosis, endodontic biofilms, and Candida infections, as well as biofilms on dental materials and on orthodontic appliances. Several chapters deal with anti-biofilm therapy, from the efficacy of mechanical methods and the use of antimicrobials, to alternative concepts. This publication is particularly recommended to dental medicine students, practitioners, other oral healthcare professionals, and scientists with an interest in translational research on biofilms.
Download or read book EVIDENCED BASED ORAL CARE GUID written by 崔安灡 and published by Open Dissertation Press. This book was released on 2017-01-26 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "An Evidenced-based Oral Care Guideline of Intubated Patients" by 崔安灡, On-lan, Chui, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Ventilator-associated pneumonia (VAP) is a kind of frequently hospital-acquired infection that increases morbidity and mortality in patients in intensive care units (ICU), which would in turn increase length of ICU stay, cost of hospital stay, and duration of mechanical intubation. Pneumonia appeared within 48 hours before onset of infection in people whose respiration is mechanically supported through endotracheal tube or tracheostomy is ventilator-associated pneumonia. Combating VAP is a major challenge in ICU as almost all ICU patients require mechanical intubation. Development of evidence-based methods to reduce the incidence and prevalence of VAP becomes an important issue in ICU. The objectives of this dissertation are to conduct a thorough search of current evidence on the effectiveness of using different concentration, frequency of application, method of application and amount of chlorhexidine gluconate solution for oral care of adult intubated patients in reducing VAP incidence rate. MEDLINE (OvidSP), CINAHL PLUS (EBSCOhost), PubMed and British Nursing Index were used to conduct electronic search using keywords related to VAP. A total of 99 studies were identified and seven were selected according to inclusion criteria. The quality of the seven selected studies was tested using The Scottish Intercollegiate Guidelines Network (2008) tools for randomized controlled trials, and the evidence level coding from Scottish Intercollegiate Guidelines Network was used in grading of recommendations. Six studies were rated as high quality, which oral care using chlorhexidine gluconate solution had shown statistically significant VAP incidence rate reduction or VAP-related parameters improvement. Analysis on the implementation potential, transferability of findings, feasibility of implementation and cost-benefit ratio was conducted and the oral care guideline was beneficial to intubated patients. Implementation plan, communication plan and evaluation plan about oral care guideline application was formulated. The program designed to apply the new oral care guideline would last for one year, which includes communication with stakeholders, publication of the guideline, training of staff and a one month pilot test. The primary outcome was the decrease in VAP incidence rate and the process evaluation outcome were compliance and acceptability of the guideline, satisfaction and knowledge level of staff, and hospital cost reduction. The attainment of primary outcome and process evaluation outcome would be used to evaluate the effectiveness of the program. DOI: 10.5353/th_b5088312 Subjects: Artificial respiration Intensive care nursing
Download or read book Index Medicus written by and published by . This book was released on 2004 with total page 2164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
Download or read book Comfort Theory and Practice written by Katharine Kolcaba and published by Springer Publishing Company. This book was released on 2003 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: I am most excited and impressed with the scope and focus of this work. As I began to read it, I had trouble putting it down. It is highly readable, engaging, all-inclusive, and most informative. Jean Watson, RN, PhD, HNC, FAAN I am honored and delighted to recommend this text for all nurses who cared for and care about patients. from the Foreword by May Wykle, RN, PhD, FAAN This book places comfort at the forefront of nursing care, by presenting a carefully researched theory of comfort that nurses can use as a framework for practice. Engagingly written, the book combines a first-person account of the development of the theory with supporting research, and practical information for its application. Kolcaba analyzes the concept of comfort; describes its physical, psychospiritual, environmental and sociocultural components; evaluates its meaning in the many different contexts in which health care occurs; and describes how it can be measured. The appendix includes comfort care questionnaires that can be used with patients in many settings, and a comfort scale that can be used with patients for a quick assessment of comfort. Clinicians, researchers, educators, and students will find this holistic approach helpful in setting priorities and parameters for patient care.
Download or read book The Relationship of Oral Care Routines and Ventilator Associated Pneumonia in Mechanically Ventilated Pediatric Critical Care Patients written by Ambre' L. Huff and published by . This book was released on 2007 with total page 45 pages. Available in PDF, EPUB and Kindle. Book excerpt: Key Words. oral care, mechanically ventilated, ventilator associated pneumonia.
Download or read book AACN Procedure Manual for High acuity Progressive and Critical Care written by AACN and published by Saunders. This book was released on 2016-12-16 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preceded by: AACN procedure manual for critical care / edited by Debra Lynn-McHale Wiegand. 6th ed. c2011.
Download or read book Implementation of an Oral Care Protocol to Decrease Incidence of Ventilator associated Pneumonia written by Brittanie Cordova and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on documented studies, ventilator-associated pneumonia (VAP) is a leading nosocomial infection in critical care settings. In a critically ill patient, the development of VAP significantly increases their risk of mortality, length of hospital stay, and decelerates the speed of recovery. Research has shown a substantial correlation between poor oral hygiene in mechanically ventilated (MV) patients and the development of VAP. The implementation of an oral hygiene protocol and/or order-set increases nurse adherence to performing these interventions, improves quality of oral care practices, and ultimately reduces the incidence of VAP. The successful implementation of an oral care protocol requires thorough preparation. Components of implantation will include gathering of evidence, literature review, stakeholder presentation, involvement and education of intended staff, actual implementation, evaluation plan, and dissemination of evidence. The effective implementation of an oral care protocol in intensive care units for MV patients will decrease the incidence of VAP, reduce hospital stays, and decrease costs.
Download or read book A Review of the Literature Concerning the Nurses Role in Providing Appropriate Oral Care on the Prevention of Ventilator Associated Pneumonia in the Adult Intensive Care Unit written by Mandy Motley and published by . This book was released on 2005 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Continuing Education for Ventilator Associated Pneumonia written by Michelle Barb and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the moment nursing school is started, nurses are taught the importance of infection control and ways to prevent certain infections from occurring within the hospital setting. For many this knowledge becomes the cornerstone for prevention in the career practice. While others allow short cuts in their practice in order to obtain better time management and prioritize other practices, exposing patients to potential ancillary infectious processes. This form of practice can lead to detrimental patient outcomes. In the ICU, patients receiving mechanical ventilation are at increased risk of developing ancillary disease processes such as VAP. The incidence of VAP was reported to range 9-27% with a mortality rate that may exceed 50% for those receiving mechanical ventilation (Hoshijima and others, 2013, pages 349). One of the main causes of VAP is poor oral hygiene care with the most up to date evidence based practices. While nurses manage their time throughout the day, many will take short cuts and pass on something simple such as oral hygiene in order to have time for other responsibilities. This thought process can prove costly to the hospital in the mechanically ventilated patient population. In order to combat this thought process and provide proper oral hygiene, nurses need to value the cost of this disease process and the financial burden it takes on the hospital. By giving the nurse the information about VAP, the mortality rates and the costs related to it, they can in turn provide better oral hygiene with the latest evidence-based practices when tending to a mechanically ventilated patient.
Download or read book Journal of the American Medical Association written by and published by . This book was released on 1993-12 with total page 616 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Compact Clinical Guide to Mechanical Ventilation written by Sandra Goldsworthy, RN, MSc, PhD(c), CNCC(C), CMSN(C) and published by Springer Publishing Company. This book was released on 2013-12-10 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: "[This book] offers easy-to-use, quick tips that will benefit a great number of nurses. Critical care nurses often need help with ventilator modes and types of usage and this book is a great resource."Score: 96, 4 Stars.--Doody's Medical Reviews The only book written about mechanical ventilation by nurses for nurses, this text fills a void in addressing high-level patient care and management specific to critical care nurses. Designed for use by practicing nurses, nursing students, and nursing educators, it provides a detailed, step-by-step approach to developing expertise in this challenging area of practice. The guide is grounded in evidence-based research and explains complex concepts in a user-friendly format along with useful tips for daily practice. It has been written based on the authors' many years of teaching students at all levels of critical care as well as their experience in mentoring novice and experienced nurses in the critical care arena. Emphasizing the nurse's role in mechanical ventilation, the book offers many features that facilitate in-depth learning. These include bulleted points to simplify complex ideas, learning objectives, key points summarized for speedy reference, learning activities, a case study in each chapter with questions for reflection, clinical "pearls," references for additional study, and a glossary. A digital companion includes cue cards summarizing challenging practice concepts and how-to procedural videos. The book addresses the needs of both adult critical care patients and geriatric critical care patients. A chapter on International Perspectives addresses the similarities and differences in critical care throughout the globe. Also covered are pharmacology protocols for the mechanically ventilated patient. Additionally, the book serves as a valuable resource for nurses preparing for national certification in critical care. Key Features: Written by nurses for nurses Provides theoretical and practical, step-by-step information about mechanical ventilation for practicing nurses, students, and educators Comprises a valuable resources for the orientation of nurses new to critical care Contains chapters on international perspectives in critical care and pharmacology protocols for the mechanically ventilated patient
