The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates

Background. Ventilator-associated pneumonia (VAP) is a worrisome, yet potentially preventable threat in critically ill patients. Evidence-based clinical practices targeting the prevention of VAP have proven effective, but the most optimal methods to ensure consistent implementation and compliance re...

Full description

Saved in:
Bibliographic Details
Main Authors: W. Bradley Dosher, Elena C. Loomis, Sherry L. Richardson, Jennifer A. Crowell, Richard D. Waltman, Lisa D. Miller, Muhammad Nazim, Faisal A. Khasawneh
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Critical Care Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/682621
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832564443208220672
author W. Bradley Dosher
Elena C. Loomis
Sherry L. Richardson
Jennifer A. Crowell
Richard D. Waltman
Lisa D. Miller
Muhammad Nazim
Faisal A. Khasawneh
author_facet W. Bradley Dosher
Elena C. Loomis
Sherry L. Richardson
Jennifer A. Crowell
Richard D. Waltman
Lisa D. Miller
Muhammad Nazim
Faisal A. Khasawneh
author_sort W. Bradley Dosher
collection DOAJ
description Background. Ventilator-associated pneumonia (VAP) is a worrisome, yet potentially preventable threat in critically ill patients. Evidence-based clinical practices targeting the prevention of VAP have proven effective, but the most optimal methods to ensure consistent implementation and compliance remain unknown. Methods. A retrospective study of the trend in VAP rates in a community-hospital’s open medical intensive care unit (MICU) after the enactment of a nurse-led VAP prevention team. The period of the study was between April 1, 2009, and September 30, 2012. The team rounded on mechanically ventilated patients every Tuesday and Thursday. They ensured adherence to the evidence-based VAP prevention. A separate and independent infection control team monitored VAP rates. Results. Across the study period, mean VAP rate was 3.20/1000 ventilator days ±5.71 SD. Throughout the study time frame, there was an average monthly reduction in VAP rate of 0.27/1000 ventilator days, P<0.001 (CI: −0.40–−0.13). Conclusion. A nurse-led interdisciplinary team dedicated to VAP prevention rounding twice a week to ensure adherence with a VAP prevention bundle lowered VAP rates in a community-hospital open MICU. The team had interdepartmental and administrative support and addressed any deficiencies in the VAP prevention bundle components actively.
format Article
id doaj-art-f4ed1b3b746c43a1bf1093996c8e993e
institution Kabale University
issn 2090-1305
2090-1313
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Critical Care Research and Practice
spelling doaj-art-f4ed1b3b746c43a1bf1093996c8e993e2025-02-03T01:11:00ZengWileyCritical Care Research and Practice2090-13052090-13132014-01-01201410.1155/2014/682621682621The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia RatesW. Bradley Dosher0Elena C. Loomis1Sherry L. Richardson2Jennifer A. Crowell3Richard D. Waltman4Lisa D. Miller5Muhammad Nazim6Faisal A. Khasawneh7School of Medicine, Texas Tech University Health Sciences Center, Amarillo, TX 79106, USAAdult Critical Care Services, Northwest Texas Hospital, Amarillo, TX 79106, USAInfection Control, Northwest Texas Hospital, Amarillo, TX 79106, USAInfection Control, Northwest Texas Hospital, Amarillo, TX 79106, USARespiratory Care, Northwest Texas Hospital, Amarillo, TX 79106, USAAdult Critical Care Services, Northwest Texas Hospital, Amarillo, TX 79106, USADepartment of surgery, Texas Tech University Health Sciences Center, Amarillo, TX 79106, USASection of Critical Care Medicine, Department of Internal Medicine, Texas Tech University Health Sciences Center, 1400 S. Coulter Street, Amarillo, TX 79106, USABackground. Ventilator-associated pneumonia (VAP) is a worrisome, yet potentially preventable threat in critically ill patients. Evidence-based clinical practices targeting the prevention of VAP have proven effective, but the most optimal methods to ensure consistent implementation and compliance remain unknown. Methods. A retrospective study of the trend in VAP rates in a community-hospital’s open medical intensive care unit (MICU) after the enactment of a nurse-led VAP prevention team. The period of the study was between April 1, 2009, and September 30, 2012. The team rounded on mechanically ventilated patients every Tuesday and Thursday. They ensured adherence to the evidence-based VAP prevention. A separate and independent infection control team monitored VAP rates. Results. Across the study period, mean VAP rate was 3.20/1000 ventilator days ±5.71 SD. Throughout the study time frame, there was an average monthly reduction in VAP rate of 0.27/1000 ventilator days, P<0.001 (CI: −0.40–−0.13). Conclusion. A nurse-led interdisciplinary team dedicated to VAP prevention rounding twice a week to ensure adherence with a VAP prevention bundle lowered VAP rates in a community-hospital open MICU. The team had interdepartmental and administrative support and addressed any deficiencies in the VAP prevention bundle components actively.http://dx.doi.org/10.1155/2014/682621
spellingShingle W. Bradley Dosher
Elena C. Loomis
Sherry L. Richardson
Jennifer A. Crowell
Richard D. Waltman
Lisa D. Miller
Muhammad Nazim
Faisal A. Khasawneh
The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates
Critical Care Research and Practice
title The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates
title_full The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates
title_fullStr The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates
title_full_unstemmed The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates
title_short The Effect of a Nurse-Led Multidisciplinary Team on Ventilator-Associated Pneumonia Rates
title_sort effect of a nurse led multidisciplinary team on ventilator associated pneumonia rates
url http://dx.doi.org/10.1155/2014/682621
work_keys_str_mv AT wbradleydosher theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT elenacloomis theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT sherrylrichardson theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT jenniferacrowell theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT richarddwaltman theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT lisadmiller theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT muhammadnazim theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT faisalakhasawneh theeffectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT wbradleydosher effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT elenacloomis effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT sherrylrichardson effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT jenniferacrowell effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT richarddwaltman effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT lisadmiller effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT muhammadnazim effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates
AT faisalakhasawneh effectofanurseledmultidisciplinaryteamonventilatorassociatedpneumoniarates