Neema, John (2017) Nurses’ Compliance in Using Modified Neonatal Ventilator Associated Pneumonia (VAP) Preventive Care Bundle for Newborns. Masters thesis, Apollo College of Nursing, Chennai.
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Abstract
STATEMENT OF THE PROBLEM : A Study to Assess the Nurses’ Compliance in Using Modified Neonatal Ventilator Associated Pneumonia (VAP) Preventive Care Bundle for Newborns at Selected Hospitals, Chennai. OBJECTIVES OF THE STUDY : 1. To assess the Compliance of nurse’s in using Modified Neonatal Ventilator Associated Pneumonia (VAP) Preventive Care Bundle for newborns. 2. To find out the association between Compliance of nurses in using Ventilator Associated Pneumonia(VAP) Preventive Care Bundle and selected demographic variables of the nurses. 3. To determine the incidence of Ventilator Associated Pneumonia after Implementing the use of Modified Neonatal Ventilator Associated Pneumonia (VAP) Preventive Care Bundle. The conceptual framework for the study was developed on the basis of the Modified Kurt Lewins Change Model (1947), which has been modified for the present study. An intensive review of literature and guidance from experts laid the foundation for the development of tools such as demographic variable proforma of the newborns and nurses who were taking care of the ventilated babies and Modified NeonatalVAP Preventive Care Bundle Checklist. In this study descriptive co-relational research design was adopted for nurses who were taking care of the ventilated babies. The present study was conducted at Apollo Cradle Hospital, Chennai, among 30 nurses who were taking care of the ventilated babies. The researcher used the demographic variable proforma to get the baseline information relating to the nurses. Clinical Variable Performa was used for the assessment of newborns. Observational checklist was used for the assessment of the practice of nurses. The data collection tools were validated and reliability was established. Data collection for the main study was conducted for a period of six weeks. The collected data was tabulated and analyzed using appropriate descriptive and inferential statistics. MAJOR FINDINGS OF THE STUDY : • More than half of the nurses were aged 25 years and above (56.67%), qualified with B.Sc (N) ( 73.33%) with total experience as a staff nurse between 3 – 5years ( 36.66%) majority of nurses had no previous experience on VAP bundle (90%). • All the child births were Caesarean section (100%) with a birth weight of <2.5 kg (100%). All newborns didn't cry at birth (100%), they had APGAR score of <7 (100%). • Most of the newborns were ventilated for RDS 7(70%), were on ventilator for about 5days (80%), in SIMV mode (90%). • All the nurses had partial Compliance in Implementing Modified Neonatal VAP Preventive Care Bundle (100%) on day 1 and day 2.On day 3, (16.66%) nurses were complaint and (80%) were partially complaint. • The mean and standard deviation of Compliance of nurses was found to be higher on the third day of Implementation of Modified Neonatal VAP Preventive Care Bundle (M- 36.2 & SD-3.58) in comparison with day 1 (M 33.56 & SD-8.6) on day 1 and day 2 (M 35.8 and SD- 3.06). • Chi square test was used to find out the association between selected background characteristics and the Compliance of nurses in using Modified Neonatal VAP Preventive Care Bundle for newborn on day 1, 2 and 3, it was inferred that there was no significant association between selected background characteristics and Compliance of nurses in using Modified Neonatal VAP Preventive Care Bundle for newborn in day 1, 2 and 3 at (p>0.05). There was a significant association between the previous experience of nurses (χ2 = 5.75, df=1) and the compliance of nurses who were using Modified neonatal VAP Bundle for newborn at (p < 0.05) level. However there was no significant association between other background characteristics like age, professional qualification, total years of experience as staff nurse and exposure to In-service education regarding VAP Bundle. Hence, the hypothesis there will be no significant association between Compliance of nurses on using Modified Neonatal Ventilator Associated Pneumonia (VAP) Preventive Care Bundle and selected background variables of the nurses was retained except with regard to previous experience of nurses. • The findings revealed that there was no incidence of Ventilator Associated Pneumonia (VAP) after implementation of Modified Neonatal Ventilator Associated Pneumonia (VAP) Preventive Care Bundle for newborns. RECOMMENDATIONS : • A similar study could be undertaken on larger scale for more valid generalization. • The present study could be replicated in different settings. • A comparative study can be done using different VAP Bundle practice checklist.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Nurses’ Compliance ; Using Modified Neonatal Ventilator Associated Pneumonia (VAP) ; Preventive Care Bundle ; Newborns. |
| Subjects: | NURSING > Paediatric Nursing |
| Depositing User: | Kambaraman B |
| Date Deposited: | 26 Feb 2018 16:33 |
| Last Modified: | 26 Feb 2018 16:33 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/5875 |
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