Knowledge and adherence to preventive measures for ventilator-associated pneumonia during the COVID-19 pandemic
DOI:
https://doi.org/10.17058/reci.v14i4.19180Keywords:
: Pneumonia, Ventilator-Associated, Pneumonia, Ventilator-Associated, Intensive Care Units, Pandemics, Nursing, Infection Control, COVID-19Abstract
Background and Objectives: adherence to measures to prevent mechanical ventilation-associated pneumonia (VAP) significantly reduces this hospital infection, and knowledge of the measures is essential to ensure adherence. COVID-19 has increased the demand for intensive care and increases the risks and severity of VAP. Thus, the objective was to assess the knowledge referred to about the VAP prevention bundle and its associated factors and multidisciplinary team professionals’ perspective about adherence during the COVID-19 pandemic. Methods: this is a cross-sectional study, carried out from December 2020 to July 2021, with professionals from the Intensive Care Unit of a university hospital. Bivariate and multivariate analyzes were performed to assess factors associated with professionals’ knowledge. Results:of the 61 professionals interviewed, 85.2% were nursing professionals and 14.7% were physical therapists. Physical therapists obtained a higher percentage of correct answers in relation to the VAP prevention bundle items. Nursing professionals have little knowledge about the elements that make up the bundle, highlighting the need for training throughout the entire process of training and professional performance. Lack of training was the main difficulty reported (14.75%). Age was a factor associated with knowledge of the bundle (p=0.017). Conclusion: there is a lack of knowledge and adherence to the VAP prevention bundle among nursing professionals. However, these professionals demonstrated a willingness to receive training to improve bundle adherence rates and current good VAP prevention practices.
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