Nursing prevention of ventilator-associated pneumonia
Jokikokko, Julius; Räsänen, Viola; Tukkila, Peppiina (2025)
2025
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2025111227770
https://urn.fi/URN:NBN:fi:amk-2025111227770
Tiivistelmä
The objective of this thesis was to collect information on ways to prevent ventilator-associated pneumonia with nursing actions in a single accessible summary. The target audiences of this summary are healthcare professionals and nursing students. Preventing healthcare associated infections like ventilator-associated pneumonia (VAP) is largely based on nursing actions.
The data were collected by conducting database searches and the results were curated in tables in the reduction phase of the research. This was followed by clustering and reporting. These results were analysed utilising qualitative content analysis in the format of a descriptive literature review.
The findings suggest that out of relevant nursing actions head of bed elevation and providing adequate oral care were beneficial to mechanically ventilated patients. In addition, the use of the VAP bundle reduced the incidence of VAP as well as shortened the duration of mechanical ventilation (MV). Considering risk factors, the data indicates that surgical patients and the patients with longer intensive care unit stays are at a higher risk of developing VAP.
The results support the use of the VAP prevention bundle in the treatment of ventilated patients. The bundle includes the combination of head-of-bed (HOB)elevation, sedation vacations and/or management and adequate oral care. Further research is required to explore the significance of other preventative methods, such as the use of N-acetylcysteine instead of normal saline when rinsing the tracheostomy tube.
The data were collected by conducting database searches and the results were curated in tables in the reduction phase of the research. This was followed by clustering and reporting. These results were analysed utilising qualitative content analysis in the format of a descriptive literature review.
The findings suggest that out of relevant nursing actions head of bed elevation and providing adequate oral care were beneficial to mechanically ventilated patients. In addition, the use of the VAP bundle reduced the incidence of VAP as well as shortened the duration of mechanical ventilation (MV). Considering risk factors, the data indicates that surgical patients and the patients with longer intensive care unit stays are at a higher risk of developing VAP.
The results support the use of the VAP prevention bundle in the treatment of ventilated patients. The bundle includes the combination of head-of-bed (HOB)elevation, sedation vacations and/or management and adequate oral care. Further research is required to explore the significance of other preventative methods, such as the use of N-acetylcysteine instead of normal saline when rinsing the tracheostomy tube.