Patients Undergoing Mechanical Ventilation Contract Essay

Pages: 8 (2974 words)  ·  Bibliography Sources: 15  ·  File: .docx  ·  Level: College Senior  ·  Topic: Health - Nursing

SAMPLE EXCERPT . . .
O., Santiago, C., & Lau, G. (2008). Ventilator Associated Pneumonia Bundled

Strategies: An Evidence-Based Practice. Worldviews on Evidence-Based Nursing Fourth

Quarter, 192-204.

This study analyzed several literatures and aimed at ascertaining whether the use of VAP bundle practices may help reduce pneumonia attacks among patients. Furthermore, the study initiated a descriptive framework for application by clinicians in improving their understanding of VAPB in clinical settings. This group confirmed that, proper implementation of VAPB significantly reduces VAP rates, ventilator stays and mortality rates among patients. Besides, the study recommended that random studies were to be undertaken by researchers to help them examine the effectiveness of VAPB practices in medical facilities.

Hsu, S.P., Liao, C.S., Li, C.Y., & Chiou, A.F. (2010). The effects of different oral care protocols on mucosal change in orally intubated patients from an intensive care unit.

Journal of Clinical Nursing, 1044-1053.

Evaluation of the efficiency of three distinct oral care protocols in incubated patients was the aim of this study. The team used a quasi-experimental experimentation procedure in the study; 81 orally intubated patients in Northern Taiwan's hospitals were used as subjects. The findings were that the use of boiled water resulted in improved oral care as opposed to hot water or green tea. However, boiled water and green tea when used in oral care were confirmed to significantly reduce incidences of oropharyngeal colonization and VAP in ICU patients.

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Roncolato da Silva, L.T., Laus, A.M., iVlarin da Silva Canini, S.R., & Hayashida, i. (2011).

Evaluation of Prevention and Control Measures for Ventilator Associated Pneumonia.

Review, Latino-Am, Enfermagen, 1329-1336.

Essay on Patients Undergoing Mechanical Ventilation Contract Assignment

This study set to evaluate the quality of health care delivered in ICUs in trying to minimize VAP in patients undergoing mechanical ventilations. In this research encompassing 839 patients under mechanical ventilation was carried out from November 2009 to January 2010. The study found out that compliance rates to VAP prevention measures were at lows of approximately 28%. It is concluded that there is need for the institution of an evaluations system for VAP prevention measures to ensure they provide the required diagnoses and treatments to patients diagnosed with VAP.

Kjonegaard, R., Fields, W., & King, M.L. (2010). Current Practice in Airway Management: A

Descriptive Evaluation. American Journal of Critical Care, 168-173.

This study aimed at evaluating modern medical practices administered by nurses and respiratory therapists on patients undergoing mechanical ventilation. For the research, a comparative design was used encompassing 41 ICU nurses and 25 respiratory specialists at Grossmont Hospital in California. The subjects filled surveys on methods used in mechanical ventilation such as suctioning and airway management techniques. The research adduced that there were minimal differences of about 0.03 in examining suction on patients between the study groups. A conclusion that nurses and respiratory clinicians undertake additional trainings in managing patients undergoing mechanical ventilation to reduce occurrences of VAP.

Camargo, L.F., De Marco, F.V., Barbas, C.S., Hoelz, C., Bueno, M.A., Rodrigues Jr., M., et al.

(2004). Ventilator Associated Pneumonia: Comparison between Quantitative and Qualitative Cultures of Tracheal Aspirates. Critical Care Journal, 422-430.

The comparison between quantitative and qualitative cultures of tracheal aspirates was the basis of this medical research. This study aimed at establishing the effects of tracheal aspirates in controlling VAP among patients undergoing mechanical ventilation. The research adapted both clinical and radiological criteria in making early diagnosis of VAP. The team undertook a follow up study; using 106 ICU patients under ventilator support. After the follow up, cultures of tracheal aspirates were quantitatively and qualitatively analyzed. The outcomes showed that tracheal aspirates quantitative cultures could not help in early identification of VAP causative agents. Furthermore, it was proposed that ICU nurses should not use quantitative tracheal aspirates cultures to substantiate clinical diagnosis of VAP and regulate antimicrobial therapy.

Fujitani, S., Cohen Melamed, M.H., Tuttle, R.P., Delgado, E., Taira, Y., & Darby, J.M. (2009).

Comparison of Semi-Quantitative Endotracheal Aspirates to Quantitative Non-

Bronchoscopic Bronchoalveolar Lavage in Diagnosing Ventilator-Associated

Pneumonia. Respiratory Care, 1453-1461.

This research compared diagnosis of VAP by semi-quantitative cultures of endotracheal aspirate to quantitative non- bronchoscopic bronchoalveolar lavage. The aspirates were taken for study and each examined and comparisons made by the research team. The team used qunatitavive threshold and studied 104 colonies per mililitre. Additionally, 256 ICU patinets were identifed for the study of whom 26 were hacing endotracheal aspirate cultures. In line with this, the study theorized that the semi-quantitative endotracheals were more accurate than the semi-quantitative aspirates. Therefore, they alluded that the use of quantitative culture in diagnosing VAP is highly recommended for patients undergoing mechanical ventilation in ICUs.

Theory Supporting the Proposed Solutions

The most applicable theory for this literature reviews proposed solutions in curbing VAP is Precede-Proceed theoretical framework. This framework is used for proper implementation of the above solution in managing VAP rates among patients undergoing mechanical ventilation in hospitals' ICUs. Below is the proposed theory and its strengths which makes it adapted in support of the solutions realized from the literatures reviewed.

Precede-Proceed Theory

This framework is instituted by several medical institutions to help them in analyzing and designing health plans that ensure the smooth implementation of medical procedures in tackling VAP. This theory encompasses a structure that helps medical practitioners assess and evaluate health programs that can be used the curb the plummeting VAP incidences among patients undergoing mechanical ventilation. In addition, this theoretical framework has guides that planers can use in their daily medical examinations. The theory outlines a procedure that gives the outcomes required all the way to identification of the strategies used in achieving the results. This theory calls for the participation of all ICU specialists in developing solutions to VAP related illnesses. In this theoretical framework, individual's behaviors as well as environmental factors are taken as having direct influences on the outcomes of the VAP diagnoses.

This theory is recommended for these solutions since it provides steps in implementing and evaluating the effectiveness of the above-analyzed solutions to VAP prevalence. The first stage of this theory is the planning phase, which entails the identification and evaluation of problems that may be brought about by increased levels of VAP among patients undergoing mechanical ventilation. Additionally, the theory provides a framework for which medical practitioners may use in identifying early symptoms of VAP and the problems that may affect the quality of life of the patients.

References

Arroliga, A.C., Pollard, C.L., Wilde, C.D., Pellizzari, S.J., Chebbo, A., Song, J., et al. (2012).

Reduction in the Incidence of Ventilator Associated Pneumonia: A Multidisciplinary

Approach. Respiratory Care, 688-696.

Camargo, L.F., De Marco, F.V., Barbas, C.S., Hoelz, C., Bueno, M.A., Rodrigues Jr., M., et al.

(2004). Ventilator Associated Pneumonia: Comparison between Quantitative and Qualitative Cultures of Tracheal Aspirates. Critical Care Journal, 422-430.

Crockett, M. (2011). Ventilator Associated Pneumonia: Education And Prevention . Muncie:

Dejuilio, P.A., Rivera, S., & Humi, J.P. (2012, June). A Successful VAP Prevention Program

Quality Improvement Inititative Results in a Successful VAP Prevention Bundle. RN

Magazine, pp. 25-29.

Fujitani, S., Cohen Melamed, M.H., Tuttle, R.P., Delgado, E., Taira, Y., & Darby, J.M. (2009).

Comparison of Semi-Quantitative Endotracheal Aspirates to Quantitative Non-

Bronchoscopic Bronchoalveolar Lavage in Diagnosing Ventilator-Associated

Pneumonia. Respiratory Care, 1453-1461.

Garcia, R., Jendresky, L., Colbert, L., Bailey, A., Zaman, M., & Majumder, M. (2009). Reducing

Ventilator Associated Pneumonia through Advanced Oral Dental Care: A 48-Month

Study. American Journal of Critical Care, 523-534.

Hsu, S.P., Liao, C.S., Li, C.Y., & Chiou, A.F. (2010). The effects of different oral care protocols on mucosal change in orally intubated patients from an intensive care unit.

Journal of Clinical Nursing, 1044-1053.

Keeley, L. (2007). Reducing the Risk of Ventilator Acquired Pneumonia through Head of Bed

Elevation . Nursing in Critical Care Journal, 287-294.

Kjonegaard, R., Fields, W., & King, M.L. (2010). Current Practice in Airway Management: A

Descriptive Evaluation. American Journal of Critical Care, 168-173.

Krein, S.L., Kowalski, C.P., Damschroder, L., Forman, J., Kaufman, S.R., & Saint, S. (2008).

Preventing Ventilator Associated Pneumonia in the United States: A Multicenter Mixed

Methods Study. Infection Control and Hospital Epidemiology, 933-940.

McCarthy, S.O., Santiago, C., & Lau, G. (2008). Ventilator Associated Pneumonia Bundled

Strategies: An Evidence-Based Practice. Worldviews on Evidence-Based Nursing Fourth

Quarter, 192-204.

Munro, C.L., Grap, M.J., Jones, D.J., McClish, D.K., & Sessler, C.N. (2009). Chlorhexidine,

Toothbrushing, and Preventing Ventilator Associated Pneumonia in Critically Ill Adults.

American Journal of Critical Care, 428-438.

Munro, C.L., Grap, M.J., McKinney, J., Sessler, C.N., Hummel III, R.S., & Junior, E.R.

(2006). Oral Health Status and Development of Ventilator Associated Pneumonia: A

Descriptive Study. American Journal of Critical Care, 453-460.

Roncolato da Silva, L.T., Laus, A.M., iVlarin da Silva Canini, S.R., & Hayashida, i. (2011).

Evaluation of Prevention and Control Measures for Ventilator Associated Pneumonia.

Review, Latino-Am, Enfermagen, 1329-1336.

Yeung, K.Y., & Chui, Y.Y. (2010). An Exploration of Factors Affecting Hong Kong ICU

Nurses in Providing Oral Care. Journal of Clinical Nursing, 3063-3072. [END OF PREVIEW] . . . READ MORE

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