• Keum Ok Ban.
• Department of Nursing, Shinsung University, 49, Duckmari, Jungmimyun, Dangjingun, Chungnam 343-861, Republic of Korea. kmoban@naver.com
• Intensive Crit Care Nurs. 2011 Aug 1; 27 (4): 226-32.

ObjectivesThis study has analysed VAP prevention strategies and concentrating on approaches proven to have been effective by previous studies, has developed a general and systematic intervention for preventing VAP.MethodThe VAP prevention program was composed of short-term interventions and long-term interventions. Using a time series design to verify the program's effectiveness, just before, just after, and 3 months after intervention, 27 convenient selected medical ICU nurses were surveyed for their awareness of VAP prevention and self-evaluation of VAP prevention performance as a subjective measure, and their VAP prevention performance was observed as an objective measure. The VAP incidence amongst ICU patients was measured during the 3 months before (n=80) and after (n=75) intervention.ResultsThat the program would raise nurses' VAP prevention awareness (p=.008) and would increase the nurses' subjective (p=.003) and objective (p≤.001) VAP prevention performance evaluations was supported. That incidences of VAP would decrease from a pre-intervention VAP rate of 17.382 (number of occurances/1000 ventilator days) to a post-intervention rate of 11.044, was not statistically significant (p=.074).ConclusionAn intervention VAP prevention program promoted ICU nurses' VAP prevention awareness and performance and could therefore help decrease the VAP rate.Copyright © 2011 Elsevier Ltd. All rights reserved.

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