By Mohamad F. El-Khatib, MB, PhD, Salah Zeineldine, MD, Chakib Ayoub, MD,
MBA, Ahmad Husari, MD, Pierre K. Bou-Khalil, MD
Background Ventilator-associated pneumonia is the most
common hospital-acquired infection among patients receiv-
ing mechanical ventilation in an intensive care unit. Different
initiatives for the prevention of ventilator-associated pneumo-
nia have been developed and recommended.
Objective To evaluate knowledge of critical care providers
(physicians, nurses, and respiratory therapists in the inten-
sive care unit) about evidence-based guidelines for prevent-
ing ventilator-associated pneumonia.
Methods Ten physicians, 41 nurses, and 18 respiratory thera-
pists working in the intensive care unit of a major tertiary
care university hospital center completed an anonymous
questionnaire on 9 nonpharmacological guidelines for pre-
vention of ventilator-associated pneumonia.
Results The mean (SD) total scores of physicians, nurses,
and respiratory therapists were 80.2% (11.4%), 78.1% (10.6%),
and 80.5% (6%), respectively, with no significant differences
between them. Furthermore, within each category of health
care professionals, the scores of professionals with less than
5 years of intensive care experience did not differ signifi-
cantly from the scores of professionals with more than 5
years of intensive care experience.
Conclusions A health care delivery model that includes
physicians, nurses, and respiratory therapists in the intensive
care unit can result in an adequate level of knowledge on evi-
dence-based nonpharmacological guidelines for the preven-
tion of ventilator-associated pneumonia. (American Journal
of Critical Care. 2010;19:272-277)
272 AJCC AMERICAN JOURNAL OF CRITICAL CARE, May 2010, Volume 19, No. 3 www.ajcconline.org
CRITICAL CARE
CLINICIANS’ KNOWLEDGE
OF EVIDENCE-BASED
G UIDELINES FOR P REVENTING
VENTILATOR-ASSOCIATED
PNEUMONIA
Pulmonary Critical Care
©2009 American Association of Critical-Care Nurses
doi: 10.4037/ajcc2009131
C E
1.0 Hour
Notice to CE enrollees:
A closed-book, multiple-choice examination
following this article tests your understanding of
the following objectives:
1. Identify 3 evidence-based guidelines for pre-
venting ventilator-associated pneumonia.
2. Identify 2 knowledge deficits of participants in
this research study.
3. Discuss the results of this research study and
the implications for critical care nursing.
To read this article and take the CE test online,
visit www.ajcconline.org and click “CE Articles
in This Issue.” No CE test fee for AACN members.
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