Beruflich Dokumente
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Ventilator Associated
Pneumonia
Eric Johnson
PICO Question
Patients
Search Words/Phrases
Oral Care
Pneumonia
Ventilator
VAP bundle
Ventilator Associated Pneumonia
Sage Oral Care
ICU Oral Care
Search Engine
Google
Search Results
Research Articles
Oral
Care Intervention to Reduce Incidence of VentilatorAssociated Pneumonia in the Neurologic Intensive Care unit
Fields, L. B. (2008). Oral care intervention to reduce incidence of ventilator-associated pneumonia in the
intensive care unit. The Journal of Neuroscience Nursing. Retrieved from
neurologic
http://www.medscape.com/viewarticle/582571
pneumonia through advanced oral-dental care: a 48- month study. American Journal of
doi:10.4037/ajcc2009311
Critical Care.
associated
Research Article 1
Study
Analytical
Design
Method
Quantitative
Randomized patients
Two different oral care schedules/methods
Findings/Results
Article 1 Breakdown
(Medscape Neurologic ICU)
Strengths
Randomized
Showed very fast results
Shows link between oral care and ventilator-assisted pneumonia
Conducted from evidence based practice
Quality
Compliance of staff
Randomized
Data collection
Credibility
Peer reviewed
Statistical information from hospital
Article Contributes to, and further proves evidence based practice that is
currently being implemented in the ICU.
Oral care from study is increased from teeth being brushed every 12 hours, or
as needed, to every 8 hours.
Research Article 2
Study
Analytical
Design
Method
Quantitative
48 month trial
Findings/Results
Article 2 Breakdown
Strengths
Quality
Consistency
Compliance
Comparable pt. data
Credibility
Article Contributes to, and further proves evidence based practice that is currently
being implemented in the ICU
Relevance to Practice
Communication
Relevance to Practice
Potential Barriers
Compliance by staff
Can patient tolerate oral care?
Funding
Timing/frequency of oral care
Not large studies
When a patient is on the mechanical ventilator, how does oral care compare to the
other ventilator-associated pneumonia bundle components in preventing ventilatorassociated pneumonia?
In patients on the mechanical ventilator, how does the effectiveness of oral care
compare to patients of different ages?
In a patient who is on the mechanical ventilator, how does the implementation of the
ventilator-assisted pneumonia bundle effect length of patient stay compared to a
patient who does not receive the ventilator-assisted pneumonia bundle?
Conclusion
Proper oral care reduces the occurrence of Ventilator- Associated
Pneumonia
Oral care along with the Ventilator-Associated Pneumonia bundle
decrease occurrence
Reduced cost for hospital by preventing Ventilator-Associated
Pneumonia
Decrease length of hospital stay
Two of many evidence based practice studies proving importance of
oral care