Exploration of knowledge of, adherence to, attitude and barriers toward evidence-based guidelines (EBGs) for prevention of ventilator-associated pneumonia (VAP) in healthcare workers of pediatric cardiac intensive care units (PCICUs): A Quali-Quantit
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2016, Vol 5, Issue 9
Abstract
Implementation of evidence-based guidelines (EBGs) is an effective measure for prevention of ventilator-associated pneumonia (VAP). Appropriate knowledge, attitude and adherence of healthcare workers (HCWs) to EBGs are necessary factors for implementation of EBGs. This study was conducted with objective of evaluation of knowledge, attitude, and adherence of HCWs to EBGs for prevention of VAP and exploration of the barriers of their implementation in clinical practice. Totally, a total number of 45 HCWs of two pediatric cardiac surgery ICU (PCICUs) participated in this quali-quantitative survey. Knowledge, attitude and adherence of participants was evaluated by a validated multiple-choice questionnaire and barriers of implementation of EBGs was extracted from participants’ answer to an open-ended question of our self-made questionnaire. Knowledge of HCWs was poor and significantly different between nurse assistants (RAs), nurses (RNs), and physicians (MDs) (respectively, 1.25±0.95, 4.53±1.73, and 5.54±2.01, P=0.001). Likewise, attit ude of HCWs is not positive and significantly different between NAs, RNs, and MDs (respectively, 32.96±2.42, 34.00±2.44, 36.81±4.35, P=0.003). The adherence of HCWs is not good and different between RAs, RNs, and MDs (respectively, 11.50±1.00, 13.13±1.83, and 17.18±6.06, P= 0.17). The Barriers of implementation of EBGs was categorized into four category of individual, organizational, social, and educational factors. Unsatisfying status of knowledge, attitude, and adherence of HCWs is a challenging concern of health-care system, especially in PICUs. In addition to these well-known factors, poor implementation of EBGs is related to many other barriers which should recognized and taken into consideration for designation of infection controlling programs.
Authors and Affiliations
Leila Jahansefat| BSn, Department of Nursing, Shahid Chamran Hospital and Heart Center, Isfahan University of Medical Sciences, Isfahan, Iran, Mehdi Molavi Vardanjani| Instructor, Department of Nursing, School of Medical Surgical, Hamadan University of Medical Sciences, Hamadan, Iran, Hamid Bigdelian| MD, Associate Professor, Chief of Department of Cardiac surgery, Shahid Chamran Hospital and Heart Center, Isfahan University of medical sciences, Isfahan, Iran, Gholamreza Massoumi| MD, Associate Professor, Department of Cardiac Anesthesiology, Shahid Chamran Hospital and Heart Center, Isfahan University of medical sciences, Isfahan, Iran, Arash Khalili| Instructor, Department of Nursing, School of Pediatric, Hamadan University of Medical Sciences, Hamadan, Iran, Davoud Mardani| MSn, Lecturer, Department of Nursing, Shahid Chamran Hospital and Heart Center, Isfahan University of Medical Sciences, Isfahan, Iran, Corresponding Email: Davoud.mardani@yahoo.com
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