EFFECTIVENESS OF NURSE-LED TRAINING PROGRAM ON EVIDENCE-BASED GUIDELINES IN THE REDUCTION OF VENTILATOR-ASSOCIATED PNEUMONIA: A SCOPING REVIEW

Abstract

Background and Aim: Ventilator-associated pneumonia (VAP) poses a major challenge in intensive care units. The quality of nursing care has a significant influence on patient outcomes, yet the effective application of evidence-based guidelines is often inadequate in these settings. This scoping review aimed to assess the impact of training programs on evidence-based VAP prevention guidelines for nurses, focusing on their knowledge, adherence to these guidelines, barriers to implementation, and the resulting decrease in VAP rates

Methodology: The review was conducted using Arksey and O’Malley’s (2005) five-stage framework and PRISMA guidelines. Searches were conducted through electronic databases, including PubMed, Google Scholar, and CINAHL, yielding 981 studies.

Study selection: The criteria for inclusion and exclusion were defined to filter and choose the pertinent studies, as illustrated in Table 1.

Data synthesis: Following the screening process, a total of 28 studies were selected for the data extraction phase of the review. A data extraction table was created, and the subsequent information was gathered from the selected studies: authors, year of publication, country, aim, study population, method, instrument—intervention, evidence-based guidelines under consideration, key findings, outcomes, and barriers to practice or compliance. The author conducted a critical analysis and review of the literature regarding the effectiveness of educational training for nurses, focusing on knowledge, compliance, practice, and the reduction of ventilator-associated pneumonia.

Conclusion: Nurses play a fundamental role in preventing ventilator-associated pneumonia in the critical care unit. The educational program was effective in the reduction of ventilator-associated pneumonia. However, needs a regular training programme for nurses and more efforts to translate research into practice in CCUs.