scholarly journals Determination of Knowledge Levels of Nurses Working in the Emergency Department and Intensive Care Units about Evidence-Based Practices in the Prevention of Ventilator-Associated Pneumonia

2021 ◽  
Author(s):  
Leman ACUN DELEN ◽  
Serdar DERYA ◽  
Burcu KAYHAN TETİK
Keyword(s):  
Emergency Department ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Evidence Based ◽  
Ventilator Associated Pneumonia ◽  
Evidence Based Practices ◽  
Knowledge Levels

scholarly journals Role of Steroid in Adult Patients of Septic Shock - A Critical Analysis

KYAMC Journal ◽  
2017 ◽  
Vol 4 (2) ◽  
pp. 409-414
Author(s):  
Rajib Hasan ◽  
Humayun Kabir ◽  
Taposh Chandra Roy ◽  
Javed Sharoar Chowdhury ◽  
Farzana Yeasmin
Keyword(s):  
Septic Shock ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Critical Analysis ◽  
Adult Patients ◽  
Evidence Based ◽  
Icu Patients ◽  
Evidence Based Practices ◽  
Sepsis And Septic Shock

" Sepsis and septic shock is the condition which has been with intensive care units from long before. In fact, it is one of the highly ranked diseases causing mortality in ICU patients. There are currently many evidence based practices in the management of septic shock and use of steroid is one of them. The aim of this article is to critically evaluate the evidences regarding the role of steroids in adult patients of septic shock. This article has also evaluated all the current evidences regarding details of the role of steroids including their formulation, dosage, duration and route of administration in patients of septic shock.KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 409-414

VENTILATOR ASSOCIATED PNEUMONIA-REVIEW ARTICLE

2021 ◽  
pp. 64-65
Author(s):  
Bharti Choudhary ◽  
Nishchint Sharma
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Review Article ◽  
Evidence Based ◽  
Ventilator Associated Pneumonia ◽  
Evidence Based Practices ◽  
Prolonged Duration ◽  
Vap Bundle

Ventilator-associated pneumonia (VAP) is one of the most frequent ICU-acquired infections and a leading cause of death among patients in Intensive Care Unit (ICU). VAP is associated with prolonged duration of mechanical ventilation and ICU stay. The estimated mortality of VAP is around 10%. There are many risk factors including host related, device related and personnel related. For prevention of VAP it is recommended to minimize the exposure to mechanical ventilation and encouraging early liberation. VAP bundle as a group of evidence-based practices that, results in decrease in the incidence of VAP should be used. Patients should be reassessed daily to conrm ongoing suspicion of disease, antibiotics should be guided by cultures reports, and clinicians should consider stopping antibiotics if cultures are 1 negative.

scholarly journals Assessment of Evidence-Based Practice Knowledge, Utilization of Practice and Associated Factors on Nurses Working in the Adult Intensive Care Unit of Federal Public Hospital in Addis Ababa

2021 ◽  
Author(s):  
Zerihune Alene ◽  
Negat W/Hawariat ◽  
Helina Bogale ◽  
Ayele Fikadu ◽  
Abdata Workina
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Evidence Based Practice ◽  
Addis Ababa ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Poor Knowledge ◽  
Research Results ◽  
Insufficient Time ◽  
Practice Knowledge

Abstract Background Critical care nurses face several challenges in providing safe, evidence-based care for critical patients. Evidence-based practices are important to improve the overall quality of patient care, enhance nursing practice, and increase confidence in evidence-based decision-making. Thus, this study was intended to assess evidence-based practice knowledge and utilization of the practice on nurses working in the adult intensive care units. Methods Institutional based cross-sectional study was employed on 135 randomly selected nurses working in adult intensive care units of federal public hospitals in Addis Ababa, Ethiopia, from April 3 to December 21, 2020. Data were collected using a structured questionnaire through face-to-face interviews. Then, it was entered into Epi data version 4.4.2.1, and exported to SPSS version 25 for analysis. In the bivariate logistic regression analysis, predictors variables with p< 0.25 were fitted to multivariate analysis. Then, the adjusted odds ratio with 95% CI was used to report the association at P< 0.05. Results Among the study participants, about 92(68.1%) and 115(85.2%) of them were found to have good knowledge and utilization of evidence-based practice, respectively. Predictors like difficulty to properly interpret research results (AOR=11.36; 95% CI: 1.86-69.39), and insufficient resources to implement changes in practice (AOR=4.44; 95% CI: 1.05-18.80) were associated with poor knowledge of evidence-based practice. Moreover, nurses who were not able to interpret research results, lack of nursing colleague support, and insufficient time were significantly associated with poor utilization (P<0.05). Conclusion The knowledge and utilization of evidence-based practice among nurses was found to be high compared to the findings of former studies. Inability to properly interpret research results, lack of confidence, insufficient time, and lack of nursing colleague support were independently associated with poor knowledge and utilization of evidence-based practices among nurses working in adult ICU nurses.

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