Investigation And Research On KAP Status Of Evidence-Based Nursing For Preventing Ventilator-Associated Pneumonia Of Nurses In Pediatric Intensive Care Unit

Objects: The study was aimed to investigate the present situation of nurses’ KAP about Evidence-Based Nursing for preventing Ventilator-Associated Pneumonia in Pediatric Intensive Care Unit, to explore the related factors that affect nurses’ KAP about Evidence-Based Nursing for Preventing Ventilator-Associated Pneumonia in Pediatric Intensive Care Unit, to table feasibility proposals to enhance nurses in Pediatric Intensive Care Unit complying with Evidence-Based Nursing guideline for preventing Ventilator-Associated Pneumonia, to provide a reference and evidence for Evidence-Based Nursing education and training to prevent Ventilator-Associated Pneumonia.METHODS: The research selected 210 nurses from 4 hospitals in Changchun City, which have set up Pediatric Intensive Care Unit or Neonatal Intensive Care Unit, as the respondents through convenience sampling method in July-September 2015. The whole survey questionnaire includes two main sections: the general demographic data of nurse in Pediatric Intensive Care Unit and the survey questionnaire of nurses’ KAP about Evidence-Based Nursing for Preventing Ventilator-Associated Pneumonia in Pediatric Intensive Care Unit. The data were managed by Epidata3.1 software and analyzed by SPSS17.0 software. Then,it used median, standard deviation, percentage and so on to statistical description, applied T test, Chi square test, one-way analysis of variance, and multiple stepwise regression analysis to descript the factors that influence nurses’ KAP about Evidence-Based Nursing for Preventing Ventilator-Associated Pneumonia in Pediatric Intensive Care Unit.Results:(1) In this study,210 questionnaires were distributed, 205 copies were recollected, so the recovery rate was 97.6%; the number of effective questionnaire was 197 and the effective rate was 96.1%.(2) The knowledge of preventing VAP with Evidence-Based Nursing was poor in Pediatric Intensive Care Unit or Neonatal Intensive Care Unit. The qualification rate of knowledge points was51.40%, at lower levels. Exactly speaking, 2 of 10 subjects,scoring rate was over 60%, which were endotracheal intubation(60.4%) and posture strategy(60.9%). The subject, received the lowest scoring rate, was frequency of humidifier changes(35.3%). The qualification rate of attitude points was 81.72%, at higher levels, whose attitude towards preventing VAP with Evidence-Based Nursing was quite positive in Pediatric Intensive Care Unit or Neonatal Intensive Care Unit. Among the subjects, the top two of the score were that it was necessary to implement Evidence-Based Nursing to prevent VAP in Pediatric Intensive Care Unit or Neonatal Intensive Care Unit(4.32±0.68) and actively participate in Evidence-Based Nursing training for preventing VAP(4.17±0.76). The qualification rate of behavior points was 82.56%, at higher levels. On the behavior investigation of preventing VAP with Evidence-Based Nursing in Pediatric Intensive Care Unit or Neonatal Intensive Care Unit, it could make a conclusion that hand hygiene and ventilator circuit nursing were implemented well, but the current condition of oral care need to be improved.(3) As univariate analysis shows that among general demographic data, there was a statistical difference(P<0.05) on employment form, with or without children, title, monthly income, education level and whether received Evidence-Based Nursing training, which affected nurses,KAP score in Pediatric Intensive Care Unit or Neonatal Intensive Care Unit.(4) As multiple stepwise regression analysis showed that education level and whether received Evidence-Based Nursing training for preventing VAP were entered regression equation of preventing VAP with Evidence-Based Nursing in Pediatric Intensive Care Unit or Neonatal Intensive Care Unit; title, education level, with or without children and whether received Evidence-Based Nursing training for preventing VAP were entered regression equation of preventing VAP with Evidence-Based Nursing in Pediatric Intensive Care Unit or Neonatal Intensive Care Unit; monthly income, education level and whether received Evidence-Based Nursing training for preventing VAP were entered regression equation of preventing VAP with Evidence-Based Nursing in Pediatric Intensive Care Unit or Neonatal Intensive Care Unit.Conclusion:(1) The nurses in the 4 hospitals, which have set up Pediatric Intensive Care Unit or Neonatal Intensive Care Unit in Changchun City, had a low degree knowledge about preventing VAP with Evidence-Based Nursing, the attitude and behavior need to be further consolidated and improved.(2) The education level and whether participated in training were the influenced factors that affected the knowledge of preventing VAP with evidence-based nursing among nurses in Pediatric Intensive Care Unit or Neonatal Intensive Care Unit. The title, education level, whether had children and participated in training were the influenced factors that affected the attitude towards preventing VAP with evidence-based nursing among nurses in Pediatric Intensive Care Unit or Neonatal Intensive Care Unit. The monthly income, education level and whether received training were the influenced factors that affected the behavior of preventing VAP with evidence-based nursing among nurses in Pediatric Intensive Care Unit or Neonatal Intensive Care Unit.(3) It is suggested that the knowledge of preventing VAP about Evidence-Based Nursing be trained and learned, to consolidate the attitude of Evidence-Based Nursing and to strengthen the behavior of implementing of Evidence-Based Nursing to prevent VAP in Pediatric ICU.(4) There was an obvious correlation between the KAP of Evidence-Based Nursing for Preventing VAP of Nurses in Pediatric Intensive Care Unit or Neonatal Intensive Care Unit in Changchun City.