Intensive care unit registered nurses’ perceived barriers towards ventilated associated pneumonia prevention in southeast Iran: a cross-sectional descriptive – an analytical study

• Published in: BMJ open Vol. 12; no. 9; p. e064147
• Main Authors: Dehghan, Mahlagha, Arab, Mansoor, Akafzadeh, Tayebe, Malakoutikhah, Alireza, Mazallahi, Mahbubeh, Forouzi, Mansooreh Azizzadeh
• Format: Journal Article
• Language: English
• Published: London British Medical Journal Publishing Group 26-09-2022; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Original research
• Subjects: adult intensive & critical care; Disease control; Education; health & safety; Infectious Diseases; infectious diseases & infestations; Intensive care; Intubation; Mortality; Nosocomial infections; Nurses; Nursing care; organisation of health services; Patients; Pneumonia; Prevention; Questionnaires; Suctioning; Variables; Ventilators; Workloads; Iran; United States > US
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2022-064147

ObjectivesVentilated associated pneumonia (VAP) is one of the most common nosocomial infection and complication occurring in intensive care units (ICUs) worldwide. This study aimed to assess the ICU registered nurses’ perceived barriers towards VAP prevention in southeast Iran.SettingThis was a cross-sectional descriptive–an analytical study to examine the registered nurses’ perceived barriers towards VAP prevention in southeast Iran.ParticipantsThe study population consisted of 242 nurses working in ICU and emergency departments.Primary and secondary outcome measuresThe data was collected using demographic characteristics’ questionnaire and a researcher-made ventilator-associated pneumonia barriers prevention questionnaire.ResultsThe mean score of nurses’ perceived barriers towards VAP prevention was 2.82±0.46. The highest mean score of perceived barriers were related to items of ‘lack of staff’, ‘lack of a team-based approach to care and interventions’, and ‘lack of support from management’.ConclusionsThis study indicates most of the barriers are related to organisational factors and lack of teamwork. Further studies are needed to obtain more accurate results.Trial registration numberThe study protocol was approved by the Ethics Committee of Kerman University of Medical Sciences (IR.KMU.REC.1395.908).