A Study to Assess the Knowledge on VAP Care Bundle among Medical Surgical / ICU Nurses of Selected Tertiary Care Hospital of Western Maharashtra

Geethu Chandradas, Flory Ann Joseph, Neethumol Joseph, Lekshmi C L, Kavitha G

Abstract: Background: Ventilator - associated pneumonia (VAP) is a critical healthcare - associated infection that significantly contributes to increased morbidity, mortality, and healthcare costs. The care bundle, a collection of evidence - based practices, is designed to reduce the incidence of VAP by promoting standardized care procedures. In the Intensive Care Unit (ICU), where patients are highly dependent on their caregivers, the knowledge, attitudes, and behaviors of nurses play a pivotal role in patient recovery. Unfortunately, challenges such as inadequate oral health care, a lack of awareness about VAP prevention standards, and suboptimal nursing practices can hinder effective prevention efforts. Methods: A descriptive study was conducted to assess the knowledge of VAP prevention among 50 nurses working in the Medical - Surgical ICU of a tertiary care hospital in Pune. Convenience sampling was employed to select the participants for this study. Results: The study revealed varying levels of knowledge among the nurses regarding VAP prevention. Of the 50 nurses surveyed, 42% demonstrated a high level of knowledge (scoring above 66%), 56% had a moderate level of knowledge (scoring between 34% and 66%), and 2% had a poor level of knowledge (scoring below 34%). The mean knowledge score was 60.93%, with a standard deviation of 9.71%. Conclusion: Nurses' knowledge of the VAP care bundle is integral to delivering high - quality, safe, and cost - effective care to patients undergoing mechanical ventilation. This knowledge not only directly influences patient outcomes but also enhances hospital efficiency and elevates the overall standard of healthcare delivery. Strengthening nurse education and adherence to VAP prevention protocols is essential to improving patient safety and reducing healthcare costs.

Keywords: Ventilator associated pneumonia, Nurse knowledge, ICU Care bundle, Infection prevention, Patient safety, ICU stay