A learning programme for nurses for the prevention of ventilator-associated infections in adult patients
Thesis (MEd (Curriculum Studies)--University of Stellenbosch, 2005.
Ventilator-associated infections contribute to most of the fatal infections in the intensive care. Considerable intensive care resources are also consumed in the treatment of ventilatorassociated infections. Not only economic costs, but also expenditure of staff energies, physical resources, treatment expenses and admission to the intensive care contribute to the complexity of the problem. Despite the large progress in medical treatment over the past decades, the incidence and case fatality rates of health-care-associated ventilator-associated infections remain high. Patients who require mechanical ventilation have a particularly high risk of healthcare- associated infections. Ventilator-associated infections have been a major complication for years, but the researcher has found that no formal attempts, except for inclusion of the concept as part of critical care nursing curricula, have been made to educate nurses with regard to the active prevention of ventilator-associated infections in adult patients. There are also limited data available regarding infection control education-based interventions targeting healthcare systems, e.g. intensive care units. The research goal was to establish and evaluate a learning programme for nurses caring for adult patients with ventilator-associated infections (Learning Programme). This took place in two Australian hospitals during 2003 and 2004. The objectives of the research were divided into three phases. Evidenced-based literature on the above concepts was utilised by the researcher and deductively implemented and validated by a focus (specialist) group to develop the Learning Programme in Phase One.