Critical care nurses' knowledge of, adherence to, and barriers toward institution-specific ventilator bundle

•The correlation between knowledge and adherence scores was low.•Adherence to clinical guidelines was significantly higher among novices.•The main barriers were related to the nurse respondents, environment, and patients. Although evidence-based practices are known to improve the quality of care, ma...

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Bibliographic Details
Published in:American journal of infection control 2018-09, Vol.46 (9), p.1051-1056
Main Authors: Jansson, Miia M., Syrjälä, Hannu P., Talman, Kirsi, Meriläinen, Merja H., Ala-Kokko, Tero I.
Format: Article
Language:English
Subjects:
Adherence
Barriers
Evidence-based practice
Nursing
Ventilator bundle
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Summary:•The correlation between knowledge and adherence scores was low.•Adherence to clinical guidelines was significantly higher among novices.•The main barriers were related to the nurse respondents, environment, and patients. Although evidence-based practices are known to improve the quality of care, making it cost-efficient and improving clinical results, barriers to transferring research into clinical practice have hindered this process. To evaluate critical care nurses' knowledge of, adherence to, and barriers toward institution-specific ventilator bundle. In 2015, we conducted an institution-specific, cross-sectional study in a 26-bed adult mixed medical-surgical intensive care unit (ICU) in Finland using quantitative survey of knowledge and self-reported adherence with qualitative gathering of barrier data. A pre-validated multiple-choice Ventilator Bundle Questionnaire was distributed to all registered nurses who were direct care providers (n = 155). The final response rate was 55.5% (n = 86), and 47.2% (n = 34) of respondents had more than 10 years of ICU experience. The levels of knowledge and self-reported adherence were 71.1% and 65.8% of the total score, respectively. The level of knowledge was higher among respondents who had received in-service education about ventilator bundle compared with respondents who had not received in-service education (27.0 vs 24.0 [P = .012]). Less experienced nurses reported significantly higher adherence than nurses with more ICU experience (29.0 vs 25.0 [P = .034]). The correlation between knowledge and adherence scores was low (ρ 0.48 [P
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2018.02.004