Pneumonia: Analysis, Evaluation & Critique Thesis

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These factors were examined in the work of Tolentino-DelosReyes, et al. (2007) who report themselves having conducted a study and in the form of the administration of a test containing ten items which was developed for the purpose of scoring the nurse on knowledge related to VAP. These questions were comprised by a Powerpoint presentation utilized by the project director in the education sessions in the CCU and SICU. The test specifically were related to "best-practice guidelines, microorganisms that cause VAP, hand washing, supine positioning, enteral feeding, factors related to VAP, definition of VAP, and diagnosis of pneumonia." (Tolentino-DelosReyes, et al., 2007) Stated as participants in the reported study were 14 nurses on day shift and another 14 night shift nurses along with 15 day shift and 18 night shift nurses from the CCU comprising a stated "65% to 70% of all the nurses in each unit." (Tolentino-DelosReyes, et al., 2007) it is reported that both pretests and posttests were administered immediately before and after the in-service education sessions." (Tolentino-DelosReyes, et al., 2007) Observational methods are also reported to have been used in the month before and the month following the learning sessions. It is reported that the patterns of practice of these nurses was assessed prior to and following the education sessions through observation of the care rendered to 30 patients in the SICU and 69 patients in the CCU, all of whom were receiving mechanical ventilation.

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HOB elevation was measured by checking the beds that were equipped with angle measurement to specify the degrees of elevation." (Tolentino-DelosReyes, et al., 2007) Also assessed were factors relating to: (1) nurse hand-washing practice (including factors such as artificial nails, nail polish and wearing of rings and even number of rings worn on hands during patient contact; (2) auditing of patient charts for: (1) HOB elevation; (2) frequency of oral care; and (3) frequency of nasogastric tube checking in the preceding 12 hours." (Tolentino-DelosReyes, et al., 2007) it is reported that data collection and analysis was conducted through 2 critical care nursing experts making a review of project team members over a six-month time period. Findings in the work of Tolentino-DelosReyes, et al. (2007) state that examination of the charts "showed significant improvement in HOB elevation (from 51% to 69%) with oral care frequency significantly increasing following the education sessions. Furthermore, the nasogastric tube was further monitored more frequency rising from 3% to 18% following the education sessions. These education sessions increased the knowledge of nursing staff and in turn increased nurse testing scores and the quality of treatment provided to patients by nursing staff. In addition the hand-washing practices of nurses prior to patient contact improved and there was a reduction in the use of nail polish, artificial nails and wearing of rings during patient contact. It is important to note the statement of: "The.....

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