Introduction
In modern times, one of the most common groups of diseases is a group that leads to harm to the patient’s health during treatment. For example, pneumonia can be cited as the result of artificial ventilation of the lungs of seriously ill patients. This study is aimed at finding strategies that will help nurses and medical staff to reduce or eliminate the risks of patients’ diseases. In this case, the main issue is the work of nurses contributing to protecting patients from pneumonia caused by artificial ventilation and assistance in their survival.
By providing nurses with specific instructions on how to prevent patients from contracting pneumonia, medical institutions will be able to reduce the number of deaths.
The Significance of Nursing
Patients in the intensive care unit often get pneumonia due to artificial lung ventilation. A large number of deaths gave an understanding that it is necessary to take specific measures and develop strategies to reduce the number of deaths. In addition, it is essential to reduce the number of complications in patients after treatment.
The main issue of the study is to understand how much nursing intervention affects the possibility of pneumonia in seriously ill patients undergoing artificial ventilation of the lungs. Mortality from pneumonia due to artificial lung ventilation is 10%, which is a high indicator (Papazian et al., 2020). This study is aimed at finding solutions to this problem.
An Overview of Literature Review
Various articles and studies have been selected as sources of literature related to pneumonia caused by artificial ventilation. There is no knowledge about the prevention and prevention of VAP, which leads to low awareness of the medical staff about the strategy of action.
As sources, studies were selected that summarize all the knowledge about pneumonia, artificial lung ventilation, and nursing intervention in prevention and treatment. The study by Kumar and Raghavendra (2021) aims to study the causes of VAP and find solutions to how they can be eliminated. In addition, Osti et al.((2017) assess how nursing intervention helps in the recovery of patients. These articles offer general knowledge and recommendations for working with VAP, not individual ones.
In another study, an article by Alloush (2017) was cited, which says that nurses stop following individual recommendations, which negatively impacts patients. There is a significant shortage of medical personnel in intensive care units, which reduces the quality of care and leads to harmful consequences for patients.
Other researchers have proposed, implemented, and evaluated a system for teaching intensive care unit nurses to prevent VAP. Oner Cengiz and Kanan (2019) concluded that high-quality nursing training brings positive results in preventing VAP. Alvarez-Lerma et al. (2018) suggest considering the “Zero Pneumonia” program, which is aimed at minimizing cases of pneumonia, and this program is 55.8% successful. This study is undoubtedly successful, as it brings many positive results.
A multi-criteria model has been developed and implemented, aiming to assess the risks of VAP occurrence. Drnovšek et al. (2020) evaluated this model, created a decision support system, and implemented it into the practice of medical personnel. Undoubtedly, this was a success, as it helped significantly reduce the number of cases of pneumonia in intensive care patients.
Currently, pneumonia caused by artificial lung ventilation is one of the most acute problems. The skills and knowledge of nurses aimed at preventing the appearance of the disease are essential. It is necessary to invest in training nurses of the intensive care unit working with patients connected to the ventilator, as they will know how to work with such patients. In addition, specialized nurses will learn how to prevent the development of pneumonia in patients.
Design and Methodology
Correct prevention of VAP and in-depth nurses’ knowledge about working with patients in intensive care. To assess the role of a nurse in taking preventive measures, it is necessary to make a sample of patients and nurses. Sampling by gender and age is not adequate, even though elderly patients are more likely to become intensive care patients on ventilators.
The main criterion for the sample will be the height of the risk of VAP in patients in the intensive care unit. The sample will include at least ten patients who are in critical condition, as well as at least five nurses working in the intensive care unit. This number of patients and nurses is determined by the need for a certain amount of information.
By analyzing the work of medical personnel, it will be possible to assess how effective the profession of nursing staff in intensive care is. Examining the condition of patients will allow you to determine how correctly and effectively the work of nurses is. In addition, all the assessments made it possible to understand what measures need to be developed and taken to improve the quality of work of intensive care unit nurses.
The process of collecting information itself includes monitoring the work of nurses and the condition of patients with VAP. Qualitative and quantitative assessment methods will be used to obtain the most accurate results.
Methodology
The qualitative method includes a general analysis of the work of nurses and the well-being of patients. The basis will be the average knowledge score of the medical staff and the frequency of VAP. The quantitative method will be reflected in the percentage of interventions and results.
A qualitative method makes it possible to understand what measures nurses are taking to prevent VAP. The quantitative approach helps to obtain formulated data showing the degree of nursing influence on how often patients die recover, and how quickly VAP develops. This method is reliable because it helps to comprehensively assess the quality of nurses’ work in the field of pre-treatment of pneumonia by patients.
Ethical Considerations
The study will be conducted in actual conditions, which will give the most accurate assessment of the quality of work of medical personnel. It is imperative to monitor compliance with ethical standards when conducting research, that is, to encourage autonomous work, charitable goals, and justice. It is necessary to exclude any malice and coercion in conducting research.
The subjects may refuse to participate at any stage of the research. In addition, the persons involved in the study should not be exposed to any risk. This project completely excludes any discrimination, and the attitude of all participants is absolutely the same. In addition, the selected participants must read and sign an informed consent that confirms that they are familiar with the entire process and are ready to participate.
Research Details
One of the most successful recruitment strategies is the placement of online advertising on social networks. It is imperative that the online post contains all the necessary information about the study so that patients are fully aware. Another important detail is that participants should not be under 18 years of age, as this requires a particular organization. To collect the maximum amount of information, it is necessary to use a survey. The questionnaire will also be distributed via the Internet to gather as much information as possible about all participants.
This method of research is very convenient and gives the most accurate result. It is necessary to take into account an ethical point that is very important when conducting research.
Conclusion
In conclusion, it is necessary to develop the main ethnic considerations, as well as find ways to solve them. In addition, based on the obtained research data, it is important to track how successful the nurses working in the intensive care unit were.
Based on the data obtained, it is necessary to develop several strategies that will improve the indicators and improve the work of nurses. For example, if the knowledge indicators of nurses are at an average level and the number of rescued patients is low, it is necessary to develop a plan for teaching nurses how to prevent VAP for patients in intensive care. In any case, the proposed measures will depend on the results of the study. After developing and implementing strategies, it is necessary to re-conduct the study and determine the level of knowledge gained and how successfully patients recover. It is also required to control the proposed strategies and their possible transformation into more successful ones.
References
Aloush, S. M. (2017). Nurses’ implementation of ventilator-associated pneumonia prevention guidelines: An observational study in Jordan. Nursing in Critical Care, 23(3), 147–151. Web.
Álvarez-Lerma, F., Palomar-Martínez, M., Sánchez-García, M., Martínez-Alonso, M., Álvarez- Rodríguez, J., Lorente, L., Arias-Rivera, S., García, R., Gordo, F., Añón, J. M., Jam-Gatell, R., Vázquez-Calatayud, M., & Agra, Y. (2018). Prevention of ventilator-associated pneumonia.Critical Care Medicine, 46(2), 181–188. Web.
Drnovšek, R., Milavec Kapun, M., & Rajkovič, U. (2020). Multi-criteria risk evaluation model for developing ventilator-associated pneumonia.Central European Journal of Operations Research, 29(3), 1021–1036. Web.
Owner Cengiz, H., & Kanan, N. (2019). The effectiveness of training given to nurses for reducing ventilator-associated pneumonia in intensive care patients. Developments in Health Sciences, 2(2), 36–45. Web.
Osti, C., Wosti, D., Pandey, B., & Zhao, Q. (2017). Ventilator-Associated Pneumonia and Role of Nurses in Its Prevention. Journal of the Nepal Medical Association, 56(208), 461– 468.
Papazian, L., Klompas, M., & Luyt, C.-E. (2020). Ventilator-associated pneumonia in adults: A narrative review. Intensive Care Medicine, 46(5), 888–906. Web.