Nurse-led implementation of a ventilator-associated pneumonia care bundle in a children’s critical care unit
Charlotte Hill Senior staff nurse, children’s critical care, John Radcliffe Hospital, Oxford
Charlotte Hill discusses the implementation of a care bundle aimed at reducing the rate of ventilator-associated pneumonia and examines the role of the nurse in this process
Ventilator-associated pneumonia (VAP) is the leading cause of death with hospital-acquired infections, and preventing it is one of the Saving Lives initiatives (Department of Health 2007). This article discusses the implementation of a purpose-designed VAP care bundle in a children’s intensive care unit and examines the unique role of nurses in the management of the change process. A nurse-led VAP education, implementation and surveillance programme was set up. Nurse education was paramount, as nursing staff acceptance and involvement was a key feature. A multi-method training strategy was implemented, providing staff with multiple training opportunities and introducing VAP project education as a routine part of staff induction. Bundle compliance was monitored regularly and graphs of the results produced quarterly; feedback proved to be useful in keeping staff informed and engaged in VAP reduction. Comparison of VAP incidence before and after introduction of the care bundle showed a reduction after its implementation. With a co-ordinated, multidisciplinary approach, VAP care bundles can result in significant and sustained reductions in VAP rates in the paediatric intensive care unit. Effective co-ordination and leadership is crucial to successful implementation of the VAP bundle, and nurses are well placed to undertake this role.
Nursing Children and Young People.
This article has been subject to open peer review and has been checked using antiplagiarism software
Conflict of interest
Received: 07 August 2015
Accepted: 27 January 2016
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