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VAP
Ventilator Associated Pneumonia: Review and Critique of a Quantitative Research Article
Ventilator associated pneumonia is a significant problem affecting many patients that are intubated during hospital stays (NIH, 2012). Understanding and addressing this problem requires careful attention to the latest research, and this research must be approached from a critical perspective. Quantitative research, or research that directly and concretely measures certain phenomenon and describes relationships in numerical terms, has yielded no small amount of useful information on this topic, and critically examining a current article that outlines the knowledge regarding ventilator associated pneumonia is an excellent way to determine if there are any knowledge gaps or inconsistencies that require attention (Burns & Grove, 2011). The following paragraphs present just such an examination.
Problem Statement
A substantial portion of patients intubated for ventilator-assisted breathing during hospital stays develop pneumonia as a result of infection spread or allowed to flourish at the intubation site (Chastre & Fogan, 2002). Though this problem was well established, the most effective means for combating it is not agreed upon, and the authors sought to address this disagreement through a careful...
Secondary infections such as ventilator associated pneumonia are a leading cause of extended hospital stays and even death, and are thus of paramount importance in ensuring a positive patient outcome at any healthcare institution (Chastre & Fogan, 2002).
Purpose and Research Questions
Chastre and Fagon (2002) explore the problem of ventilator associated pneumonia in an extensive research study that examines previous research and published clinical data, though the team did not engage in any direct observation themselves. This quantitative study was purposed towards identifying and clarifying the best approaches to the prevention and treatment of ventilator associated pneumonia, with specific research questions focused on various treatment regimens and other institutional responses to the issue (Chastre & Fogan, 2002). All of these elements were well-focused and mutually supportive, and the quantitative method of the research is vastly superior to any qualitative assessment that could be made of the same problem.
Literature Review
The author made extensive use of articles that at the time of publication were quite current; both qualitative and quantitative studies are represented in the cited literature as…
References
Burns, N., & Grove, S. (2011). Understanding Nursing Research (5th ed.). New York: Elsevier.
Chastre, J. & Fogan, J. (2002). Ventilator-associated pneumonia. American Journal of Respiratory Critical Care Medicine 165(7): 867-903.
NIH. (2012). Hospital-acquired pneumonia. Accessed 18 July 2012. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001201/
Ventilator associated pneumonia (VAP) accounts for the majority of nosocomial pneumonia which may lead to more extensive hospital stay and increased intensive care. Endrotachael tubes that provide continuous subglotic suctioning (abbreviated: CSS-ETT) may reduce VAP, but they are more expensive than the standard endrotacheal tubes (abbreviated: S-ETT) that do not have the characteristic of continuous suctioning. The objective of this study (Speronni et al., 2011), therefore, was to measure
A study conducted by Ledgerwood et al. (2013) on the effects of tracheotomy tubes that have suction above the cuff established that the tubes have the capability to reduce VAP incidents. The amount of time spent in ICU and on the ventilator was also reduced. This does demonstrate that the patient was accorded the best treatment available to drain pleural effusion. The development of haemothorax/pneumothorax is anticipated in most patients
Nurses Knowledge on Ventilated Associated Pneumonia Prevention Synthesizing & Describing: Differences & Similarities of Various Research Components The study provides the similarities and differences of the three studies (Al-Sayaghi, 2014, Bagheri-Nesami, & Amiri, 2014, Labeau, Vandijck, Claes, B. et al. 2007) by comparing their statement of problems and significant of the studies. The three studies identify the VAP (Ventilator-associated pneumonia) as the most common HAIs (hospital-acquired infections) among patients in the intensive care
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.