Ventilator Associated Pneumonia Care Bundle Prevention on Internship Students' Knowledge and Clinical Performance

Effect of Self-Instructional Module Regarding Ventilator Associated Pneumonia Care Bundle Prevention on Internship Students' Knowledge and Clinical Performance in Pediatric Intensive Care Unit

The goal of this clinical trial is to determine the effect of a self-instructional module regarding ventilator-associated pneumonia care bundle prevention on internship students' knowledge and clinical performance in pediatric intensive care unit.The hypotheses of this study were as follows:

1. Internship students who are taught by VAP care bundle prevention self-instructional module exhibit higher scores in knowledge test about VAP care bundle prevention than those who are not.
2. Internship students who are taught by VAP care bundle prevention self-instructional module exhibit higher scores in performing the VAP care bundle prevention procedure than those who are not.
3. Internship students who are taught by VAP care bundle prevention self-instructional module exhibit more positive feedback about it than those who are not.

Study Overview

• Status: Completed
• Conditions: Ventilator Associated Pneumonia
• Intervention / Treatment: Behavioral: Routine PICU nursing care for children on mechanical ventilator.; Behavioral: Self-instructional module for VAP care bundle prevention

• Study Type: Interventional
• Enrollment (Actual): 100
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Alexandria, Egypt
    • Eman Arafa Badr

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Nursing intern students at Faculty of Nursing, Alexandria university, Egypt.

Exclusion Criteria:

• No

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Control group; Nursing interns students learned the routine nursing care of children on mechanically ventilation to prevent VAP by PICU nurses staff.	Behavioral: Routine PICU nursing care for children on mechanical ventilator.; Nursing interns students learned the routine PICU nursing care for the children on mechanical ventilator.
Experimental: Study group; Nursing interns students received comprehensive education about VAP care bundle prevention by self-instructional module through the researchers.	Behavioral: Self-instructional module for VAP care bundle prevention; Nursing interns students learned about VAP care bundle prevention self-instructional module through assessment, preparation, implementation and evaluation phases.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nursing Interns' Knowledge	total score ranged from 0 to 30 distributed as follows: Low knowledge level <60% of the total score, Moderate knowledge level from 60% to <75% of the total score, High knowledge level ≥75% of the total score.	Before data collection, immediately after and after three months of the clinical experience
Nursing Interns' performance	Total score ranged from 16 to 32 and distributed as follows: Iow performance <60% of the total score, Moderate performance ranging from 60% to <75% of the total score, High performance for the score ≥75% of the total score.	Before data collection, immediately after and after three months of the clinical experience
Self-Instructional Module Feedback	It consists of 10 statements with 4 points Likert scale ranging from strongly disagree (1) to strongly agree (4). The higher score, the more positive feedback.	immediately after VAP care bundle prevention self-instructional module

Collaborators and Investigators

• Sponsor: Alexandria University

Publications and helpful links

General Publications

• Abou Zed, S., & Mohammed, A. (2019). Impact of nursing guidelines on nurses' knowledge and performance regarding to prevention of ventilator-associated pneumonia in neonates. Journal of Nursing Education and Practice, 9(10), 1-14.
• Ali, S., & Elsayed, E. (2021). Effectiveness of self-instructional module on nurses' performance regarding caring of patient with acute respiratory distress during Covid-19 outbreaks. International Egyptian Journal of Nursing Sciences and Research, 2(2), 378-396. DOI: 10.21608/ejnsr.106256.1123.
• Antalova N, Klucka J, Rihova M, Polackova S, Pokorna A, Stourac P. Ventilator-Associated Pneumonia Prevention in Pediatric Patients: Narrative Review. Children (Basel). 2022 Oct 9;9(10):1540. doi: 10.3390/children9101540.
• Benito, S., Bantulo, S., Haudar, F. (2022). Effectiveness of Self Learning Modules in Teaching Mathematcs. Journal of Recent Research in Thesis and Dissertation (IJRRTD) Vol. 3(1), pp: (33-45)DOI: https://doi.org/10.5281/zenodo.6497186 Available at: www.paperpublications.org
• Dsilva, F., Mathew, S., & Gincy, J. (2022). Effectiveness of a self-instructional module on knowledge and observed practices of nurses with regard to prevention of central line-associated blood stream infection. A Before-After Intervention Study Journal of Health Management, 24(2), 233-239,

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2023
• Primary Completion (Actual): August 31, 2023
• Study Completion (Actual): August 31, 2023

Study Registration Dates

• First Submitted: October 13, 2023
• First Submitted That Met QC Criteria: October 13, 2023
• First Posted (Actual): October 19, 2023

Study Record Updates

• Last Update Posted (Actual): October 23, 2023
• Last Update Submitted That Met QC Criteria: October 19, 2023
• Last Verified: October 1, 2023

More Information

Terms related to this study

• Keywords: Ventilator Associated Pneumonia; Clinical Performance; Knowledge; Pediatric Intensive Care Unit; Self-Instructional Module; Care Bundle Prevention; Internship Students
• Additional Relevant MeSH Terms: Pathologic Processes; Infections; Respiratory Tract Infections; Respiratory Tract Diseases; Lung Diseases; Disease Attributes; Cross Infection; Iatrogenic Disease; Healthcare-Associated Pneumonia; Pneumonia; Pneumonia, Ventilator-Associated
• Other Study ID Numbers: VAP

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No