A comparative study of teaching clinical guideline for prevention of ventilator-associated pneumonia in two ways: face-to-face and workshop training on the knowledge and practice of nurses in the Intensive Care Unit
Introduction: Ventilator-associated pneumonia (VAP) is one of
the most popular nosocomial infections in the intensive care units
and the nurse’s role in preventing it is very important. The aim of
this study was to compare the effect of two methods of face to face
training and work- shop clinical guidelines in prevention of VAP.
Methods: In this experimental randomized clinical trial, the
knowledge and practice of nurses in ICUs were studied in two
groups: face to face training (35 nurses) and workshops (40
nurses) by using clinical guidelines in prevention of VAP in one
of the hospitals of Shiraz University of Medical Sciences. The level
of knowledge and practice in each group was assessed by selfreport
questionnaire, knowledge questionnaire and also direct
observation of practice, before and after training. Data were
analyzed with descriptive statistics, paired t-test, independent
t-test, McNemar test, Fisher’s exact, sign and Chi-square test,
using SPSS 14.
Results: This study demonstrated that both methods of face to
face training and workshop were very effective. The incidence
of inappropriate pressure of cuff in the tracheal tubes and
tracheostomy tubes was significantly reduced after training
(p=0.001). But, by comparison of these two methods and the
relationship between the variables revealed that no significant
difference was found between the two groups of face to face
training and workshop.
Conclusion: Training the nurses is highly effective in preventing
VAP, particularly for appropriate cuff pressure, suctioning and
Keywords: Pneumonia; Nurse; Knowledge
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P ISSN: 2322-2220 E ISSN:2322-3561
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Publisher: Shiraz University of Medical Sciences