Construction and Application of a Training Program for ICU Nurses to Manage Artificial Airway Gasbags to Prevent Ventilator-Associated Pneumonia

Yongting Wang; Yunxia Lan; Tiantian Jia; Mengdan Ma; Chunxu Liu; Hao Tang

doi:10.2147/JMDH.S438316

Construction and Application of a Training Program for ICU Nurses to Manage Artificial Airway Gasbags to Prevent Ventilator-Associated Pneumonia

J Multidiscip Healthc. 2023 Dec 2:16:3737-3748. doi: 10.2147/JMDH.S438316. eCollection 2023.

Authors

Yongting Wang¹, Yunxia Lan², Tiantian Jia¹, Mengdan Ma¹, Chunxu Liu¹, Hao Tang¹

Affiliations

¹ Cardiac Surgery Intensive Care Unit, The Affiliated Chest Hospital of Zhengzhou University, Zhengzhou, People's Republic of China.
² Department of Nursing, The Affiliated Chest Hospital of Zhengzhou University, Zhengzhou, People's Republic of China.

Abstract

Purpose: To construct a training program for ICU nurses to manage artificial airway gasbags to prevent ventilator-associated pneumonia (VAP) and explore its application in ICU nurses.

Methods: From January to March 2023, 17 experts were consulted using the Delphi method to construct the draft of the training program. 52 ICU nurses were selected from a third-level, first-class hospital in Henan Province. They received training using the program for 4 weeks. The training effects were evaluated by examining the theoretical knowledge, testing operation skills, and the ICU medical staff gasbag management knowledge-attitude-behavior questionnaire before and one week after the training in April 2023.

Results: The coefficients of expert authority for the two round inquiries were 0.816 and 0.837, respectively. The coordination coefficient of expert opinions ranges from 0.2 to 0.3. The final training program for ICU nurses on managing artificial airway gasbags to prevent VAP was constructed and included 4 primary indicators, 25 secondary indicators, 47 tertiary indicators. After the training by the program, the scores of the ICU nurses' theoretical knowledge (before, 73.73 ± 8.54 VS after, 88.31 ± 6.29; t = 11.017, P<0.001) and technical operation (before, 75.29 ± 7.48 VS after, 86.92 ± 4.72; t = 8.986, P<0.001) were significantly increased. The total scores of the ICU nurses' knowledge-attitude-behavior on gasbag management (before, 76.67 ± 10.68 VS after, 109.04 ± 9.87; t = 19.916, P<0.001) were also significantly increased compared to the performance before training.

Conclusion: The training program for ICU nurses on managing artificial airway gasbags to prevent VAP based on the Miller pyramid model is scientific and practical and can enhance the knowledge-attitude-behavior level of ICU nurses. This training program constructed in this study can be recommended and applied after further verification for the ICU nurses to manage the artificial airway gasbags in order to reducing the occurrence of the VAP in the clinical practice.

Keywords: Miller pyramid model; airway management; evaluation and assessment; intensive care; nursing management.

Grants and funding

This study was supported by Henan Province 2020 Medical Science and Technology Research Program Joint Construction Project [No. LHGJ20200227].