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Vol. 35. Issue 1.
Pages 6-12 (January 2011)
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Vol. 35. Issue 1.
Pages 6-12 (January 2011)
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Southern European Intensive Care Nurses’ Knowledge of Evidence-Based Guidelines for Preventing Ventilator-Associated Pneumonia
Grado de conocimiento de las guías de prevención de la neumonía asociada a ventilación mecánica de las enfermeras de cuidados intensivos del sur de Europa
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M. Llauradóa,b,c,
Corresponding author
mireiallaurado@gmail.com

Corresponding author.
, S. Labeaud,e, D. Vandijcke, J. Relloa,b,c,f, A. Rosag, A. Rierac, E. Gallartc, R. Morenoh, K. Vandewouded,e,i,j, R. Piñerk, M.L. Benítezl, S. Blotde,i, the investigators of the EVIDENCE Study and PROCORNEU (Programa Corporativo Neumonía CIBERES)
a CIBER Enfermedades Respiratorias (CIBERES), Barcelona, Spain
b Institut de Recerca Vall d’Hebron, Barcelona, Spain
c Servicio de Medicina Intensiva, Hospital Universitari Vall d’Hebron, Barcelona, Spain
d Faculty of Healthcare Vesalius, University College Ghent, Ghent, Belgium
e Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
f Universidad Autónoma de Barcelona, Barcelona, Spain
g Intensive Care Department., Hospital Garcia de Orta, Almada, Portugal
h Intensive Care Unit, St. Antóniodos Capuchos Hospital, Centro Hospitalar de Lisboa Central, E.P.E., Portugal
i General Internal Medicine and Infectious Diseases, University Hospital Ghent, Ghent, Belgium
j General Direction, Ghent University Hospital, Ghent, Belgium
k Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Hospital Clínic, Barcelona, Spain
l Coordinación de trasplantes, Unidad Cuidados Intensivos, Hospital Universitario Puerta del Mar de Cádiz, Cádiz, Spain
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Abstract
Objectives

To assess Southern European Intensive care unit nurses’ knowledge about evidencebased guidelines for the prevention of ventilator-associated pneumonia and to compare these findings with a pan-European perspective.

Design

A sub-analysis from an observational study performed using a 9-questions, multiplechoice questionnaire performed during the period October 2006 - March 2007.

Setting

Six Southern European countries, selected from 22 participant European countries.

Participants

Volunteer nurses from intensive care units.

Results

3329 questionnaires were obtained, 1182 of them belonging to Southern European countries with a 75.8% response rate. Global average score was 45,1%, being it significantly better in the South of Europe (46,6%, P<.001). A linear multiple regression analysis showed that years of working experience (per class of increase) (B=0.154±(SD) 0.045) (95% CI (0.066–0–242)) (p=0.001) and working in a smaller intensive care unit (B=−0,210±(SD) 0.059) ((95% CI) −0.326. −0.094) (p<0.001) was independently associated with better test scores.

Conclusions

Southern European critical care nurses’ knowledge about ventilator-associated pneumonia prevention is poor, but significantly better than in the pan-European countries.

Keywords:
Evidence-based guidelines
Intensive care
Prevention
Questionnaire
Ventilator-associated pneumonia
Resumen
Objetivos

Determinar el grado de conocimiento de las enfermeras de cuidados intensivos del sur de Europa de las guías de prevención de la neumonía asociada a ventilación mecánica y compararlo con los resultados globales de Europa.

Diseño

Subanálisis de un estudio observacional realizado mediante un cuestionario de nueve preguntas con respuesta cerrada llevado a cabo entre octubre de 2006 y marzo de 2007.

Ámbito

Seis países del sur de Europa, de los 22 países europeos participantes.

Participantes

Enfermeras voluntarias de cuidados intensivos.

Resultados

Se recibieron 3.329 cuestionarios, de los cuales 1.182 fueron del sur de Europa donde hubo una tasa de respuesta del 75,8%. La puntuación media global fue de 45,1% y la del sur de Europa 46,6% donde fue significativamente mejor (p<0,001). El análisis de regresión lineal mostró que los años de experiencia (por aumento de categoría) están independientemente relacionados con mejores puntuaciones (B=0,154 ± (ES) 0,045) (95% IC (0,066-0,242)) (p=0,001) y trabajar en una unidad de cuidados intensivos con menor número de camas está independientemente relacionado con mejores puntuaciones (B=−0,210 ± (ES) 0,059) ((95% IC) −0,326–−0,094) (p<0,001).

Conclusiones

El conocimiento de las enfermeras de las unidades de cuidados intensivos de los países del sur de Europa sobre las guías de prevención de la neumonía asociada a ventilación mecánica es bajo aunque mejor que en la muestra global de Europa.

Palabras clave:
Guías basadas en la evidencia
Cuidados intensivos
Prevención
Cuestionario
Neumonía asociada a ventilación mecánica
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The investigators of the EVIDENCE Study and the collaborators of the Programa Corporativo Neumonía CIBERES PROCORNEU are listed in Annex 1 at the end of the article.

Copyright © 2011. Elsevier y Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias
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