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Effective Implementation of Ventilator Care Bundles in Improves Outcomes: A Multicenter Randomized Controlled Clinical Trial
To evaluate the effect of 17-ventilator care bundles and different training strategies for critical care nurses on clinical outcomes. DESIGN: A randomized controlled triple-blinded clinical trial. SETTING: The multicenter study was conducted in four academic teaching hospitals in Tehran, Iran, from...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8452377/ https://www.ncbi.nlm.nih.gov/pubmed/34553141 http://dx.doi.org/10.1097/CCE.0000000000000509 |
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author | Rahimi-Bashar, Farshid Gohari-Moghadam, Keivan Vahedian-Azimi, Amir |
author_facet | Rahimi-Bashar, Farshid Gohari-Moghadam, Keivan Vahedian-Azimi, Amir |
author_sort | Rahimi-Bashar, Farshid |
collection | PubMed |
description | To evaluate the effect of 17-ventilator care bundles and different training strategies for critical care nurses on clinical outcomes. DESIGN: A randomized controlled triple-blinded clinical trial. SETTING: The multicenter study was conducted in four academic teaching hospitals in Tehran, Iran, from October 2011 to June 2015. PATIENTS: A total of 1,600 adult patients (age ≥ 18 yr) who were admitted to mixed medical-surgical ICUs (> 72 hr) and received invasive ventilation (> 48 hr) were included in this study. In addition, 160 critical care nurses were recruited through letters and telephone and face-to-face invitations. INTERVENTIONS: Seventeen-ventilator care bundles applied by four different groups of nurses. MEASUREMENTS AND MAIN RESULTS: Clinical outcomes were compared between four groups of study which include three intervention groups (who received 17-ventilator care bundles by trained nurses) and one control group (who received routine care). According to the results, ICU length of stay, non-ICU length of stay, ventilator-associated pneumonia occurrence date, ventilator-associated pneumonia, and mortality rates were significantly higher in control group compared with other groups. CONCLUSIONS: Critical care nurses training program to accurately implement 17-ventilator care bundles improves outcomes. |
format | Online Article Text |
id | pubmed-8452377 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-84523772021-09-21 Effective Implementation of Ventilator Care Bundles in Improves Outcomes: A Multicenter Randomized Controlled Clinical Trial Rahimi-Bashar, Farshid Gohari-Moghadam, Keivan Vahedian-Azimi, Amir Crit Care Explor Letter to the Editor To evaluate the effect of 17-ventilator care bundles and different training strategies for critical care nurses on clinical outcomes. DESIGN: A randomized controlled triple-blinded clinical trial. SETTING: The multicenter study was conducted in four academic teaching hospitals in Tehran, Iran, from October 2011 to June 2015. PATIENTS: A total of 1,600 adult patients (age ≥ 18 yr) who were admitted to mixed medical-surgical ICUs (> 72 hr) and received invasive ventilation (> 48 hr) were included in this study. In addition, 160 critical care nurses were recruited through letters and telephone and face-to-face invitations. INTERVENTIONS: Seventeen-ventilator care bundles applied by four different groups of nurses. MEASUREMENTS AND MAIN RESULTS: Clinical outcomes were compared between four groups of study which include three intervention groups (who received 17-ventilator care bundles by trained nurses) and one control group (who received routine care). According to the results, ICU length of stay, non-ICU length of stay, ventilator-associated pneumonia occurrence date, ventilator-associated pneumonia, and mortality rates were significantly higher in control group compared with other groups. CONCLUSIONS: Critical care nurses training program to accurately implement 17-ventilator care bundles improves outcomes. Lippincott Williams & Wilkins 2021-09-17 /pmc/articles/PMC8452377/ /pubmed/34553141 http://dx.doi.org/10.1097/CCE.0000000000000509 Text en Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Letter to the Editor Rahimi-Bashar, Farshid Gohari-Moghadam, Keivan Vahedian-Azimi, Amir Effective Implementation of Ventilator Care Bundles in Improves Outcomes: A Multicenter Randomized Controlled Clinical Trial |
title | Effective Implementation of Ventilator Care Bundles in Improves Outcomes: A Multicenter Randomized Controlled Clinical Trial |
title_full | Effective Implementation of Ventilator Care Bundles in Improves Outcomes: A Multicenter Randomized Controlled Clinical Trial |
title_fullStr | Effective Implementation of Ventilator Care Bundles in Improves Outcomes: A Multicenter Randomized Controlled Clinical Trial |
title_full_unstemmed | Effective Implementation of Ventilator Care Bundles in Improves Outcomes: A Multicenter Randomized Controlled Clinical Trial |
title_short | Effective Implementation of Ventilator Care Bundles in Improves Outcomes: A Multicenter Randomized Controlled Clinical Trial |
title_sort | effective implementation of ventilator care bundles in improves outcomes: a multicenter randomized controlled clinical trial |
topic | Letter to the Editor |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8452377/ https://www.ncbi.nlm.nih.gov/pubmed/34553141 http://dx.doi.org/10.1097/CCE.0000000000000509 |
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