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.
BACKGROUND
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 self-report 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.


CONCLUSIONS
Training the nurses is highly effective in preventing VAP, particularly for appropriate cuff pressure, suctioning and disinfecting hands.
Department of Nursing, School of Nursing and Midwifery, Lorestan University of medical sciences, Khoramabad, Iran;
Majid
M
Yazdani
Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;
Golnar
G
Sabetian
Department of Nursing, School of Nursing and Midwifery, Lorestan University of medical sciences, Khoramabad, Iran;
Shahin
S
Ra'ofi
Shiraz University of Medical Sciences, Shiraz, Iran;
Amir
A
Roudgari
Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;
Monireh
M
Feizi
knowledge; nurse; pneumonia