Association of Educational Interventions with Clinician Learning and Ventilator-Associated Pneumonia Patient Outcomes: A Protocol for Systematic Review and Meta-Analysis
John Mark M. Gutiérrez, Allan L. Dueño, Arnel E. Sonido, Jerry A. Abriam, Emmanuel D. Paragas Jr., Alain Jason A. Generale
Jan 2020 DOI 10.35460/2546-1621.2018-0017 Access
Abstract
Recent studies have shown that educational interventions for ventilator-associated pneumonia (VAP) prevention may result in positive outcomes in intensive care units. However, other studies investigating this kind of intervention have produced inconsistent results. Thus this paper reports a protocol for systematic review and planned meta-analysis to investigate the association of instituted VAP educational interventions with clinician learning and patient outcomes. In this review, the authors will identify relevant citations from electronic databases, reference lists, and other sources; screen articles against predetermined eligibility criteria; appraise each study using the Cochrane Collaboration’s risk of bias assessment tools and combine acquired evidence using the meta-analytic approach. The results of this review are crucial to assist clinicians and policy-makers in making well-informed decisions regarding VAP prevention practices for mechanically ventilated patients. This review protocol followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses for Protocols 2015 guidelines and was registered with PROSPERO as CRD42016051561.
Keywords: clinical outcomes, educational intervention, learning outcomes, review protocol, VAP prevention, ventilator-associated pneumonia
- Safdar N, Dezfulian C, Collard HR, Saint S. Clinical and economic consequences of ventilator-associated pneumonia: A systematic review. Critical Care Medicine. 2005;33(10):2184–93.
- Hunter JD. Ventilator-associated pneumonia. British Medical Journal. 2012;344:e3325.
- Coppadoro A, Bittner E, Berra L. Novel preventive strategies for ventilator-associated pneumonia. Critical Care. 2012;16(2):210.
- Munro N, Ruggiero M. Ventilator-associated pneumonia bundle: Reconstruction for best care. AACN Advanced Critical Care. 2014;25(2):163–75;176–8.
- Lau AC, So HM, Tang SL, Yeung A, Lam SM, Yan WW, et al. Prevention of ventilator-associated pneumonia. Hong Kong Medical Journal. 2015;21(1):61–8.
- Danchaivijitr S, Assanasen S, Apisarnthanarak A, Judaeng T, Pumsuwan V. Effect of an education program on the prevention of ventilator-associated pneumonia: A multicenter study. Journal of the Medical Association of Thailand. 2015;88(10):S36–S41.
- Bouadma L, Mourvillier B, Deiler V, Le Corre B, Lolom I, Régnier B, et al. A multifaceted program to prevent ventilator-associated pneumonia: Impact on compliance with preventive measures. Critical Care Medicine. 2010;38(3):789–96.
- Sinuff T, Muscedere J, Cook DJ, Dodek PM, Anderson W, Keenan SP, et al. Implementation of clinical practice guidelines for ventilator-associated pneumonia: A multicenter prospective study. Critical Care Medicine. 2013;41(1):15–23.
- Marini AL, Khan R, Mundekkadan S. Multifaceted bundle interventions shown effective in reducing VAP rates in our multidisciplinary ICUs. BMJ Quality Improvement Reports. 2016;5(1):u205566-w2278.
- Jansson M, Kääriäinen M, Kyngäs H. Effectiveness of educational programmes in preventing ventilator-associated pneumonia: A systematic review. Journal of Hospital Infection. 2013;84(3):206–14.
- Bingham M, Ashley J, De Jong M, Swift C. Implementing a unit-level intervention to reduce the probability of ventilator-associated pneumonia. Nursing Research. 2010;59(Suppl 1):S40–7.
- Hamishehkar H, Vahidinezhad M, Mashayekhi SO, Asgharian P, Hassankhani H, Mahmoodpoor A. Education alone is not enough in ventilator associated pneumonia care bundle compliance. Journal of Research in Pharmacy Practice. 2014;3(2):51–5.
- Khan MS, Siddiqui SZ, Haider S, Zafar A, Zafar F, Khan RN, et al. Infection control education: Impact on ventilator-associated pneumonia rates in a public sector intensive care unit in Pakistan. Transactions of the Royal Society of Tropical Medicine and Hygiene. 2009;103(8):807–11.
- Jam Gatell MR, Santé Roig M, Hernández Vian Ó, Carrillo Santín E, Turégano Duaso C, Fernández Moreno I, et al. Assessment of a training programme for the prevention of ventilator-associated pneumonia. Nursing in Critical Care. 2012;17(6):285–92.
- Kulvatunyou N, Boonbarwornrattanakul A, Soonthornkit Y, Kocharsanee C, Lertsithichai P. Incidence of ventilator-associated pneumonia (VAP) after the institution of an educational program on VAP prevention. Journal of Medical Association of Thailand. 2007;90(1):89–95.
- Moola S, Munn Z, Sears K, Sfetcu R, Currie M, Lisy K, et al. Conducting systematic reviews of association (etiology): The Joanna Briggs Institute's approach. International Journal of Evidence-Based Healthcare. 2015;13(3):163–9.
- Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Review. 2015;4:1.
- Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: Elaboration and explanation. British Medical Journal. 2015;349:g7647.
- Higgins JP, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. British Medical Journal. 2011;343:d5928.
- Moher D, Liberati A, Tetzlaff J, Tricco AC, Sampson M, Altman DG. Preferred reporting items for systematic reviews and meta- analyses: The PRISMA statement. British Medical Journal. 2009;339:b2535.
- Sterne JA, Hernán MA, Reeves BC, Savovic J, Berkman ND, Viswanathan M, et al. ROBINS-I: A tool for assessing risk of bias in non-randomised studies of interventions. British Medical Journal. 2016;355:i4919.
- Guyatt GH, Oxman AD, Kunz R, Falck-Ytter Y, Vist GE, Liberati A, et al. Rating quality of evidence and strength of recommendations. GRADE: Going from evidence to recommendations. British Medical Journal. 2008;336(7650):1049–51.
Articles related to the one you are viewing
There are currently no results to show, please try again later
CC BY: Open Access Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/