Articles T67 Số CDD10 - HN Bệnh viện Nhi Đồng 2 - HN Trường Đại học Nguyễn Tất Thành

NURSES' COMPLIANCE WITH VENTILATOR-ASSOCIATED PNEUMONIA (VAP) PREVENTION CARE BUNDLE AT BAC NINH OBSTETRICS AND PEDIATRICS HOSPITAL NO.2 IN 2026

Chu Thi Huong1,2, Hoang Thi Thanh3,4, Duong Thi Hoa3,4
1 Bac Ninh Obstetrics and Pediatrics Hospital No. 2
2 Bệnh viện Sản Nhi Bắc Ninh số 2
3 Dai Nam University
4 Đại học Đại Nam
DOI: 10.52163/yhc.v67icd10.6217
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Keywords
Ventilator-associated pneumonia, prevention care bundle, pediatric patients.
Abstract

Objective: To evaluate nurses' compliance with the ventilator-associated pneumonia (VAP) prevention care bundle at the Pediatric Intensive Care Unit (PICU), Bac Ninh Obstetrics and Pediatrics Hospital No.2 in 2026.

Methods: A cross-sectional descriptive study was conducted with 385 observations of 35 steps across 7 care procedures for mechanically ventilated pediatric patients, performed by 13 nurses. Each step of every procedure was evaluated on a 3-level scale: well performed (2 points), poorly performed (1 point), and not performed (0 points). The criterion for overall care bundle compliance required the well-performance of all 35 steps, achieving a total score of 70.

Results: The overall compliance rate with the complete VAP prevention care bundle among observed episodes of care for mechanically ventilated pediatric patients was 49.6%. Compliance rates for individual bundle components were 60.3% for hand hygiene, 80.8% for aspiration and reflux prevention, 62.9% for endotracheal suctioning, 82.6% for ventilator circuit care, 87.6% for heated humidification system care and 59.6% for oral care.

Conclusion: The compliance rate with the ventilator-associated pneumonia prevention care bundle remains low. It is essential to enhance inspection, supervision, and training programs for nursing staff.

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