Nursing Practice for Prevention of Ventilator Associated Pneumonia in ICUs at Public Hospitals in Sana’a, City-Yemen

Nabil Ahmed Al-Rabeei1*, Abdulfatah S. Al-jaradi2, Sadek A. Al-Wesaby3, Gamil G. Alrubaiee4 1,4Department of Community Health and Nutrition, College of Medical Sciences, Al- Razi University, Sana’a, Yemen, 2Department of Applied Medical Sciences, College of Medical Sciences, Al-Razi University, Sana’a, Yemen, 3Nursing Division, Faculty of Medicine and Health Sciences, Al-Hodeida University, Yemen

Abstract

Background: Ventilator-Associated Pneumonia is a known serious health hazard among patients on
mechanical ventilation with mortality rate ranges from 6- 60% and as high as 74%. Aim: To identify
nursing practice for prevention of ventilator associated pneumonia in ICUs at public hospitals in
Sana’a, City-Yemen. Methods: A descriptive, cross-sectional study was carried out among ICU nurses
at public hospitals in Sana'a City-Yemen. The sample size was determined by using EpiCalc program,
2000. A stratified random sampling was carried out to select the sample from 4 major public hospitals.
Data were collected using an observational checklist, 50 nurses were tested for practice. Data coded
and entered into SPSS version 21.0 for descriptive and inferential statistics. Approval, and consent
form were obtained. Results: The ICU nurses, (60%) were female, (50%) were married with age mean
± SD, 28.4±4.5 years. About (54%) had working experience from 1-3 years. Two third (66%) the
nurses had a diploma degree, (52%) had no courses training in ICU and (82%) had no training
program on the prevention of VAP. 52% of nurses had a poor level of practices, (42%) had a
moderate level and (6%) had a good level of practice. Level of Nurses’ practice was statistically
associated with ICU training course (P-value= 0.03) and years of work experience (p-value 0.050) but
no association between level of practice and marital status, educational level, training program on
prevention of VAP and diploma in respiratory therapy (P-value>0.05). Conclusion: ICU nurses’
practice was found to be poor (52%). Increasing practices of nurses staff through the courses training,
workshop, and curriculums.