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188052

Application of Modified Ventilator Bundle and Its Effect on Weaning Among Mechanically Ventilated Patients

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Last updated: 28 Dec 2024

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Abstract

Background: Modified ventilator bundle is a cluster of key interventions deriving from evidence-based clinical practice guidelines that when implemented together are expected to improve patient outcomes and reduced the risk of ventilator associated pneumonia and other related complications common in ventilated patients. Aim: The current study aimed to apply a modified ventilator bundle and evaluate its effect on weaning among mechanically ventilated patients. Design: A quasi- experimental research design was utilized. Setting: This study was conducted at the following critical care units (surgical, medical and cardiac care unites) affiliated to Bani Suief University Hospital in Bani Suief city, Egypt. Subjects: A Purposive sample of 100 mechanically ventilated patients divided into two groups, the study group included patients who received the modified ventilator bundle while the control group included patients who received the routine hospital nursing care. Data collection tools: Two tools were used; First tool patient assessment sheet include two parts, part one: patient demographic and medical characteristic part two:  physical assessment record. Second tool: Weaning process assessment checklists by used burns wean assessment program score. Results: The study group of patients obtained higher weaning scores than the control group. As well the study group demonstrated shorter duration of the connection to mechanical ventilation compared to control group. Conclusion: Implementation of modified bundle plays a pivotal role on higher weaning score and reduction of ventilation days. Recommendations: Designing in-service training educational program for critical care nurses to improve nurses' knowledge and practice regarding a modified ventilator bundle. Furthermore, replication of the study on a larger probability sample from different geographical locations in order to generalize the results.

DOI

10.21608/msnj.2020.188052

Keywords

Mechanical Ventilation, Modified Ventilator Bundle, Weaning

Authors

First Name

Amany

Last Name

Eweas

MiddleName

Sayed

Affiliation

Clinical Instructor in Faculty of Nursing, Bani Suief University, Egypt.

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Orcid

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First Name

Sahar

Last Name

Mohammad

MiddleName

Yassien

Affiliation

Prof. in Medical Surgical Nursing, Faculty of Nursing, Ain Shams University, Egypt.

Email

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City

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Orcid

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First Name

Jehan

Last Name

Ali Sayyed

MiddleName

Sayyed

Affiliation

Prof. in Medical Surgical Nursing, Faculty of Nursing, Minia University, Egypt.

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City

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Orcid

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First Name

Marwa

Last Name

Abd Elbaky

MiddleName

Mohammad

Affiliation

Lecturer in Medical Surgical Nursing, (Critical Care Nursing), Faculty of Nursing, Minia University, Egypt.

Email

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City

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Orcid

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First Name

Magda

Last Name

Bayoumi

MiddleName

Mohammad

Affiliation

Lecturer in Medical Surgical Nursing, Faculty of Nursing, Bani Suief University, Egypt.

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City

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Orcid

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Volume

008

Article Issue

1

Related Issue

27043

Issue Date

2020-12-01

Receive Date

2020-12-29

Publish Date

2020-12-30

Page Start

121

Page End

129

Print ISSN

2537-012X

Online ISSN

2785-9797

Link

https://msnj.journals.ekb.eg/article_188052.html

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https://msnj.journals.ekb.eg/service?article_code=188052

Order

15

Type

Original articles

Type Code

2,049

Publication Type

Journal

Publication Title

Minia Scientific Nursing Journal

Publication Link

https://msnj.journals.ekb.eg/

MainTitle

Application of Modified Ventilator Bundle and Its Effect on Weaning Among Mechanically Ventilated Patients

Details

Type

Article

Created At

23 Jan 2023