Assessment of Knowledge Performance in Prevention of Ventilator-Associated Pneumonia in Intensive Care Units (PDF)

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Page 1 of 18 - Cover Page Submission ID trn:oid:::1:3130834325 Turnitin Llc Assessment of knowledge performance in prevention of ventilator- associated pneumonia in intensive care units amon… check plagia THS Sheltered English 2/3 Intervention A Document Details Submission ID trn:oid:::1:3130834325 16 Pages Submission Date 3,799 Words Jan 16, 2025, 4:21 PM GMT 23,058 Characters Download Date Jan 16, 2025, 4:22 PM GMT File Name paper.docx File Size 110.7 KB Page 1 of 18 - Cover Page Submission ID trn:oid:::1:3130834325  Page 2 of 18 - AI Writing Overview Submission ID trn:oid:::1:3130834325 *% detected as AI Caution: Review required. AI detection includes the possibility of false positives. Although some text in It is essential to understand the limitations of AI detection before making decisions this submission is likely AI generated, scores below the 20% threshold are not about a student’s work. 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What does 'qualifying text' mean? Our model only processes qualifying text in the form of long-form writing. Long-form writing means individual sentences contained in paragraphs that make up a longer piece of written work, such as an essay, a dissertation, or an article, etc. Qualifying text that has been determined to be likely AI-generated will be highlighted in cyan in the submission, and likely AI-generated and then likely AI-paraphrased will be highlighted purple. Non-qualifying text, such as bullet points, annotated bibliographies, etc., will not be processed and can create disparity between the submission highlights and the percentage shown. Page 2 of 18 - AI Writing Overview Submission ID trn:oid:::1:3130834325  Page 3 of 18 - AI Writing Submission Submission ID trn:oid:::1:3130834325 Assessment of knowledge performance in prevention of ventilator- associated pneumonia in intensive care units among anesthesia technician in Libyan governmental Hospitals Fahima A. Albeshti1, Ghada algeblawi2 , Amal Alesabri, Alaa swissy, Ali Elfandi 1,2 Faculty members at the College of Medical Technology - Al-Zawia University ,Zawia City, Libya Abstract Introduction :Ventilator-associated pneumonia (VAP) is one of the most prevalent hospitals acquired infections among intensive care units(ICUs) patients , affecting 6–52% incidence of patients requiring intubation and mechanical ventilation,resulting lenght of stay (LOS) more than 48 hours.. This increases morbidity, mortality, and healthcare cost The aim of the present study was to evaluate the knowledge and performance of anesthesia technicians in the prevention of VAP in intensive care in ICU. Method :. The study was descriptive, cross-sectional manner and data were collected from100 technicians working Al- Zawia Medical Center and Al Khadra General Hospital in of Tripoli in intensive care.By a validated questionnaire to evaluate their knowledge regarding their sociodemographic variables Frequency, percentage mean, and( Anova ) test were used for analysis. Results : In this study ICU technicians displayed a good overall understanding of VAP prevention, with an average knowledge score of ( 0.76 ± 0.12)out of 18 question. And the 57% of technicians showed good knowledge, while 43% showed inadequate knowledge.Also Marital status was also the only demographic factor significantly associated with knowledge scores, with married technicians showing better knowledge than single ones Conclusion:.Although some of the anesthesia technicians have shown good performance regarding VAP prevention in the ICU.This study recommended manye educational and training programs to improve the knowledge level of ICUs Keywords: Intensive care unit (ICU) Ventilator-associated pneumonia (VAP) - Anesthesia technician - acquired infections - Libya hospital Page 3 of 18 - AI Writing Submission Submission ID trn:oid:::1:3130834325  Page 4 of 18 - AI Writing Submission Submission ID trn:oid:::1:3130834325 Introduction Ventilator -associated pneumonia, has been acknowledged as a problem in different Intensive Care Units of the world(1)., as it causes the higher morbidity and mortality rates for patients ventilator (2),also rise in the cost of hospitalization, and an increases in the length of hospital stay(3, 4). Ventilator-associated pneumonia (VAP) is one of the most prevalent hospitals acquired infections among intensive care units(ICUs) patients , affecting 6–52% incidence of patients requiring and mechanical ventilation(10). Critically ill patients who are hospitalized and on ventilators can be in a life or death situation(22). Mechanical ventilation measures and respiratory care applied in the Intensive Care Unit (ICU) can cause complications in patients such as acute respiratory disease and chronic obstructive pulmonary disease or ventilator-associated pneumonia; which is defined as the pneumonia that occurs 48 hours or more after a patient has been on ventilator(9). Endotracheal tube intubation, nasogastric tube feeding, malnourishment and insufficient saliva flow, leading to colonization of oropharynx in patients are other prompting factors.(12,13) VAP increases the need for oxygen , sputum formation, alveolar damage, and reduced gas exchange14 added concerns of VAP include prolonging the recovery period An anesthesia technicians working in the ICU are awaited to play avital role in the prevention of prevalence VAP by following protocols.(15,16Healthcare providers Knowledge of this protocol is successful in the preventing of VAP and can significantly decrease its spread.(17,18,19).Some researchers have shown the importance of nurses’ level of awareness preventive measures from VAPE. The practical application this knowledge is necessary in healthcare. few studies have been conducted on nurses adherence to the preventive properties of VAP(20), as questionnaires may not reliable for assessing adherence performance(21).However studies that directly observe of VAP. prevention practice in the ICU are insufficient. The awareness of HCWs in intensive care units of the evidence-based guidelines for the prevention of VAP, as adherence to them in their practice can lead to positive outcomes in patient’s health and recovery process. Found most studies to assesse the knowledge level of nurses in ICU for prevention of VAP(29,30,31). As there were lack studies to conduct regarding of evidence-based research , this prompted the researchers to assess the performance Page 4 of 18 - AI Writing Submission Submission ID trn:oid:::1:3130834325  Page 5 of 18 - AI Writing Submission Submission ID trn:oid:::1:3130834325 efficiency of all Health care workers ( Physician , anesthesia technicians and nurses) in the prevention of VAP in ICUs. The main aim of the study was to evaluate the knowledge and performance of anesthesia technicians in the prevention of VAP in ICU in relation to selected demographic characteristics of Al Khadra General Hospital in Tripoli and Al- Zawia Medical Center in Zawia, Libya. Method 2.1Setting study and participants The study descriptive, cross-sectional design was used to evaluate Libya anesthesia technicians working in intensive care, knowledge regarding prevention of VAP and to assess their knowledge in relation to their sociodemographic characteristics during the of three months starting from March to May 2024. It was based on proved multiple- choice questionnaires advanced to assess the knowledge medical staff of ICU l on the evidence based guidelines for VAP prevention. The research site included the selected goverrnment hospitals inthe western region of libya. The study included all anesthesia technicians working in the intensive care unit of Al Khadra General Hospital in of Tripoli and Al- Zawia Medical Center , except for anesthesia technicians with less than six months of experience. The total sample size of males and females was100 anesthesia technicians. 2.2 Purpose of the questionnaire The purpose of the questions was to assess the knowledge of the anesthesiologists working in the intensive care unit regarding the prevention of pneumonia related with the ventilator and its serious and how to handle with the intensive care equipment and use for the patient. 2.3Design of questionnaire The questionnaire consist of two parts: personal information and professional characteristics and knowledge level of anesthesia technicians with concern to VAP prevention. The questionnaires were distributed to respondents by obtaining their promptness and collecting filled data. The first part is a social and demographic feature of anesthesia technicians, including age, gender, marital status, level of rehabilitation, years of experience, workplace and training in the prevention of Page 5 of 18 - AI Writing Submission Submission ID trn:oid:::1:3130834325  Page 6 of 18 - AI Writing Submission Submission ID trn:oid:::1:3130834325 infection of the intensive care unit. The second part consists of 18 questions, but three of them are options (yes, no, I don't know). The questions were used to assess the level of knowledge of anesthesia technicians, and were translated into Arabic to facililate their understand and answering their by anesthesia technicians and then translated back into English. The data was then collected and sorted to ensure completeness and accuracy. 2.4 Data analysis The collected data were analyzed and calculated using The Statistical Packages for Social Sciences (SPSS) version 23. Data descriptive statistics of thedata were usedfor analysis including (frequencies and percentage andmeans(+/- SD),and were used to described ’characteristics of the participants’ and their response to each questionnaire item. (ANOVA test was used to determine whether knowledge score was associated with demographic variables of participants. The difference considered to be statistically significant if p-value