Other Titles
Rising Star Poster/Presentation - Rapid Presentation Round
Abstract
Background: Ventilator-associated pneumonia (VAP) is a major cause of death in intensive care units (ICUs) in tertiary hospitals in Bangladesh. For better outcomes of ICU patients, nurses' knowledge, skill, motivation, and organizational support are crucial and need to be addressed. Evidence-based in-service training and monitoring of nurses' behavior can significantly enhance the quality of care for ICU patients.
Objective: This study evaluates the effectiveness of an EBP training and mentoring system in improving ICU nurses' knowledge, skills, clinical practices, and motivation and work engagement for preventing VAP in a tertiary hospital in Bangladesh.
Method: A quasi-experimental pre- and post-intervention study was conducted from October 2024 to April 2025 in the ICU of Dhaka Medical College Hospital (DMCH) in Bangladesh. We provided a competency-based EBP training on VAP prevention, supported by mentors. Changes in their skills, knowledge, practice, motivation and work engagement were assessed before and after the intervention using structured tools.
Result: The results showed significant improvements in nurses’ skills, knowledge, practice, motivation, and work engagement following EBP training (all, p < .001). During the implementation phase, these improvements were sustained or slightly enhanced. At baseline, all nurses (100%) scored at a low level in skill assessments. However, after the EBP training, 88.5% achieved high skill scores, and 84.6% maintained high performance throughout the implementation period. Significant correlations were observed between knowledge and skill (r = 0.294) after the education; knowledge and practice (r = 0.335), motivation and work engagement (r = 0.320), and skill with motivation and work engagement (r = 0.275) (all, p < .05) at the implementation phase.
Conclusion: Implementation of a structured EBP training program and proper mentoring system significantly enhanced ICU nurses’ skills, knowledge, practice, and adherence to EBP. This finding highlighted the importance to enhance of nurse’s behavior and patient safety, especially in low resource setting.
Notes
References:
1. Melnyk, B. M., Tan, A., Hsieh, A. P., & Gallagher-Ford, L. (2021). Evidence-Based
Practice Culture and Mentorship Predict EBP Implementation, Nurse Job Satisfaction, and Intent to Stay: Support for the ARCC© Model. Worldviews on Evidence-Based Nursing, 18(4), 272–281. https://doi.org/10.1111/WVN.12524
2. Elhabashy, S., Moriyama, M., El-Desoki Mahmoud, E. I., & Eysa, B. (2024). Effect of evidence-based nursing practices training programme on the competency of nurses caring for mechanically ventilated patients: A randomised controlled trial. BMC Nursing, 23, 225. https://doi.org/10.1186/s12912-024-01869-1
3. Babaita, A. O., Kako, M., Teramoto, C., Okamoto, M., Hayashi, Y., Ohshimo, S.,
Sadamori, T., Hattori, M., & Moriyama, M. (2024). Face-to-face versus 360° VR video: A comparative study of two teaching methods in nursing education. BMC Nursing, 23, 199. https://doi.org/10.1186/s12912-024-01866-4.
4.Boltey, E., Yakusheva, O., Costa, D. K., & Michigan, A. A. (2017). Five nursing strategies to prevent ventilator-associated pneumonia. American Nurse Today, 12, 42.
5. Mergulhão, P., Pereira, J. G., Fernandes, A. V., Bento, L., Figueiredo, M., Pina, J., Rodrigues, R., Almeida, F., Silva, A. C., Lopes, P., Santos, C., Costa-Pereira, A., Cardoso, T., & eVAP-PT Study Group. (2024). Epidemiology and burden of ventilator-associated pneumonia among adult intensive care unit patients: A Portuguese, multicenter, retrospective study (eVAP-PT Study). Antibiotics, 13(4), 290. https://doi.org/10.3390/antibiotics13040290.
Sigma Membership
Phi Gamma (Virtual)
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Quasi-Experimental Study, Other
Research Approach
Quantitative Research
Keywords:
Evidence-Based Nursing Implementation, EBP, Ventilator-associated Pneumonia, Acute Care, Intensive Care Unit, ICU, EBP Training, Mentoring and Coaching
Recommended Citation
Akhter, Nahida, "Effect of EBP Training for Prevention of Ventilator-Associated Pneumonia in ICU of Bangladesh" (2025). Biennial Convention (CONV). 233.
https://www.sigmarepository.org/convention/2025/presentations_2025/233
Conference Name
48th Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Indianapolis, Indiana, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Invited Presentation
Acquisition
Proxy-submission
Date of Issue
2025-12-10
Funder(s)
Japan Society for the Promotion of Science (JSPS), Japan
Effect of EBP Training for Prevention of Ventilator-Associated Pneumonia in ICU of Bangladesh
Indianapolis, Indiana, USA
Background: Ventilator-associated pneumonia (VAP) is a major cause of death in intensive care units (ICUs) in tertiary hospitals in Bangladesh. For better outcomes of ICU patients, nurses' knowledge, skill, motivation, and organizational support are crucial and need to be addressed. Evidence-based in-service training and monitoring of nurses' behavior can significantly enhance the quality of care for ICU patients.
Objective: This study evaluates the effectiveness of an EBP training and mentoring system in improving ICU nurses' knowledge, skills, clinical practices, and motivation and work engagement for preventing VAP in a tertiary hospital in Bangladesh.
Method: A quasi-experimental pre- and post-intervention study was conducted from October 2024 to April 2025 in the ICU of Dhaka Medical College Hospital (DMCH) in Bangladesh. We provided a competency-based EBP training on VAP prevention, supported by mentors. Changes in their skills, knowledge, practice, motivation and work engagement were assessed before and after the intervention using structured tools.
Result: The results showed significant improvements in nurses’ skills, knowledge, practice, motivation, and work engagement following EBP training (all, p < .001). During the implementation phase, these improvements were sustained or slightly enhanced. At baseline, all nurses (100%) scored at a low level in skill assessments. However, after the EBP training, 88.5% achieved high skill scores, and 84.6% maintained high performance throughout the implementation period. Significant correlations were observed between knowledge and skill (r = 0.294) after the education; knowledge and practice (r = 0.335), motivation and work engagement (r = 0.320), and skill with motivation and work engagement (r = 0.275) (all, p < .05) at the implementation phase.
Conclusion: Implementation of a structured EBP training program and proper mentoring system significantly enhanced ICU nurses’ skills, knowledge, practice, and adherence to EBP. This finding highlighted the importance to enhance of nurse’s behavior and patient safety, especially in low resource setting.
Description
This is Quasi experimental study and study was conducted ICU in Bangladesh. After implementing EBP training programme nurses significantly improved all components- Skill, knowledge, practice, and motivation and work engagement. But the implementation phase all improvement are sustained. All nurses are guided and trained by mentor. This study showed that nurses in-service EBP training enhance nurses behaviour and patient safety.