VENTILATOR-ASSOCIATED PNEUMONIA
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Course Project: Mouth Care To Reduce Ventilator-Associated Pneumonia
Walden University
NURS 6052, Section 18, Essentials of Evidence-Based Practice
November 3, 2017
Project Summary
Evidence-based research is the process of identifying ideal practices in patient care. The propose
of this project was to discuss a research problem in current practice in the form of a PICO
question and discuss the research process in answering this question. The initial step was to
recognize a nursing practice issue, identify a research question in PICO format, and begin the
research process with keywords and phrase for a literature search.

VENTILATOR-ASSOCIATED PNEUMONIA
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After the literature research had been conducted, five articles were selected for review in relation
to the PICO question. The next step in this project was to translate the evidence from the
literature review into practice. The information was then summarized and was then used to
support a change in nursing practice. The final step was to put the entire project together and
strategize a plan for information dissemination that would provide maximal benefit to the
intended audience.
Part One Course Project: Does daily use of chlorhexidine reduce ventilator-associated
Kharen Dreyfus
Walden University
NURS 6052, Section 27, Essentials of Evidence-Based Practice
November 3, 2017

VENTILATOR-ASSOCIATED PNEUMONIA
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VENTILATOR-ASSOCIATED PNEUMONIA
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Part One Course Project: Does daily use of chlorhexidine reduce ventilator-associated
Health care is an ever-changing concept and has accelerated greatly with the influence of
technology, access to information, and evidence based research. As nurses, we are expected to
know best practice to prove safe and quality care. Nurses have plenty of opportunities to put
research into practice due to the fact that nurses are called upon to provide health care advice
(Polit and Beck, 2017). Healthcare-associated infections (HAIs) is an issue of importance and is
followed by The Center for Disease Control and Prevention (CDC), a leading national
organization in infection prevention. According to the CDC, one in 25 patients on any given day
can contract at least one HAIs (2017). Ventilator-associated pneumonia is considered an HAI and
is a major, yet often preventable risk to patient safety (CDC 2017). The purpose of this paper is
to reflect on an issue that I have noticed in my nursing practice, the significance of this issue, a
preliminary PICO question, and the keywords utilized in the literature search based on the PICO
question. I choose to focus on the effects of poor oral hygiene care amongst critically ill patients
on the incidence of ventilator-associated pneumonia in hospital intensive care units (ICUs). In
2011 there were 61,230 cares of ventilator-associated pneumonia recorded (CDC 2017). This
paper will be focus on the PICO question: In mechanically ventilated adults in intensive care
units, does the use of chlorhexidine gluconate mouthwash reduce the incidence of ventilator-
associated pneumonia compared to usual oral care?


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- Fall '15
- Nursing, Evidence-based medicine, Intensive care medicine, ventilator-associated pneumonia