Health professionals noticed that
ventilator-dependent adults often developed pneumonia. They started questioning
what might be going on. They reviewed the literature and found that there was
little evidence to support this phenomenon, although a few studies had
addressed the topic. Subsequently, more and more institutions examined
ventilator-associated pneumonia (VAP). Based on these reviews, guidelines or
best practices were developed to decrease the incidence of VAP in adults. Now,
research and EBP studies examine VAP as a measure of quality of care, consider
costs associated with VAP versus preventive costs, and use VAP as a
benchmarking tool for quality care and patient safety (Ruffell & Adamcova,
2008; Uckay, Ahmed, Sax, & Pittet, 2008).
1. Can you find one published
article describing a single study and also a systematic review focusing on VAP
and related care issues? If so, what evidence does it provide? How is a single
study different from a systematic review?
2. Can you find a clinical
guideline on VAP? What evidence is provided?
3. What care approach is used in a
clinical setting in which you have practicum? How does
it relate to what you have learned
from the systematic review and/or clinical guideline?