Effectiveness of Selected Bundle Interventions on Compliance of Ventilator - Associated Bundle Care among Nursing Professionals Working In Critical Care Unit

Background: Instigating quality health care to critically ill patient is associated with competence, compassion, and excellent care by healthcare professionals. It includes the development and widespread application of evidence-based interventions and the introduction of guidelines and protocol-based care to ensure the delivery of care at a minimum standard. A care bundle approach is a group of interventions that when delivered together lead to a better outcome than performing interventions individually, to prevent ventilator associated problems. Materials and methods: Quantitative evaluative approach with pre-experimental research, one group pre and post-test design with a convenient method of sampling, where seventy staff nurses was selected. A self-structured compliance checklist was used to collect the data. Results: With regard to oral care, positioning the patient in a semi-recumbent position, 47 (67.1%) subjects had followed during the morning and night shifts respectively and 70 (100%) subjects had followed the step during evening shift. The subjects 49 (70%) used the chlorhexidine solution for cleaning the mouth in all the three shifts during pre-test and 68 (97%) had scrubbed during post-test. With regard to head end elevation, of the bed at 45 degrees during the procedure, 32 (45.7%) subjects had followed the elevation in the pretest and 67 (95.7%) subjects had followed during the night shift in the posttest. Regarding eye care, performing pupillary examination during the pretest, 49 (70%), subjects had performed in evening and morning shifts and 70 (100%), had performed in all three shifts respectively during posttest. Regarding the use of an eye dropper or lubricant 46 (65.7%) subjects had used in the morning shift during pretest and in posttest. Conclusion: Health care professionals need to adopt the protocols and policies whichever existing in spite of their hurdles and workload. If it is implemented, the prevention of ventilator associated problems will be minimized and quality care will be improved.