Healthcare workers’ knowledge of evidence-based guidelines for prevention of ventilator-associated pneumonia in Hodeida, Yemen

Sameer A. Alkubati; Sultan A. M. Saghir; Khaled M. Al-Sayaghi; Abdullah Alhariri; Mahmoud Al-Areefi

doi:10.1515/jbcpp-2020-0388

Article

Healthcare workers’ knowledge of evidence-based guidelines for prevention of ventilator-associated pneumonia in Hodeida, Yemen

Sameer A. Alkubati , Sultan A. M. Saghir , Khaled M. Al-Sayaghi , Abdullah Alhariri and Mahmoud Al-Areefi

Published/Copyright: October 29, 2021

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From the journal Journal of Basic and Clinical Physiology and Pharmacology Volume 34 Issue 3

Abstract

Objectives

Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in patients requiring mechanical ventilation in intensive care units (ICUs). VAP is associated with delayed extubation, prolonged hospital stays, increased healthcare costs and mortality rates. The aims of this study to evaluate the level of knowledge for the prevention of VAP among healthcare workers (HCWs) in ICUs and to assess their knowledge in relation to their socio-demographic characteristics.

Methods

A descriptive, cross-sectional design was conducted to assess HCWs’ knowledge of the guidelines for prevention of VAP in the ICUs of public and private hospitals in Hodeida city, Yemen. Around 140 self-administered multiple-choice questionnaires were distributed between April and July 2017.

Results

A total of 120 (85.6%) HCWs completed questionnaire were obtained (20 physicians, 20 anesthesia technicians and 80 nurses) in this study. The total mean score of the HCWs’ knowledge was low (41 ± 18). A statistically significant difference was found in the HCWs’ knowledge scores according to their specialties and gender. Anesthesia technicians had the highest knowledge score followed by physicians and nurses (52.2 ± 16.2, 45.6 ± 21.2 and 37.1 ± 16.9, respectively, p=0.002). Males had higher scores than females (Median [IQR] 4 [3–5] vs. 3 [2–4], p<0.001). Participants who received information about the prevention of VAP had better knowledge than those who did not (46.2 ± 17.7 vs. 36.8 ± 17.3, p=0.006).

Conclusions

HCWs had a low knowledge level of the guidelines for the prevention of VAP, which may affect their practice. HCWs’ knowledge was affected by their previous received information that increases the necessity to provide them with regular in-service education and training programs.

Keywords: healthcare workers; knowledge; prevention; ventilator-associated pneumonia; Yemen

Corresponding author: Sameer A. Alkubati, PhD, College of Nursing, University of Hail, Hail, Saudi Arabia; and Department of Nursing, Faculty of Medicine and Health Sciences, Hodeida University, Hodeida, Yemen, Phone: +967774870412, E-mail: alkubatisa@yahoo.com

Acknowledgments

We thank all the health care workers in the intended hospitals to their participation in this study. We also thank Rashad Abdul-Ghani, PhD, Faculty of Medicine and Health Sciences, Sana’a University, for his support and encouragement.

Research funding: None.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interests: Authors state no conflict of interest.
Informed consent: Informed consent was obtained from all individuals included in this study.
Ethical approval: The study was ethically approved by the Research Ethics Committee at the Faculty of Medicine and Health Sciences, Hodeida University (Ethical Approval Number; 295-2017).

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Received: 2020-11-20

Accepted: 2021-09-30

Published Online: 2021-10-29

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Articles in the same Issue

https://doi.org/10.1515/jbcpp-2020-0388

Keywords for this article

healthcare workers; knowledge; prevention; ventilator-associated pneumonia; Yemen