Title of the Article:
The tittle of the article “Decreasing ventilator-associated pneumonia in adult intensive care units using the Institute for Healthcare Improvement bundle” is clearly identifying the purpose of the study. It is well illustrated the dependent and independent variables and the study population as well. The dependent variable was Ventilator- Associated Pneumonia (VAP) rate. The independent variable was implemented of VAP bundle and staffs’ compliance with all of the items in the VAP bundle. The study population is adult patients in intensive care units.
Abstract:
The abstract is clearly written …show more content…
Al-tawfig and colleagues (2010) wanted to determine the effectiveness of implementing the Ventilator Associated Pneumonia (VAP) bundle in their hospital to reduce the VAP rate. The study hypothesis is not clearly stated but it is implicit..
Literature review: The authors literature review of the previous study presented the significant of the problem (VAP) as well as the important of implementing the VAP bundle that introduced by Institute for Healthcare Improvement (IHI) (2004) and be adhere with it in order to decrease the VAP. This bundle is a set of interventions built on evidence-based practice. It consists of five items (1) head of-bed elevation, (2) a daily “sedation vacation,” (3) a readiness-to-wean assessment, (4) peptic ulcer prophylaxis, and (5) deep vein thrombosis prophylaxis.
Method (research design, population and sample, data collection and measurement, …show more content…
This is an appropriate design to establish causal connection between interventions and outcomes. The drawback of this design is a threat to internal validity which caused by contamination (bias) because the both infection control personal and ICU team were not blind to the study. Both the independent and dependent variables were well defined conceptually. The researchers didn’t mention the theoretical framework of their study. The study was conducted in a single medical center in three Saudi Arabian intensive care units (ICUs) (Medical, Surgical, and Coronary care units). Conducting a study in one sitting is a threat to external validity (generalizability). All adult on mechanical ventilation between 2006 and 2008 was approached to participate in the study, the study was conducted over a three-year period; a one year period for the pre-intervention group (before implementation of the VAP bundle) from January to December 2006, and another two-year period for the post intervention group (after implementation of the VAP bundle) from January 2007 to December 2008. There was no information provided about the demographic data for each group. The researchers didn’t mention about the participants recruitment procedure or approval of their study. The study’s sample size is lacking which may affect the external