The Implementation of Controlling in Nursing Care Management Regarding Ventilator-Associated Pneumonia Bundles on Post Heart Surgery Patient in Intensive Care Unit

Abstract

Control in the nursing care management for Ventilator-Associated Pneumonia (VAP) bundles of post-cardiac surgery patients is related to using predetermined standards and actions taken to correct mismatches between standards and actual performance. The purpose of this study was to apply the identification of controls in the nursing care unit to the VAP collection in the intensive care unit. Design research using quasi-experiments before and after with the control group. The population in this study was nurses invited to pediatric Intensive Care Unit (ICU). The number of samples was 32 people, divided into two groups consisting of intervention and control, taken by purposive sampling technique and General Linear Model Repeat Measure (GLM-RM) analysis method.  The results of this study were analyzed by the dependent t-test. Dependent t-test results obtained in the average VAP bundle before the intervention were 3.3462 and after the intervention were 3.8362 with an average change of 0.41707 andp-value (0,000) < (0.05).The application of controls in the nursing care management to the VAP bundle in accordance with the Standard Operational Procedure (SOP) emphasizes better accountability in providing nursing care to patients who are fitted with work safety and improves the actual performance of officers. Implement the control of a part of a continuous improvement strategy in quality control of special health services in relation to pneumatic infections installed in mechanical facilities in the Intensive Care Unit.

Keywords: Controlling, Nursing Care Management, VAP Bundles