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Quinn, B., Baker, D., Cohen, S., Stewart, J., Lima, C., and Parise, C. (2013). Basic Nursing Care
to Prevent Nonventilator Hospital-Acquired Pneumonia, Journal of Nursing Scholarship
46 (1), 11-19. Doi 10.1111/jnu.12050
Melissa Diebel
and related problem (ICD-9) codes for determining previous cases of NV-HAP were not present
during the admissions process to the hospital. The nursing staff was trained to provide basic oral
care to patients for the same hospitals selected for comparison from varying demographics,
comparing the resulting NV-HAP cases to the data history.
The sample was appropriate for this study by pulling the patient history data and
comparing it to the new study while providing the added nursing oral care for NV-HAP patients.
This resulted in a significant difference determining that the results do improve the overall
outcome from this intervention. The data is collected using records maintained by the hospitals
on past history of similar cases. The data for the Veterans Affairs Medical Centers went back ten
years and was substantial enough to allow the study a basis for measuring the data to new results.
This measurement used for comparison purposes only. The reduced amount of patients
obtaining NV-HAP was significantly lower which showed the study was viable for further
research. The overall reduction of patients obtaining NV-HAP was 37% after nurses
administered oral care treatments during a twelve month time frame. This study has shown that
utilizing the NV-HAP in the hospital setting will reduce the amount of time patients spend in the
hospital. It is the nursing staff that needs to implement this into daily nursing practice that will
reinforce oral care in the prevention of obtaining pneumonia. The clinical significance of these
statistical methods have shown an improvement of costs by $1.72 million which was the intent of
the study.