Main Article Content
The purposes of this descriptive research were 1) to study the knowledge of nurses in preventing
ventilator associated pneumonia 2) to study the practice of Nurses in preventing ventilator associated
pneumonia, and 3) to examine the relationships between personal factors and the knowledge and practice
of nurses in preventing ventilator associated pneumonia. The purposive sample consisted of 28 nurses who
had worked in a Pediatric Intensive Care Unit at least 6 months and had passed their performance appraisal.
Data were collected by three questionnaires on demographic data, knowledge and the practice of nurses
in preventing ventilator associated pneumonia. Content validity index (CVI) was judged by three experts =
0.85. The statistical data analysis was conducted using descriptive statistics including percentage, mean,
and standard deviation, inferential statistics by Chi Square test.
The results of this study showed that 1) the knowledge of most nurses was at a high level (mean=
23.93, SD = 1.82); 2) the practice of most nurses was at a high level in every part (mean= 3.78, SD = 0.13);
3) There were no relationships between personal factors and the knowledge (P > 0.05) and the practice of
nurses, since both were at a high level. Therefore the results of this study should be considered to improve
continuous process of practice and quality of nursing care in preventing ventilator associated pneumonia.
Prevention Guidelines for Ventilator Associated Pneumonia. Bangkok: Buddha Press. (in Thai)
Bigham, M. T., Amato, R., Bondurrant, P., Fridriksson, J., Krawczeski, C. D., Raake, J, ...Brilli R.J. (2009).
Ventilator-associated pneumonia in the pediatric intensive care unit: characterizing the problem and implementing a sustainable solution. The Journal of Pediatrics, 154(4), 582-587.
Best, J. W. (1997). Research in education. (3rd ed). N.J.: Prentice-Hall, Englewood Cliffs.
Center for Disease Control and Prevention. (2014). Device - Associated Event (VAP). Retrived from
Chotikul, S. (2010). The study of head nurses’ competency at Public Health Center, Department of Health, Bangkok. Journal of Nursing Division, 37(2), 15-26.
Cooper, V. B., & Haut, C. (2013). Preventing ventilator-associated pneumonia in children: An evidence-based
protocol. Critical Care Nurse, 33(3), 21-29.
Daniel, W. W. (1995). Biostatistic: A Foundation for Analysis in the Health Sciences. (6th ed). Singapore: John Wiley & Sons.
Franoisa, B., Andremont, A., Wolff, M., & Bouadma, L. (2013). Hospital-acquired pneumonia and ventilator-associated pneumonia recent advances in epidemiology and management. Current Opinion in Pulmonary Medicine, 19(3), 216-228.
Hamid, M. H., Malik, M. A., Masood, J., Zia, A., & Ahmad, T. M. (2012). Ventilator-associated pneumonia in children. Journal of the College of Physicians and Surgeons Pakistan, 22(3), 155-158.
Jatupronvatee, A. (2014). Factors Influencing Working Efficiency of Probation Volunteers in Nakhonsawan
Province. (Thesis of master degree of Arts, Public Administration. Graduate School, Mahachulalongkornrajavidyalaya University). (in Thai)
Klangkarn, S., & Promsatayaprot, V. (2010). Principles of Health Science Research. (6th ed). Mahasarakham:
Faculty of Public Health Mahasarakham University. (in Thai)
Leucha, W. (2010). Development of prevention potential for ventilator associated Pneumonia at Chaiyaphum
Hospital. Journal of Nursing Division, 37(3), 79-91.
National Healthcare Safety Network. (2013). report data summary for 2012, Device-associated module.
American Journal of Infection Control, 41(12), 1148-1166.
Nikomprasasn, J. (2004). Relationships between personal factors, knowledge about psychiatric patient’s
advocacy, attitude toward psychiatric patients and practice in psychiatric patient’s advocacy of nurses in Srithanya Hospital. Journal of Srithunya Hospital, 7(1-3), 15-23.
Punset, S, Namvongprom, A, & Pakdevong, N. (2012). Knowledge and practice of nurses in weaning patients
from ventilator at Pranangklao Hospital. Journal of Nurses’ Association of Thailand, North-Eastern Division, 30(2), 131-139.
Rongrut, P. (2013). Correlation between personal factors, knowledge, and attitude toward risk management
and risk management practice among nursing personnel in Bankhai Hospital, Rayong Province. Journal of Phrapokklao Nursing College, 25(2), 73-84.
Runghirun, S. (2011). Factors affecting job competency of professional nurses in community hospital Pathumthani Province. Eastern Asia University Heritage Journal, 6(1), 109-120.
Sangaunsuk, P. (2007). Development of nursing practice guideline to prevent Ventilator- associated pneumonia
in patient using ventilator in intensive care unit at Paholpolpayuhasana Hospital in Kanchanaburi Province. (Thesis of master of nursing science, Advance adult nursing care. Faculty of graduation school, Christian University of Thailand). (in Thai)
Sataworn D., Deerojanawong, J., & Prapphal, N. (2013). Interdisciplinary Approach in Pediatric Critical Care. Bangkok: Beyond enterprise Co., Ltd. (in Thai)
Seangnhern, U., Uppanisakorn, S., & Chinnawong, T. (2012). Factors related to nurses knowledge and skills in
cardiopulmonary resuscitation in Songklanagarind Hospital. Songklanagarind Journal of Nursing, 2(1), 1-10.
Sen-Ngam, K. (2008). Nursing Care for Pediatric Critical Respiratory Disease. Songkhla: Allied Printing Press. (in Thai)
Songklanagarind hospital. (2013). Prevention Guidelines for Ventilator-Associated Pneumonia. Songkhla: Hospital. (in Thai)
Songklanagarind hospital. (2017). The Reporting of Infection rate of Ventilator-Associated Pneumonia of fiscal
year 2017. Songkhla: Hospital. (in Thai)
Sukcharoen, Y, & Klumrat, K. (2015). Factors related to the job performance competency among registered
nurses in sub-district health promotion hospitals, Nakhon Pathom Province. Prince of Naradhiwas University Journal of Humanities and Social Sciences 2(2), 14-26.
Taweerod, K., & Anongtong, T. (2007). Knowledge and Self practices of Diabetes Patients at Diabetes Clinic. Nakhon Pathom: Science and technology faculty of Rajabhat Nakhon Pathom University. (in Thai)
Thairaj, P. (2006). Incident, Risk factor and Treatment outcomes of Ventilator Associated Pneumonia at Pediatrics Intensive Care Unit. MaharajNakorn Chiang Mai Hospital. Retrived from http://www.thaipediatrics.org/html/slidedetail2_news.php?journal_id=132.
Unahalekha, A. (2013). Epidemiology and Evidence Base Practice Guideline in Prevention of Hospital Associated Infections. Chiang Mai: Mingmuang publisher. (in Thai)
Whyte, J., Ward, P., & Eccles, D. W. (2009). The relation-ship between knowledge And clinical performance in novice and experienced critical care nurses. Heart & Lung, 38(6), 517-525.