Data Sheet 1_Effect of evidence-based education program with mentoring system for prevention of ventilator-associated pneumonia on nurses’ competency to improve quality care for patients in the intensive care unit: a quasi-experimental study in a tertiary hospital in Bangladesh.pdf

BackgroundNurses’ skills, knowledge, practice, motivation, and work engagement are crucial for achieving better outcomes in intensive care unit (ICU) patients. Evidence-based in-service training and monitoring of nurses’ behavior can significantly enhance the quality of care for ICU patients. This study evaluates the effectiveness of an Evidence-Based Practice (EBP) training and mentoring system in improving ICU nurses’ competencies including skills, knowledge, clinical practices, motivation and work engagement for preventing ventilator-associated pneumonia (VAP) in a tertiary hospital in Bangladesh.
MethodsA quasi-experimental pre- and post-intervention study was conducted from October 2024 to April 2025 in the ICU of Dhaka Medical College Hospital (DMCH) in Bangladesh. We provided a competency-based educational program to nurses who worked in the ICU, focused on EBP for VAP prevention, with mentoring support from trained mentors. Mentors were the nurses who received EBP training on VAP prevention from the research team prior to the intervention. Data were collected using a structured questionnaire. The changes in nurses’ skills, knowledge, practice, motivation and work engagement were assessed using validated scales before and after the EBP training and implementation of EBP. Higher scores of the scales indicate better outcomes.
ResultsThe results showed significant improvements in nurses’ skills, knowledge, practice, motivation and work engagement following EBP training (all, p < 0.001). After the EBP training, 88.5% nurses achieved high skill scores, and 84.6% maintained high performance throughout the implementation period. Significant correlations were observed between knowledge and skill (r = 0.294) after training; knowledge and practice (r = 0.335), motivation and work engagement (r = 0.320), and skill with motivation and work engagement (r = 0.275) (all, p < 0.05) after EBP implementation.
ConclusionA structured EBP training program and mentoring system significantly enhanced ICU nurses’ competency (skills, knowledge, practice, motivation and work engagement) in EBP. The study highlights the importance of professional development, ongoing monitoring, and motivational strategies to support behavioral changes among nurses in low-resource settings.
Clinical trial registrationClinicalTrials.gov, NCT06624540.

**背景** 护理人员的技能、知识、执业行为、工作动机与职业投入，对改善重症监护病房（Intensive Care Unit, ICU）患者的诊疗结局至关重要。基于循证的在职培训与护理行为监测，可显著提升ICU患者的照护质量。本研究针对孟加拉国某三级医院的ICU护理人员，评估循证实践（Evidence-Based Practice, EBP）培训与带教体系在提升其相关胜任力（含技能、知识、临床执业行为、工作动机与职业投入）以预防呼吸机相关性肺炎（Ventilator-associated pneumonia, VAP）方面的效果。

**方法** 本研究于2024年10月至2025年4月在孟加拉国达卡医学院附属医院（Dhaka Medical College Hospital, DMCH）的ICU内开展，为类实验性干预前后研究。研究团队为ICU在岗护理人员提供了以VAP预防相关循证实践为核心的胜任力教育培训项目，并由经过培训的带教护士提供带教支持；带教护士为干预前已接受研究团队开展的VAP预防EBP培训的护理人员。研究采用结构化问卷收集数据，在EBP培训及实施前后，通过经过信效度检验的量表评估护理人员的技能、知识、执业行为、工作动机与职业投入变化情况，量表得分越高则代表结局越好。

**结果** 研究结果显示，接受EBP培训后，护理人员的技能、知识、执业行为、工作动机与职业投入均得到显著提升（所有指标P<0.001）。培训完成后，88.5%的护理人员技能得分达到高水平，且84.6%的护理人员在整个实施期间维持了较高的执业表现。EBP实施后，知识与技能（r=0.294）、知识与执业行为（r=0.335）、工作动机与职业投入（r=0.320）以及技能与工作动机、职业投入（r=0.275）之间均存在显著相关性（所有P<0.05）。

**结论** 结构化EBP培训项目与带教体系可显著提升ICU护理人员的循证实践相关胜任力（含技能、知识、执业行为、工作动机与职业投入）。本研究强调，在资源匮乏地区，需通过专业能力发展、持续监测与动机激励策略，推动护理人员的行为改变。

**临床试验注册** 临床试验注册号：ClinicalTrials.gov, NCT06624540。