Aspiration of the accumulated oropharyngeal secretion along the endo-tracheal tube is the primary mechanism for developing the VAP. About 9-13 cases in 1000 ventilator days have VAP, although it varies with the intensive care units (Bassi et al., 2017). In general, VAP is caused in patients who had been ventilated mechanically. Ventilator-associated pneumonia (VAP) is a pulmonary infection caused by the pathogen directly prevalent in hospital settings. Lower incidence of ventilator associated pneumonia infections Positioning the patient in the semi recumbent position In mechanically ventilated ICU patients, does positioning the patient in semi-recumbent causes lower incidence of ventilator- associated pneumonia in comparison to the supine position? Problem/ Population(P) In this report, a PICO question has been used for the finding out the effectiveness of positioning patients in semi-fowler position to prevent nosocomial infections in comparison to the supine position.

A PICO question normally used for finding evidence against an intervention (Melnyk & Fineout-Overholt, 2015). PICO is such a format, which is a mnemonic for the vital part of a clinical question. Usually, a research question has to be directly associated with the patientвЂ™s problem and is phrased or classified so that itвЂ™s easy to seek the answer.

Semi recumbent position