A Qualitative Study of Factors Affecting Sustainable Implementation of a Mechanical Ventilation Weaning Protocol

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Yupha Wongrostrai
Warunee Fongkaew
Nitaya Pinyokham
Sandra K. Hanneman


                 Use of a protocol for weaning patients from mechanical ventilation improves quality of care and reduces practice variation and cost of care. The introduction of a weaning protocol into practice, however, does not ensure that it will be used sustainably. The objective of this study was to explore healthcare provider perceptions of factors influencing sustained implementation of a mechanical ventilation weaning protocol using a descriptive, qualitative approach with observation of practice, focus group discussion, and in-depth interviews. The participants were 55 healthcare providers working in intensive care units in four tertiary care hospitals. Data were analyzed by thematic analysis. Four themes emerged from the data: staff attitude and competence, organizational support, multidisciplinary collaboration, and implementation feasibility. The themes provide insight into factors that are expected to promote sustained implementation of a mechanical ventilation weaning protocol. Addressing factors found in this study may help create best practices for sustained implementation of a mechanical ventilation weaning protocol, and perhaps other practice protocols. Research is needed to determine the impact of addressing these factors on sustainability of mechanical ventilation weaning protocols and weaning outcomes.


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How to Cite
Wongrostrai Y, Fongkaew W, Pinyokham N, Hanneman SK. A Qualitative Study of Factors Affecting Sustainable Implementation of a Mechanical Ventilation Weaning Protocol. PRIJNR [Internet]. 2016 Apr. 27 [cited 2022 Jun. 30];20(2):132-47. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/38554
Original paper
Author Biographies

Yupha Wongrostrai, RN, PhD Candidate, Kuakarun Faculty of Nursing, Navamindradhiraj University, Thailand


Warunee Fongkaew, RN, PhD, Professor, Faculty of Nursing, Chiang Mai University,Thailand

RN, PhD, Professor, Faculty of Nursing, Chiang Mai University, 

Nitaya Pinyokham, RN, PhD, Assistant Professor, Faculty of Nursing, Chiang Mai University, Thailand


Sandra K. Hanneman, RN, PhD, FAAN, Professor, University of Texas Health Science Center, Houston, USA



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