Development of a Team Nursing Model for Prevention of Unplanned Extubation in Surgical Intensive Care Unit
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Abstract: This participatory action research aimed to develop and evaluate a team nursing model to prevent unplanned extubation. The sample comprised 56 nursing practitioners working in the surgical intensive care unit and 200 patients with oral intubation admitted in the surgical intensive care unit between February and September 2023. Data were collected by focus group discussion and survey report of the incidence of unplanned extubation. Data were analyzed by frequency, percentage and content analysis. The research revealed that the team nursing model for prevention of unplanned extubation involved 1) role and responsibility of team nursing, 2) training for promoting team learning and skills development, 3) implementing leadership in nursing teams, 4) double checking, 5) bedside shift rounds, 6) rapid rounds, 7) regular feedback and assessment, and 8) compliments for coworkers in team nursing. Nurses reflected their opinions that the team nursing model was of benefit and helpful, and increased nurses’ responsibility through supportive team nursing and engagement with a multidisciplinary team. The incidence of unplanned extubation decreased from 2.75 times per 1000 ventilator days to 0 times per 1000 ventilator days. This team nursing model can be used as a guideline to prevent unplanned extubation in surgical intensive care units and should be given sustained support for its successful implementation.
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