Factors Related to Critical Care Nurses’ Practices Regarding Weaning from Mechanical Ventilator

Authors

  • Esara Yoriya Assistant Professor, Faculty of Nursing, Chiang Mai University
  • Nitaya Pinyokham Assistant Professor, Faculty of Nursing, Chiang Mai University
  • Chiraporn Tachaudomdach Assistant Professor, Faculty of Nursing, Chiang Mai University

Keywords:

weaning, knowledge regarding weaning from mechanical ventilator of critical care nurse, perceived barrier for critical care nurses’ practices, critical care nurses’ practices regarding weaning from mechanical ventilation

Abstract

Critical care nurses’ practices regarding weaning patients from mechanical ventilator is vital and challenging roles. Nurses must have an adequate knowledge to choose the best course of action for weaning the patients from the ventilator. However, there are some factors which influence their practices, therefore the assessment of those factors may enhance nursing practices and weaning outcomes. This study was a correlational research. The purpose of the study was to assess factors related to critical care nurses’ practices regarding the weaning of patients from mechanical ventilator. Participants included 128 critical care nurses working in intensive care units of secondary and tertiary hospitals in the upper northern region of Thailand under the Ministry of Public Health including Lampung, Lamphun, and Phrae Hospitals. The research instrument used was a set of questionnaires, which consisted of 1) the demographic data questionnaire, 2) knowledge regarding weaning from mechanical ventilator of critical care nurse questionnaire, 3) critical care nurses’ practices regarding weaning from mechanical ventilator questionnaire, and 4) perceive barriers of critical care nurses’ practices regarding weaning from mechanical ventilator questionnaire. Descriptive statistics and spearman rank correlation coefficient were used to analyze the data.

References

Alam, M., Jones, G., Kahl, W., & Kamath, M. V. (2014). Modeling the weaning of intensive care unit patients from mechanical ventilation: A review. Critical Reviews in Biomedical Engineering, 42 (1), 25-61. doi:10.1615/CritRevBiomedEng.2014011124

Alia, I., & Esteban, A. (2000). Weaning from mechanical ventilation. Critical Care, 4 (2), 72-80. doi:10.1186/cc660

Benner, P., & Wrubel, J. (1982). Skilled clinical knowledge: The value of perceptual awareness. Nurse Educator, 7(3), 11-17.

Blackwood, B., Junk, C., Lyons, J. D. M., McAuley, D. F., & Rose, L. (2013). Role responsibilities in mechanical ventilation and weaning in pediatric intensive care units: A national survey. American Journal of Critical Care, 22(3), 189-197.

Blackwood, B., & Wilson-Barnett, J. (2007). The impact of nurse-directed protocolised-weaning from mechanical ventilation on nursing practice: A quasi-experimental study. International journal of nursing studies, 44 (2), 209-226.

Bobay, K., Gentile, D. L., & Hagle, M. E. (2009). The relationship of nurses' professional characteristics to levels of clinical nursing expertise. Applied Nursing Research, 22 (1), 48-53.

Boles, J. M., Bion, J., Connors, A., Herridge, M., Marsh, B., Melot, C., ... Welte, T. (2007). Weaning from mechanical ventilation. European Respiratory Journal, 29 (5), 1033-1056. doi:10.1183/09031936.00010206

Bostrom, A. M., Kajermo, K. N., Nordstr?m, G., & Wallin, L. (2008). Barriers to research utilization and research use among registered nurses working in the care of older people: Does the BARRIERS Scale discriminate between research users and non-rese arch users on perceptions of barriers?. Implementation Science, 24 (3), 1-10. doi:10.1186/1748-5908-3-24

BouAkl, I., Bou-Khalil, P., Kanazi, G., Ayoub, C., & El-Khatib, M. (2012). Weaning from mechanicalventilation. Current Opinion in Anesthesiology, 25(1), 42-47. doi:10.1097/ACO.0b013e32834e6430

Bunburaphong, T. (2014). Pitfalls of mechanical ventilation in Thailand. Journal of the Medical Association of Thailand, 97(1), 150-154. (In Thai)

Bunburapong, T. (2015). Respiratory care in clinical practice. Bangkok: Faculty of Medicine Ramathibodi hospital, Mahidol University.

Chockalingam, T. (2015). Weaning and extubation. Journal of Lung, Pulmonary & Respiratory Research, 2 (3), 1-2. doi:10.15406/jlprr.2015.02.00043

Craven, D. E., & Hjalmarson, K. I. (2010). Ventilator-associated tracheobronchitis and pneumonia:Thinking outside the box. Clinical Infectious Diseases, 51(1), 59-66. doi:10.1086/653051

Crocker, C. (2011). The patient requiring complex weaning from mechanical ventilation. In S,Bench., & K, Brown (Eds.), Critical care nursing: Learning from practice (pp. 30-45). New

Delhi: John Wiley & Sons.Danckers, M., Grosu, H., Jean, R., Cruz, R. B., Fidellaga, A., Han, Q., ... Khouli, H. (2013).Nursedriven, protocol-directed weaning from mechanical ventilat ion improves clinical outcomes and is well accepted by intensive care unit physicians . Journal of Critical Care, 28 (4), 433-441. doi:10.1016/j.jcrc.2012.10.012

Dos Santos, P., Teixeira, C., Savi, A., Maccari, J. G., Neres, F. S., Sant, A., ... Rotta, F. T. (2012). Thecritical illness polyneuropathy in septic patients with prolong ed weaning from mechanicalventilation: Is the diaphragm also affected? a pilot study. Respiratory Care, 57(10), 1594-1601. doi:10.4187/respcare.01396

Fischer, J. L. (2014). Intensive care nurses' knowledge of evidence based guidelines regarding weaning the mechanically ventilated patient (Doctoral dissertation).

Green, S. B. (1991). How many subjects does it take to do a regression analysis. Multivariate Behavioral Research, 26(3), 499-510. doi:10.1207/s15327906mbr2603_7Samuel B.Green

Hansen, B. S., & Severinsson, E. (2007). Intensive care nurses’ perceptions of protocol-directed weaning-a qualitative study. Intensive and Critical Care Nursing, 23 (4), 196-205.

Juern, J. S. (2012). Removing the critically III patient from mechanical ventilation. Surgical Clinicsof North Americ, 92, 1475-1483. doi:10.1016/j.suc.2012.08.008

Kalanuria, A. A., Zai, W., & Mirski, M. (2014). Ventilator-associated pneumonia in the ICU. CriticalCare, 18 (2), 1-8. doi:10.1186/cc13775

Klinchid, S. (2006). Barriers to evidence-based nursing practice as perceived by professionalnurses in critical care units, Chiang Rai regional hospital (Master’s thesis, Chiang Mai University). (In Thai)

Klinchid, S. (2006). Barriers to evidence-based nursing practice as perceived by professional nursesin critical care units, Chiang Rai regional hospital (Master’s thesis, Chiang Mai University). (In Thai)

Klompas, M. (2013). Complications of mechanical ventilation-The CDC's new surveillance paradigm.New England Journal of Medicine, 368(16), 1472-1475. doi:10.1056/NEJMp1300633

Knebel, A., Shekleton, M. E., Burns, S., Clochesy, J. M., & Hanneman, S. K. (1998). Weaning from mechanical ventilatory support: Refinement of a model. American Journal of Critical Care, 7(2), 149-152.

Koh, S. S., Manias, E., Hutchinson, A. M., Donath, S., & Johnston, L. (2008). Nurses' perceived barriers to the implementation of a fall prevention clinical pr actice guideline in Singapore hospitals. BMC health services research, 8 (1), 1-10. doi:10.1186/1472-6963-8-105

Lavelle, C., & Dowling, M. (2011). The factors which influence n urses when weaning patients frommechanical ventilation: Findings from a qualitative study. Intensive and Critical CareNursing, 27(5), 244-252. doi:10.1016/j.iccn.2011.06.002

McLean, S. E., Jensen, L. A., Schroeder, D. G., Gibney, N. R., & Skjodt, N. M. (2006). Improving adherence to a mechanical ventilation weaning protocol for critically ill adults: outcomes after an implementation program. American Journal of Critical Care, 15(3), 299-309.

Ndosi, M. E., & Newell, R. (2009). Nurses’ knowledge of pharmacology behind drugs they commonly administer. Journal of clinical nursing, 18 (4), 570-580.

Prakash, P., Krishna, K., & Bhatia, D. (2006). Complications of mechanical ventilation. Journal Indian Academy of Clinical Medicine, 7 (1), 39-46.

Rose, L., Blackwood, B., Egerod, I., Haugdahl, H. S., Hofhuis, J., Isfort, M., ... Schultz, M. J. (2011).Decisional responsibility for mechanical ventilation and weaning: An international survey.Critical Care, 15 (6), 1-8. doi:10.1186/cc10588

Sathe, H., Shah, N., & De Sousa, A. (2015). Psychological ventilator dependence: A case report. Critical Care & Shock, 18 (1), 16-18.

Tonnelier, J., Prat, G., Le Gal, G., Gut-Gobert, C., Renault, A., Boles, J., & L’Her, E. (2005). Impact of a nurses’ protocol-directed weaning procedure on outcomes in patients undergoing mechanical ventilation for longer than 48 hours: A prospective cohort study with amatched historical group. Critical Care, 9 (2), 83-89.

Tantichatkul, J., & Kenthongdee, W. (2013). The development of clinical nursing practice guideline for weaning from mechanical ventilation: an evidence based practice. Journal of Nursing Division, 40(3), 56-69. (In Thai)

Villa, G., Manara, D., & Palese, A. (2012). Nurses’ near-decisi on-making process of postoperative patients’ cardiosurgical weaning and extubation in an Italian e nvironment. Intensive and Critical Care Nursing, 28(1), 41-49. doi:10.1016/j.iccn.2011.10.007

Whyte, J., Ward, P., & Eccles, D. W. (2009). The relationship between knowledge and clinical performance in novice and experienced critical care nurses. Heart & Lung: The Journal of Acute and Critical Care, 38(6), 517-525.

Yildirim, Y. K., Cicek, F., & Uyar, M. (2008). Knowledge and attitudes of Turkish oncology nurses about cancer pain management. Pain Management Nursing, 9 (1), 17-25.

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Published

2020-09-18

How to Cite

Yoriya , E. ., Pinyokham , N. ., & Tachaudomdach , C. . . (2020). Factors Related to Critical Care Nurses’ Practices Regarding Weaning from Mechanical Ventilator. Nursing Journal CMU, 47(3), 133–145. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/245752

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Section

Research Article