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重症监护护士对基于协议的撤机的认知——一项定性研究。

Intensive care nurses' perceptions of protocol-directed weaning--a qualitative study.

作者信息

Hansen Britt Saetre, Severinsson Elisabeth

机构信息

University of Stavanger, Norway.

出版信息

Intensive Crit Care Nurs. 2007 Aug;23(4):196-205. doi: 10.1016/j.iccn.2007.03.001. Epub 2007 Apr 18.


DOI:10.1016/j.iccn.2007.03.001
PMID:17446075
Abstract

The aim of this study was to identify intensive care nurses' perceptions of protocol-directed weaning, by means of focus group interviews and qualitative content analysis. The results showed that the nurses perceived the protocol as useful. When prescribed, it represented interprofessional agreement that allowed them to act in the absence of a physician. It focused on weaning, saved time, was easy to use and led to a feeling of safety and continuity in the weaning process. Barriers to its use were related to lack of instructions from physicians. Nurses reported three ways of handling the situation in the absence of a weaning plan: taking action, waiting, and giving weaning low priority, which could lead to undesired variations. Nurses in this study reported that they would like an interdisciplinary approach to weaning and expressed the need for a shared "language" or knowledge base in order to improve communication. It is important that different disciplines meet to share each other's knowledge. Contact is vital in order to learn about and respect different types of professional knowledge.

摘要

本研究旨在通过焦点小组访谈和定性内容分析,确定重症监护护士对基于协议的撤机方法的看法。结果表明,护士们认为该协议很有用。在开具医嘱时,它代表了跨专业的共识,使护士们在没有医生在场的情况下也能采取行动。该协议专注于撤机,节省了时间,易于使用,并在撤机过程中带来了安全感和连贯性。其使用的障碍与医生缺乏指导有关。护士们报告了在没有撤机计划时处理这种情况的三种方式:采取行动、等待和将撤机列为低优先级,这可能导致不理想的差异。本研究中的护士报告称,他们希望采用跨学科的撤机方法,并表示需要共享 “语言” 或知识库,以改善沟通。不同学科相互交流知识非常重要。为了了解和尊重不同类型的专业知识,保持联系至关重要。

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引用本文的文献

[1]
Evaluation of the Perceived Barriers and Facilitators to Timely Extubation of Critically Ill Adults: An Interprofessional Survey.

Worldviews Evid Based Nurs. 2021-6

[2]
Factors that impact on the use of mechanical ventilation weaning protocols in critically ill adults and children: a qualitative evidence-synthesis.

Cochrane Database Syst Rev. 2016-10-4

[3]
Mechanical ventilation in the ICU--is there a gap between the time available and time used for nurse-led weaning?

Scand J Trauma Resusc Emerg Med. 2008-12-2

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