School of Nursing, University of Minnesota, 308 Harvard St. S.E., Minneapolis, MN 55455, USA.
Intensive Crit Care Nurs. 2010 Feb;26(1):44-50. doi: 10.1016/j.iccn.2009.10.004. Epub 2009 Nov 28.
Mechanically ventilated patients commonly receive sedative medications. There is increasing evidence that sedative medications impact on patient outcomes. Nursing behaviour is a key determinant of sedation administration. The purpose of this study was to determine factors that influence nurse sedation administration to mechanically ventilated patients.
The Nurse Sedation Practices Scale was mailed to a random sample of 1250 members of the American Association of Critical Care Nurses.
A response rate of 39% was obtained. Respondents were primarily staff nurses (73%) with a bachelor's degree in nursing (59%) from various intensive care unit (ICU) settings. We limited the analysis to adult ICU practitioners (n=423). The majority of nurses (81%) agreed that sedation is necessary for patient comfort. Nurse attitudes towards the efficacy of sedation for mechanically ventilated patients was positively correlated with nurses' report of their sedation practice (r(s)=.28, p<.001) and their intent to administer sedation (r(s)=.58, p<.001). Attitudes did not vary with respect to individual or practice setting characteristics.
Nurses' attitudes impact sedation administration practices. Modifying nurses' attitudes on sedation and the experience of mechanical ventilation may be necessary to change sedation practices with mechanically ventilated patients.
机械通气患者通常会接受镇静药物治疗。越来越多的证据表明，镇静药物会影响患者的预后。护士的行为是镇静管理的关键决定因素。本研究旨在确定影响护士对机械通气患者进行镇静管理的因素。
通过邮寄方式向美国危重病护理协会的 1250 名成员发放了护士镇静实践量表。
我们获得了 39%的回复率。应答者主要是有护理学士学位的在职护士（73%），来自各种重症监护病房（ICU）环境。我们将分析仅限于成人 ICU 从业者（n=423）。大多数护士（81%）认为镇静对于患者的舒适是必要的。护士对机械通气患者镇静效果的态度与护士镇静实践的报告（r(s)=.28，p<.001）和他们给予镇静的意愿（r(s)=.58，p<.001）呈正相关。态度与个人或实践环境特征无关。
护士的态度会影响镇静管理实践。改变护士对镇静和机械通气体验的态度可能是改变对机械通气患者镇静实践所必需的。
