Nursing Department, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey.
J Clin Nurs. 2012 May;21(9-10):1327-38. doi: 10.1111/j.1365-2702.2011.03997.x. Epub 2012 Mar 6.
This study was carried out to determine the knowledge and practice of nurses before and after training and the development of standard practice guidelines for open and closed system suctioning methods in patients with endotracheal tubes.
Many life-threatening complications can occur when a suctioning procedure is not performed with the correct technique. It has been reported that standard practice guidelines for suctioning are insufficient in clinical practice.
Non-participant structured observational study.
We assessed a total of 48 nurses who were employed in the cardiovascular surgery intensive care unit of a state hospital in Turkey. We used a questionnaire and nurse observation forms to assess the use of the open and closed system suctioning.
There was a significant difference between the mean scores of the answers ('true', 'wrong' and 'I do not know') for the use of open and closed system suctioning before and after training. In addition, all steps of both suctioning procedures were carried out correctly during the third observation.
The compliance of the nurses to the standard practice guidelines for open and closed suctioning and their knowledge levels on the subject were increased after training, while the implementation of standards was satisfactory.
The development of open and closed system suctioning standard practice guidelines directly contributed to the enhancement of patient safety and the quality of nursing care. It is suggested that, as in other nursing care practices, suctioning should be carried out in accordance with standard practice guidelines, and health institutions should develop their standard practice guidelines and work in accordance with them.
本研究旨在确定护士在培训前后的知识和实践水平，并制定经气管插管患者开放式和封闭式吸痰方法的标准实践指南。
吸痰操作如果不采用正确的技术，可能会导致许多危及生命的并发症。据报道，临床实践中吸痰的标准操作指南不足。
非参与式结构化观察性研究。
我们评估了土耳其一家州立医院心血管外科重症监护病房的 48 名护士。我们使用问卷和护士观察表评估开放式和封闭式吸痰的使用情况。
培训前后，开放式和封闭式吸痰使用的答案（“正确”、“错误”和“不知道”）的平均得分存在显著差异。此外，在第三次观察中，两个吸痰过程的所有步骤都正确执行。
护士对开放式和封闭式吸痰标准操作指南的依从性以及他们在这方面的知识水平在培训后有所提高，而标准的实施令人满意。
开放式和封闭式吸痰标准操作指南的制定直接有助于提高患者安全和护理质量。建议在其他护理实践中，应按照标准操作指南进行吸痰，卫生机构应制定自己的标准操作指南并按照这些指南进行工作。
