Rönnberg Linda, Nilsson Ulrica, Hellzén Ove, Melin-Johansson Christina
J Perianesth Nurs. 2019 Aug;34(4):789-800. doi: 10.1016/j.jopan.2018.11.007. Epub 2019 Feb 10.
To describe Registered Nurse Anesthetists' (RNA's) experiences of the process of extubation of the endotracheal tube in patients undergoing general anesthesia.
A descriptive qualitative design.
This study was conducted in two hospitals with 20 RNAs in total. Data were generated from focus group interviews. Content analysis was used to analyze data.
The RNAs' experiences were described within four categories and eight subcategories. The category To be a step ahead includes assessment and preparation, and To be on my toes, their ability to recognize patterns and build a connection. To use situation awareness relates to their use of experience and feelings, and To be alone in a critical moment, to feeling alone in the team and protecting the patient.
The RNAs make decisions when to extubate by combining theoretical knowledge, clinical experience, and intuition with the uniqueness of each patient.
描述注册护士麻醉师（RNA）在全身麻醉患者气管插管拔管过程中的经历。
描述性定性设计。
本研究在两家医院进行，共有20名RNA参与。数据通过焦点小组访谈收集。采用内容分析法进行数据分析。
RNA的经历分为四类八个子类别。“领先一步”类别包括评估和准备，“保持警觉”涉及他们识别模式和建立联系的能力。“运用情境意识”与他们对经验和感觉的运用有关，“在关键时刻孤立无援”则指在团队中感到孤立以及保护患者。
RNA通过将理论知识、临床经验和直觉与每个患者的独特性相结合来决定何时拔管。
