Pinto Halita J, D'silva Fatima, Sanil Thankappan S
Department of Medical Surgical Nursing, Nitte Usha Institute of Nursing Sciences, Nitte University, Mangaluru, Karnataka, India.
Department of Biostatistics, KSHEMA, Nitte University, Mangaluru, Karnataka, India.
Indian J Crit Care Med. 2020 Jan;24(1):23-32. doi: 10.5005/jp-journals-10071-23326.
Ventilator-associated pneumonia, a common cause of mortality and morbidity, is commonly seen among patients with endotracheal intubation due to unsafe suctioning practices by health professionals.
A systematic review was conducted to explore the gaps in the existing practices of nurses and thus proposing comprehensive guidelines for safe practice.
A two-phase strategy was adopted to identify the studies through a comprehensive electronic search in PubMed, Google Scholar, ProQuest, Ovid, and Helinet Summon by using predefined keywords within a year limit of 2002-2016. The quality of studies was reviewed using tools endorsed by Joanna Briggs Institute. This review was conducted according to the guidelines described in the preferred reporting items for systematic reviews and meta-analyses (PRISMA). Qualitative data were described through the process of metasynthesis. Quantitative analysis was performed to combine the competent quantitative evidences to identify knowledge and practices of endotracheal suctioning (ETS).
Thirty studies had been subjected for metasynthesis, among which six provided relevant information for quantitative analysis. Quantitative analysis of the studies reported that only 36% of the nurses had assessed patients prior to suctioning and had knowledge about the size of the suction catheter while only 46% were aware of the appropriate suction pressure to be used for ETS. Handwashing compliance prior to suctioning was observed in only 62% of the nurses. It is reported that, despite the awareness on possible complications, nurses fail to adhere to the recommended practice guidelines.
The current review would explore the best evidence-based practices (EBPs) among nurses related to ETS, which would ensure quality care to critically ill patients.
Pinto HJ, D'silva F, Sanil TS. Knowledge and Practices of Endotracheal Suctioning amongst Nursing Professionals: A Systematic Review. Indian J Crit Care Med 2020;24(1):23-32.
呼吸机相关性肺炎是导致死亡和发病的常见原因，在因医护人员不安全的吸痰操作而进行气管插管的患者中很常见。
进行系统综述，以探索护士现有操作中的差距，从而提出安全操作的综合指南。
采用两阶段策略，通过在PubMed、谷歌学术、ProQuest、Ovid和Helinet Summon中使用预定义关键词进行全面的电子搜索，在2002年至2016年的一年时间限制内识别研究。使用乔安娜·布里格斯研究所认可的工具对研究质量进行评估。本综述按照系统评价和荟萃分析的首选报告项目（PRISMA）中所述的指南进行。通过元综合过程描述定性数据。进行定量分析以合并有效的定量证据，以确定气管内吸痰（ETS）的知识和操作。
30项研究进行了元综合，其中6项提供了定量分析的相关信息。对这些研究的定量分析报告称，只有36%的护士在吸痰前对患者进行了评估并了解吸痰导管的尺寸，而只有46%的护士知道用于ETS的适当吸痰压力。只有62%的护士在吸痰前遵守了洗手规定。据报道，尽管护士们意识到了可能的并发症，但他们并未遵守推荐的操作指南。
本综述将探索护士中与ETS相关的最佳循证实践（EBP），这将确保为重症患者提供优质护理。
平托HJ、达席尔瓦F、萨尼尔TS。护理专业人员气管内吸痰的知识与实践：一项系统综述。《印度重症监护医学杂志》2020年；24(1):23 - 32。
