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Title: | Nurses' sedation practices during weaning of adults from mechanical ventilation in an intensive care unit | Authors: | Borkowska, Marta Labeau, Sonia Schepens, Tom VANDIJCK, Dominique Van de Vyver, Katrien Christiaens, Daphne Lizy, Christelle Blackwood, Bronagh Blot, Stijn I. |
Issue Date: | 2018 | Publisher: | AMER ASSOC CRITICAL CARE NURSES | Source: | AMERICAN JOURNAL OF CRITICAL CARE, 27(1), p. 32-42 | Abstract: | Background Sedation and analgesia have an important impact on the outcome of patients treated with mechanical ventilation. International guidelines recommend use of sedation protocols to ensure best patient care. Objective To determine the sedation practice of intensive care nurses weaning adults from mechanical ventilation. Methods A cross-sectional survey with a self-administered questionnaire was used to determine sedation practices of Flemish critical care nurses during weaning. Consensus on content validity was achieved through a Delphi procedure among experts. Data were collected during the 32nd Annual Congress of the Flemish Society of Critical Care Nurses in Ghent, Belgium, December 2014. Results A total of 342 nurses were included in the study. Of these, 43.7% had a sedation protocol in their unit that was used by 61.8% of the respondents. Sedation protocols were more often available (P<.001) in academic hospitals (72%) than in general hospitals (41.5%). Sedatives were administered via continuous infusion with bolus doses if needed (81%). Level of sedation was assessed every 2 hours (56%), mostly via the Richmond Agitation-Sedation Scale (59.1%). Daily interruption of sedation was used by 16.5% of respondents. The biggest barriers to daily interruption were patient comfort (49.4%) and fear of respiratory worsening (46.6%). Conclusions A considerable discrepancy exists between international recommendations and actual sedation practices. Standardization of sedation practices across different institutions on a regional and national level may improve the quality of care. | Notes: | [Borkowska, Marta] Ghent Univ Hosp, Surg Intens Care Unit, Ghent, Belgium. [Labeau, Sonia] Univ Coll Ghent, Fac Educ Hlth & Social Work, Nursing Degree Program, Ghent, Belgium. [Schepens, Tom] Univ Toronto, Hosp Sick Children, Dept Crit Care Med, Toronto, ON, Canada. [Schepens, Tom] Univ Antwerp, Antwerp, Belgium. [Vandijck, Dominique] Hasselt Univ, Fac Med & Life Sci, Dept Patient Safety, Diepenbeek, Belgium. [Vandijck, Dominique] Univ Ghent, Fac Med & Hlth Sci, Ghent, Belgium. [Vandijck, Dominique] Zorgnet Icuro, Qual & Safety, Brussels, Belgium. [Van de Vyver, Katrien] AZ Maria Middelares Hosp, Ghent, Belgium. [Christiaens, Daphne] Ghent Univ Hosp, SAFE PEDRUG Study Team, Pediat Nephrol & Rheumatol, Ghent, Belgium. [Lizy, Christelle] Ghent Univ Hosp, Nephrol Endocrinol Cardiol Dept, Ghent, Belgium. [Blackwood, Bronagh] Queens Univ Belfast, Sch Med Dent & Biomed Sci, Ctr Expt Med, Crit Care, Belfast, Antrim, North Ireland. [Blot, Stijn I.] Univ Queensland, Res Ctr, Burns Trauma & Crit Care Res, Brisbane, Qld, Australia. | Document URI: | http://hdl.handle.net/1942/26573 | ISSN: | 1062-3264 | e-ISSN: | 1937-710X | DOI: | 10.4037/ajcc2018959 | ISI #: | 000419001900005 | Rights: | ©2018 American Association of Critical-Care Nurses | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2019 |
Appears in Collections: | Research publications |
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borkowska2018.pdf Restricted Access | Published version | 266.08 kB | Adobe PDF | View/Open Request a copy |
Vandijck.pdf | Peer-reviewed author version | 138.01 kB | Adobe PDF | View/Open |
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