Weaning from mechanical ventilation: a scoping review of qualitative studies.
نویسندگان
چکیده
BACKGROUND Weaning from mechanical ventilation is influenced by patient, clinician, and organizational factors. OBJECTIVE To identify factors that may influence weaning and adoption of weaning strategies and tools, clinicians' perceptions of weaning strategies, and weaning experiences of patients and patients' families. METHOD A scoping review of indexed and nonindexed publications (1990-2012) was done. Qualitative studies of health care providers, patients, and patients' families involved in weaning were included. Two investigators independently screened 8350 publications and extracted data from 43 studies. Study themes were content analyzed to identify common categories and themes within the categories. RESULTS The study sample consisted of nurses in 15 studies, nurses and patients in 1 study, various health care providers in 11, patients in 10, and physicians in 4. Categories identified were as follows: for nurses, role or scope of practice, informing decision making, and influence on weaning outcome; for health care providers, factors influencing weaning decisions or use of protocols, role or scope of practice related to weaning, and organizational structure or practice environment; for patients, experience of mechanical ventilation and weaning, experience of the intensive care environment, psychological phenomena, and enabling success in weaning; and for physicians, tools or factors to facilitate weaning decisions and perceptions of nurses' role and scope of practice. CONCLUSIONS Important issues identified were perceived importance of interprofessional collaboration and communication, need to combine subjective knowledge of the patient with objective clinical data, balancing of weaning systematization with individual needs, and appreciation of the physical and psychological work of weaning.
منابع مشابه
A Review of Effects of Inspiratory Muscle Training on Clinical and Functional Outcomes of Patients with Mechanical Ventilation
Background and Objectives: This review aims to explore the use of inspiratory muscle training (IMT) in patients with mechanical ventilation (MV). The topics were related to its effect on the duration of MV or weaning, respiratory symptoms or lung function, inspiratory muscle strength (IMS) or endurance, functional ability, and quality of life (QoL). Methods: Articles published in the last 10 ...
متن کاملComparison of the effect of pressure support ventilation and volume assured pressure support ventilation on weaning patients off mechanical ventilation after cardiac surgery
Background: Weaning from mechanical ventilation in the intensive care unit is an important step in the treatment process. More patients in less than 6 hours after cardiac surgery can be separated from mechanical ventilation and extubated. However, 20-40% of patients after cardiac surgery, due to dysfunctional ventilator weaning response (DVWR), still remain under mechanical ventilation. Therefo...
متن کاملThe effect of protocol of weaning from mechanical ventilation on gastrointestinal function in people undergoing coronary artery bypass graft surgery (CABG)
Abstract Aim. The aim of this study was to examine the effect of protocol of weaning from mechanical ventilation on the gastrointestinal function in people undergoing CABG. Background. The most common problems after cardiac surgery in the intensive care unit are change in vital signs, respiratory problems, unsuccessful separation from mechanical ventilation, and gastrointestinal problems. Due t...
متن کاملحسابرسی مراقبتهای پرستاری مرتبط با جداسازی نوزادان از دستگاه تهویه مکانیکی در بخشهای مراقبتهای ویژه نوزادان
Background & Aim: Mechanical ventilation is one of the most common treatments in neonatal intensive care unit and is however associated with many complications. One of the ways to reduce complications is providing nursing care according to standards. This study was conducted with the aim of determining the conformity of nursing care related to weaning neonates from mechanical ventilation to the...
متن کاملInspiratory muscle training increases inspiratory muscle strength in patients weaning from mechanical ventilation: a systematic review.
QUESTION Does inspiratory muscle training improve inspiratory muscle strength and endurance, facilitate weaning, improve survival, and reduce the rate of reintubation and tracheostomy in adults receiving mechanical ventilation? DESIGN Systematic review of randomised or quasi-randomised controlled trials. PARTICIPANTS Adults over 16 years of age receiving mechanical ventilation. INTERVENTI...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- American journal of critical care : an official publication, American Association of Critical-Care Nurses
دوره 23 5 شماره
صفحات -
تاریخ انتشار 2014