Nurses conceptions of facilitative strategies of weaning patients from mechanical ventilation-A phenomenographic study
2009 (English)In: Intensive and Critical Care Nursing, ISSN 0964-3397, Vol. 25, no 5, 225-232 p.Article in journal (Refereed) Published
Background: Mechanical ventilator withdrawal can amount up to 40% of total ventilator time. Being on a mechanical ventilator is associated with risk of anxiety, post-traumatic stress syndrome, nosocomial pneumonia and premature mortality. Purpose: The purpose of the present study was to describe different conceptions of nurses facilitating decision-making strategies regarding weaning patients from mechanical ventilations cared for in intensive care unit (ICU). Method: Semi-structured interviews were analysed within the phenomenographic framework. Twenty ICU nurses were interviewed. Findings: The findings revealed three main categories of nurses facilitating decision-making strategies: "The intuitive and interpretative strategy" featured nurses pre-understandings. "The instrumental strategy" involved analysis and assessment of technological and physiological parameters. "The cooperative strategy" was characterised by interpersonal relationships in the work situation. Absence of a common strategy and lack of understanding of others strategies were a source of frustration. The main goals were to end mechanical ventilator support, create a sense of security, and avoid further complications. Conclusion: Although these findings need to be confirmed by further studies we suggest that nurses variable use of individual strategies more likely complicate an efficient and safe weaning process of the patients from mechanical ventilation.
Place, publisher, year, edition, pages
2009. Vol. 25, no 5, 225-232 p.
Communication; Intensive care; Mechanical ventilator weaning; Nursing
National CategoryMedical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-21204DOI: 10.1016/j.iccn.2009.06.008OAI: oai:DiVA.org:liu-21204DiVA: diva2:240902
Jeanette Eckerblad, Helene Eriksson, Anita Kärner and Ulla Edéll-Gustafsson, Nurses conceptions of facilitative strategies of weaning patients from mechanical ventilation-A phenomenographic study, 2009, Intensive and Critical Care Nursing, (25), 5, 225-232.
Copyright: Elsevier Science B.V., Amsterdam