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Nurses conceptions of facilitative strategies of weaning patients from mechanical ventilation-A phenomenographic study
Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0002-2646-8715
Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
2009 (English)In: Intensive and Critical Care Nursing, ISSN 0964-3397, Vol. 25, no 5, 225-232 p.Article in journal (Refereed) Published
Abstract [en]

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.
Keyword [en]
Communication; Intensive care; Mechanical ventilator weaning; Nursing
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-21204DOI: 10.1016/j.iccn.2009.06.008OAI: oai:DiVA.org:liu-21204DiVA: diva2:240902
Note
Original Publication: 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. http://dx.doi.org/10.1016/j.iccn.2009.06.008 Copyright: Elsevier Science B.V., Amsterdam http://www.elsevier.com/ Available from: 2009-09-30 Created: 2009-09-30 Last updated: 2016-08-31

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Eckerblad, JeanetteEriksson, HeleneKärner, AnitaEdéll-Gustafsson, Ulla

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CiteExportLink to record
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