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Anaesthetists' perceptions of facilitative weaning strategies from mechanical ventilator in the intensive care unit (ICU: a qualitative interview study
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences.
2012 (English)In: Intensive and Critical Care Nursing, ISSN 0964-3397, Vol. 28, no 3, 168-175 p.Article in journal (Refereed) Published
Abstract [en]

AIM

This study aimed to examine anaesthetists' perceptions of facilitative weaning from the mechanical ventilator in the intensive care unit (ICU).

METHODS

Explorative qualitative interviews in a phenomenographic reference frame with a purposive sample of 14 eligible anaesthetists from four different ICUs with at least one year of clinical experience of ICU and of ventilator weaning.

FINDINGS

Four categories of anaesthetists' perceptions of facilitative decision-making strategies for ventilator weaning were identified. These were the instrumental, the interacting, the process-oriented and the structural strategies" for ventilator weaning. The findings refer to a supportive multidisciplinary holistic ICU quality of care. Choice of strategy for ventilator weaning was flexible and individually tailored to the patients'.

CONCLUSIONS

Choice of strategy was flexible and individually adjustable. Introduction of evidence-based guidelines from ventilator weaning is necessary in the ICU. The guidelines should also cover the responsibilities of various professional groups. Regular evaluations of methods and strategies used in practice need to be implemented. This may facilitate decision-making strategies for ventilator weaning in practice at the ICU. Greater attention needs to focus on family members' experiences. The strategies should be an integral part of continuous staff training.

Place, publisher, year, edition, pages
Elsevier, 2012. Vol. 28, no 3, 168-175 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-99789DOI: 10.1016/j.iccn.2011.12.004PubMedID: 22227354OAI: oai:DiVA.org:liu-99789DiVA: diva2:658180
Available from: 2013-10-21 Created: 2013-10-21 Last updated: 2014-07-01

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Pettersson, SaraEdell-Gustafsson, Ulla

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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  • Other style
More styles
Language
  • de-DE
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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