- 作者：Sara Pettersson ; Mariola Melaniuk-Bose ; U. Edell-Gustafsson ; ulla.edell-gustafsson@liu.se
- 关键词：Ventilator weaning ; Anaesthetists ; Intensive care ; Nursing
- 刊名：Intensive and Critical Care Nursing
- 出版年：2012
- 期刊代码：146_09643397
- 类别：med
- 出版时间：June, 2012
- 卷：28
- 期：3
- 页码：168-175
- 文件大小：321 K
Summary
Aim
This study aimed to examine anaesthetists鈥?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鈥?perceptions of facilitative decision-making strategies for ventilator weaning were identified. These were the instrumental, the interacting, the process-oriented and the structural strategies鈥?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鈥?
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鈥?experiences. The strategies should be an integral part of continuous staff training.