The factors which influence nurses when weaning patients from mechanical ventilation: Findings from a qualitative study
Lavelle, Claire Dowling, Maura
Lavelle, Claire
Dowling, Maura
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2011-07-23
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Article
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Lavelle, Claire, & Dowling, Maura. (2011). The factors which influence nurses when weaning patients from mechanical ventilation: Findings from a qualitative study. Intensive and Critical Care Nursing, 27(5), 244-252. doi: https://doi.org/10.1016/j.iccn.2011.06.002
Abstract
The aim of the study was to describe the factors that influence critical care nurses when deciding to wean patients from mechanical ventilation. The study adopted a qualitative methodology, using semi-structured interviews and a vignette. An invited sample of critical care nurses (n = 24) from one Irish intensive care unit was employed. Each nurse was interviewed once and a vignette was used to structure the interview questioning. The findings were analysed using thematic content analysis. Six major themes influencing nurses’ decision to wean emerged, as follows: physiological influences; clinical reassessment and decision making; the nurse's experience, confidence and education; the patient's medical history and current ventilation; the intensive care working environment; and use of protocols. The findings highlight the complex nature of weaning patients from mechanical ventilation and the major role of the nurse in this process.
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Elsevier
Publisher DOI
10.1016/j.iccn.2011.06.002
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Attribution-NonCommercial-NoDerivs 3.0 Ireland