Change to a standardized airway clearance protocol for children with bronchiolitis leads to improved care

Journal of Pediatric Nursing
Kristen JarvisCristine Roberts

Abstract

Nurses at a pediatric hospital identified the liberal utilization of deep nasopharyngeal (NP) suction as the primary airway clearance modality in young children with bronchiolitis. This invasive practice lacked supporting evidence and a standardized approach. Nurses created an interdisciplinary team to develop a less invasive airway clearance protocol. Data from 2years, both pre and post protocol implementation, were analyzed. An 11% decrease in deep NP suctioning resulted in improved or unchanged balancing measures and perceptions of quality of care.

References

Apr 12, 2002·Pediatric Pulmonology·Rosalind L SmythC Anthony Hart
Feb 8, 2005·Pediatric Annals·Joseph B Domachowske, Helene F Rosenberg
Mar 9, 2005·Paediatric Nursing·Alan Monaghan
Oct 4, 2006·Pediatrics·UNKNOWN American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis
Mar 5, 2009·The Pediatric Infectious Disease Journal·Tuomas JarttiOlli Ruuskanen
Oct 3, 2009·Pediatrics in Review·Tamara Wagner
Sep 15, 2010·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Akira ItabashiHiroaki Ohta
Oct 13, 2011·Nursing Children and Young People·Tony Knox
Mar 6, 2013·JAMA Pediatrics·Grant M MussmanPatrick W Brady

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Citations

Apr 9, 2014·Journal of Pediatric Nursing·Becky J Christian
Sep 15, 2018·MCN. the American Journal of Maternal Child Nursing·Casey L NorrisTami H Wyatt
Jul 7, 2019·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·M Le RochG Benoist

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