Factors influencing nurse sedation practices with mechanically ventilated patients: a U.S. national survey

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
Jill L GuttormsonKay Savik

Abstract

Mechanically ventilated patients commonly receive sedative medications. There is increasing evidence that sedative medications impact on patient outcomes. Nursing behaviour is a key determinant of sedation administration. The purpose of this study was to determine factors that influence nurse sedation administration to mechanically ventilated patients. The Nurse Sedation Practices Scale was mailed to a random sample of 1250 members of the American Association of Critical Care Nurses. A response rate of 39% was obtained. Respondents were primarily staff nurses (73%) with a bachelor's degree in nursing (59%) from various intensive care unit (ICU) settings. We limited the analysis to adult ICU practitioners (n=423). The majority of nurses (81%) agreed that sedation is necessary for patient comfort. Nurse attitudes towards the efficacy of sedation for mechanically ventilated patients was positively correlated with nurses' report of their sedation practice (r(s)=.28, p<.001) and their intent to administer sedation (r(s)=.58, p<.001). Attitudes did not vary with respect to individual or practice setting characteristics. Nurses' attitudes impact sedation administration practices. Modifying nurses' attitudes on sedation and the experie...Continue Reading

References

Dec 1, 1989·Journal of Advanced Nursing·J Cochran, L H Ganong
Mar 25, 2000·JAMA : the Journal of the American Medical Association·M E OstermannW J Sibbald
May 18, 2000·The New England Journal of Medicine·J P KressJ B Hall
Feb 6, 2002·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·UNKNOWN American College of Critical Care Medicine of the Society of Critical Care Medicine, American Society of Health-System Pharm
Dec 11, 2002·JAMA : the Journal of the American Medical Association·Bernard De JongheUNKNOWN Groupe de Réflexion et d'Etude des Neuromyopathies en Réanimation
Apr 15, 2004·JAMA : the Journal of the American Medical Association·E Wesley ElyRobert S Dittus
Jan 21, 2006·Critical Care Medicine·Sangeeta MehtaUNKNOWN Canadian Critical Care Trials Group
Mar 8, 2006·Intensive Care Medicine·Karin SamuelsonBengt Fridlund
May 30, 2006·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Nikki Walker, Patricia Gillen

❮ Previous
Next ❯

Citations

Apr 18, 2013·Journal of Nursing Care Quality·Linda HalpinNiv Ad
Dec 8, 2011·Clinical Nurse Specialist CNS·Suzanne M Burns
Apr 5, 2013·Trials·Giovanni MistralettiUNKNOWN SedaEN investigators
Mar 21, 2012·Critical Care : the Official Journal of the Critical Care Forum·Haley GoodwinMarek A Mirski
May 3, 2012·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Mary Jo GrapCurtis N Sessler
Jun 20, 2013·Intensive Care Medicine·Nienke J VetMatthijs de Hoog
Jun 19, 2013·Medicina intensiva·E Celis-RodríguezUNKNOWN Federación Panamericana e Ibérica de Sociedades de Medicina Crítica y Terapia Intensiva
Feb 2, 2013·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Catarina TingsvikMaria Henricson
Dec 12, 2012·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Hilde Wøien, Ida Torunn Bjørk
Oct 9, 2012·Best Practice & Research. Clinical Anaesthesiology·Giovanni MistralettiCesare Gregoretti
Aug 28, 2012·Critical Care Nursing Clinics of North America·Suzanne M Burns
Dec 6, 2014·Critical Care : the Official Journal of the Critical Care Forum·Barbara SneyersAnne Spinewine
Jun 15, 2011·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Elena K Luk, Louise Rose
Aug 17, 2010·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Irene Randen, Ida Torunn Bjørk
Oct 18, 2013·Critical Care Medicine·Gregory J PeitzE Wesley Ely
Aug 20, 2011·Journal of Advanced Nursing·Lynn HaslamLouise Rose
Jun 21, 2013·Nursing in Critical Care·Irene RandenIda T Bjørk
Mar 7, 2015·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Eva LaerknerHelle Ploug Hansen
May 1, 2012·International Journal of Nursing Studies·Priscilla G TaipaleJaime Gallaher
Apr 25, 2016·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Ryan WiatrowskiDavid Giffen
Aug 12, 2016·Critical Care Medicine·Kaitlin M BestUNKNOWN Randomized Evaluation of Sedation Titration For Respiratory Failure Study Investigators
Apr 5, 2017·Dimensions of Critical Care Nursing : DCCN·Juliane JablonskiNiels D Martin
Dec 7, 2013·Holistic Nursing Practice·Esra Akin KorhanMehmet Uyar
Sep 3, 2013·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Margaret A PisaniTerrence E Murphy
Mar 30, 2020·Journal of Clinical Nursing·Wayne VarndellDoug Elliott
Aug 1, 2014·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Sandra L StaveskiMartha A Q Curley
Dec 13, 2018·Nursing Research·Mary Fran TracyCraig Weinert
Jul 3, 2019·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Cindy Cain
Feb 5, 2021·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·M Todd GreeneSanjay Saint
Oct 16, 2020·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Zhidong QiHaibo Li
Aug 17, 2021·Dimensions of Critical Care Nursing : DCCN·Sandra HagstromMary Fran Tracy

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.