Intensive and Critical Care Nursing
Volume 22, Issue 6 , Pages 338-345 , December 2006

Investigating nurses’ perceptions of their role in managing sedation in intensive care: An exploratory study

  • Nikki Walker

      Affiliations

    • RICU, Level 3B, Royal Hospitals, Belfast, BT12 6BA, Northern Ireland, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44 28 90633286.
    • ,
  • Patricia Gillen

      Affiliations

    • School of Nursing, University of Ulster Jordanstown, Shore Road, Newtownabbey BT37 OQB, Northern Ireland, UK
    • Tel.: +44 28 90366209.

,Accepted 24 March 2006.

References 

  1. Bateman S, Grap MJ. Sedation and analgesia in the mechanically ventilated patient. Am J Nurs. 2003;103(5):64AA–64HH
  2. Bion JF, Chow B, Bowden MI. Aims and methods of assessment of sedation in intensive care. J Drug Dev. 1991;4(Suppl 3):19–25
  3. Bion JF, Ledingham I. Sedation in intensive care – a postal survey. Intensive Care Med. 1987;13:215–216
  4. Boulain T. Unplanned extubations in the adult intensive care unit – a prospective multicenter study. Am J Respir Crit Care Med. 1998;157:1131–1137
  5. Brattebo G, Hofoss D, Flaatten H, Muri AK, Gjerde S, Plsek PE. Effects of a scoring system and protocol for sedation on duration of patients’ need for ventilator support in a surgical intensive care unit. Br Med J. 2002;324:1386–1389
  6. Brook AD, Ahrens TS, Schaiff R, Prentice D, Sherman G, Shannon W, et al. A nursing-implemented sedation protocol and the duration of mechanical ventilation. Aust Crit Care. 1999;13(2):72–74
  7. Carrasco G. Instruments for monitoring intensive care unit sedation. Crit Care. 2000;4(4):217–225
  8. Chevron V, Menard JF, Richard JC, Girault C, Leroy J, Bonmarchand G. Unplanned extubation: risk factors of development and predictive criteria for reintubation. Crit Care Med. 1998;26(6):1049–1053
  9. DeJonge B, Cook D, Appere-de-Vecchi C, Guyatt G, Meade M, Outin H. Using and understanding sedation scoring systems: a systematic review. Intensive Care Med. 2000;26:275–285
  10. Egerod I. Uncertain terms of sedation in ICU: How nurse and physicians manage and describe sedation for mechanically ventilated patients. J Clin Nurs. 2002;11:831–840
  11. Gelbach BK, Kress JP. Sedation in the intensive care. Curr Opin Crit Care. 2002;8:290–298
  12. Ibrahim EH, Kollef MH. Using protocols to improve the outcomes of mechanically ventilated patients. Crit Care Clin. 2001;17(4):989–1001
  13. Jacobi J, Fraser GL, Coursin DB, Riker RR, Fontaine D, Wittbrodt ET, et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med. 2002;30(1):119–141
  14. Khamiees M, Amoateng-Adjepong Y, Manthous CA. Propofol infusion is associated with a higher rapid shallow breathing index in patients preparing to wean from mechanical ventilation. Respir Care. 2002;47(2):150–153
  15. Kollef MH, Levy NT, Ahrens TS, Schaiff R, Prentice D, Sherman G. The use of continuous IV sedation is associated with prolongation of mechanical ventilation. Chest. 1998;114(2):541–548
  16. Kong R, Payen D. Controlling sedation rather than sedation controlling you. Clin Intensive Care. 1994;5(Supp):5–7
  17. Kress JP, Pohlman S, O’Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Eng J Med. 2000;342(20):1471–1477
  18. Laing ASM. The applicability of a new sedation scale for intensive care. Intensive Crit Care Nurs. 1992;8:149–152
  19. Magarey JM. Sedation of adult critically ill ventilated patients in intensive care units: a national survey. Aust Crit Care. 1997;10(3):90–93
  20. McGaffigan PA. Advancing sedation assessment to promote patient comfort. Crit Care Nurse. 2002;29
  21. Merriman HM. The techniques used to sedate ventilated patients. Intensive Care Med. 1981;7:217–224
  22. Monger E. Strategies for nursing conscious mechanically ventilated patients in Southampton and Amsterdam. Intensive Crit Care Nurs. 1995;11:140–147
  23. Murray K. The need for assessment of sedation in the critically ill. Nurs Crit Care. 1997;2(6):297–302
  24. Nasraway SA. Use of sedative medications in the ICU. Semin Respir Crit Care Med. 2001;22(2):165–179
  25. http://www.wise.nhs.uk
  26. Oppenheim AN. Questionnaire Design, Interviewing and Attitude Measurement. London: Continuum; 1992;
  27. Ostermann ME, Keenan SP, Seiferling RA, Sibbald WJ. Sedation in the intensive care unit: a systematic review. JAMA. 2000;283(11):1451–1459
  28. Park GR, Navapurka V. Sedation in the critically ill patient—the place of midazolam. Care Crit Ill. 1994;10(1):5–9
  29. Reeve WG, Wallace PGM. A survey of sedation in intensive care. Care Crit Ill. 1991;7(6):238–241
  30. Saggs P. Sedation scoring in a general ICU – comparative trial of two assessment tools in clinical practice. Nurs Crit Care. 1998;3(6):289–295
  31. Sessler CN, Gosnell MS, Grap JJ, Brophy GM, O’Neal PV, Keane KA, et al. Multidisciplinary management of sedation and analgesia in critical care. Semin Respir Crit Care Med. 2001;22(2):211–225
  32. Shelly MP, Sneyd R. Intensive care sedation. Br J Intensive Care. 1992;7:323–332
  33. Shury A. Managing delirium in the palliative care of older people. Nurs Older People. 2002;14(4):16–18
  34. Slomka J, Hoffman-Hogg L, Mion LC, Bair N, Bobek MB, Arroliga A. Influence of clinician's values and perceptions on use of clinical practice guidelines for sedation. Am J Crit Care. 2000;9(6):412
  35. Soliman HM, Melot C, Vincent JL. Sedative and analgesic practice in the ICU: the results of a European survey. Br J Anaesth. 2001;87:186–192
  36. Sun X, Weissman C. The use of analgesics and sedatives in critically ill patients: Physicians’ orders versus medication administered. Heart Lung. 1994;23(2):169–176
  37. Vitello JM, Harvey MA, Pine LJ, Searle LD, Thomas KA, Ramsay MAE, et al. Management of sedation: the nursing perspective.. Crit Care Nurse. 1996;16(Suppl):1–4
  38. Weinert CR, Chlan L, Gross C. Sedating critically ill patients: factors affecting nurses’ delivery of sedative therapy. Am J Crit Care. 2001;10(3):156–165
  39. Westcott C. The sedation of patients in intensive care units: a nursing review. Intensive Crit Care Nurs. 1995;11(1):26–31
  40. White SK, Hollet JK, Kress JP, Zellinger M. A renaissance in critical care nursing: Technological advances and sedation strategies. Crit Care Nurse. 2001;(Suppl):1–16
  41. Young C, Knudsen N, Hilton A, Reeves JG. Sedation in the intensive care unit. Crit Care Med. 2000;28(3):854–866

PII: S0964-3397(06)00047-4

doi: 10.1016/j.iccn.2006.03.008

Intensive and Critical Care Nursing
Volume 22, Issue 6 , Pages 338-345 , December 2006

Article Tools

* Image Usage & Resolution