Intensive and Critical Care Nursing
Volume 25, Issue 5 , Pages 225-232 , October 2009

Nurses’ conceptions of facilitative strategies of weaning patients from mechanical ventilation—A phenomenographic study

  • Jeanette Eckerblad

      Affiliations

    • Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Sweden
    • ,
  • Heléne Eriksson

      Affiliations

    • Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Sweden
    • ,
  • Anita Kärner

      Affiliations

    • Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Sweden
    • ,
  • Ulla Edéll-Gustafsson

      Affiliations

    • Department of Medical and Health Sciences, Nursing Sciences, Faculty of Health Sciences, Linköping University, SE-581 85 Linköping , Sweden
    • Corresponding Author InformationCorresponding author. Tel.: +46 13 227778.

,Accepted 23 June 2009.

References 

  1. Alasad J, Ahmad M. Communication with critically ill patients. Journal of Advanced Nursing. 2005;50:356–362
  2. Aitken LM. Critical care nurses’ use of decision-making strategies. Journal of Clinical Nursing. 2003;12:476–483
  3. Blackwood B, Wilsson-Barnett J, Trinder J. Protocolized weaning from mechanical ventilation: ICU physicians’ views. Issues and innovations in nursing practice. Journal of Advanced Nursing. 2004;48:26–34
  4. Brochard L. Sedation in the intensive-care unit: god and bad?. Lancet. 2008;371(9607):95–97
  5. Burns SM, Chochesy JM. Weaning from long-term mechanical ventilation. American Journal of Critical Care. 1995;4:4–22
  6. Burns SM. Implementation of an institutional program to improve clinical an financial outcomes of mechanically ventilated patients: one-year outcomes and lessens learned. Critical Care Medicine. 2003;31:2752–2763
  7. Cook D, Meade M, Perry A. Qualitative studies on the patient's experience of weaning from mechanical ventilation. Chest. 2001;120:469–473
  8. Crocker C, Kinnear W. Weaning from ventilation: does a care bundle approach work?. Intensive and Critical Care Nursing. 2008;24:180–186
  9. Dahlgren L, Fallsberg O. Phenomenography as a qualitative approach in social pharmacy research. Journal of Social and Administrative Pharmacy. 1991;8:150–156
  10. Davies D. Reflection on practice. An intubated patient suffering panic attack. Nursing in Critical Care. 2007;12:198–201
  11. Engström Å. A wish to be near. Experiences of close relatives within intensive care from perspective of close relatives, formerly critically ill people and critical care nurses. Sweden: Luleå University of Technology, Department of Health Science, Division of Nursing; 2008;05
  12. Engström Å, Söderberg S. Receiving power through confirmation. The meaning of close relatives for people who have been critically ill. Journal of Advanced Nursing. 2007;59:569–576
  13. Eriksson K. Vårdprocessen. 4th ed. Stockholm: Liber; 2000.
  14. Girard T, Shintani A, Jackson J, Gordon S, Pun B, Hendersson M, et al. Risk factors for post-traumatic stress disorder symptoms following critical illness requiring mechanical ventilation: a prospective cohort study. Critical care. 2007;11:1–8
  15. Girard T, Kress J, Fuchs B, Thomasson J, Scheickert W, Taicman D, et al. Efficiency and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (awakening and breathing controlled trial): a randomised controlled trial. Lancet. 2008;371:126–134
  16. Hansen BS, Severinsson E. Intensive care nurses’ perceptions of protocol-directed weaning—a qualitative study. Intensive and Critical Care Nursing. 2007;23:196–205
  17. Jenny J, Logan J. Promoting ventilator independence: a grounded theory perspective. Dimension of Critical Care Nursing. 1994;13:29–37
  18. Kociszewski C. Spiritual care: a phenomenological study of critical care nurses’. Heart and Lung. 2004;33:401–411
  19. Macintyre N. Evidence—based guidelines for weaning and discontinuing ventilatory support. Chest. 2001;120:375–395
  20. Macintyre N. Discontinuing mechanical ventilatory support. Chest. 2007;132:1049–1056
  21. Marton F, Booth S. Learning and awareness. Mahwah, NJ: Lawrence Erlbaum Associates, Publishers; 1997;
  22. Mays N, Pope C. Qualitative research in health care—assessing quality in qualitative research. British Medical Journal. 2000;320:50–52
  23. Mårtensson I-E, Fridlund B. Factors influencing the patient during weaning from mechanical ventilation: a national survey. Intensive and Critical Care Nursing. 2002;18:219–229
  24. Schou L, Egerod I. A qualitative study into the lived experience of post-CABG patients during mechanical ventilator weaning. Intensive and Critical Care Nursing. 2008;24:171–179
  25. Swedish association of Anastasia and Intensive care. SFAI. http://www.sfai.se/dokument/verksamhetsberaettelse/verksamhetsberaettelser; 2005 [December 29].
  26. Sjöström B, Dahlgren L-O. Applying phenomenography in nursing research. Journal of Advanced Nursing. 2002;40:339–345
  27. Taylor F. A comparative study examining the decision-making processes of medical and nursing staff in weaning patients from mechanical ventilation. Intensive and Critical Care Nursing. 2006;22:253–263
  28. Travelbee J. Interpersonal aspects of nursing. 2nd ed.. Philadelphia: F.A. Davis Company; 1971;
  29. Wikström AC, Larsson SU. Technology—an actor in ICU: a study in workplace research tradition. Journal of Clinical Nursing. 2004;13:555–561
  30. Williams C. The identification of family members’ contribution to patients’ care in the intensive care unit: a naturalistic inquiry. British Association of Critical Care Nurses. Nursing in Critical Care. 2005;10:6–14
  31. Wiman E, Wikblad K. Caring and uncaring encounters in nursing in an emergency department. Journal of Clinical Nursing. 2003;13:422–429

PII: S0964-3397(09)00065-2

doi: 10.1016/j.iccn.2009.06.008

Intensive and Critical Care Nursing
Volume 25, Issue 5 , Pages 225-232 , October 2009

Article Tools