Intensive and Critical Care Nursing
Volume 26, Issue 1 , Pages 44-50 , February 2010

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

  • Jill L. Guttormson

      Affiliations

    • School of Nursing, University of Minnesota, Minneapolis, MN, United States
    • Corresponding Author InformationCorresponding author at: School of Nursing, University of Minnesota, 5-160 Weaver Densford Hall, 308 Harvard St. S.E., Minneapolis, MN 55455, United States. Tel.: +1 651 999 9441; fax: +1 612 625 7180.
    • ,
  • Linda Chlan

      Affiliations

    • School of Nursing, University of Minnesota, Minneapolis, MN, United States
    • ,
  • Craig Weinert

      Affiliations

    • Medical School, University of Minnesota, Minneapolis, MN, United States
    • ,
  • Kay Savik

      Affiliations

    • School of Nursing, University of Minnesota, Minneapolis, MN, United States

,Accepted 21 October 2009.

References 

  1. Ajzen I. The theory of planned behavior. Org Behav Hum Decis Processes. 1991;50:179–211
  2. Cochran J, Ganong LH. A comparison of nurses’ and patients’ perceptions of intensive care unit stressors. J Adv Nurs. 1989;14:1038–1043
  3. De Jonghe B, Sharshar T, Lefaucheur JP, Authier FJ, Durand-Zaleski I, Boussarsar M, et al. Paresis acquired in the intensive care unit: a prospective multicenter study. JAMA. 2002;288:2859–2867
  4. Douglas SL, Daly BJ, Gordon N, Brennan PF. Survival and quality of life: short-term versus long-term ventilator patients. Crit Care Med. 2002;30:2655–2662
  5. Egerod I. Uncertain terms of sedation in ICU. How nurses and physicians manage and describe sedation for mechanically ventilated patients. J Clin Nurs. 2002;11:831–840
  6. Ely EW, Shintani A, Truman B, Speroff T, Gordon SM, Harrell FE, et al. Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA. 2004;291:1753–1762
  7. Hafsteindottir TB. Patient's experiences of communication during the respirator treatment period. Intensive Crit Care Nurs. 1996;12:261–271
  8. 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;30:119–141
  9. Jones C, Griffiths RD, Humphris G, Skirrow PM. Memory, delusions, and the development of acute posttraumatic stress disorder-related symptoms after intensive care. Crit Care Med. 2001;29:573–580
  10. Kollef MH, Levy NT, Ahrens TS, Schaiff R, Prentice D, Sherman G. The use of continuous I.V. sedation is associated with prolongation of mechanical ventilation. Chest. 1998;114:541–548
  11. Kress JP, Pohlman AS, O’Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med. 2000;342:1471–1477
  12. Martin J, Franck M, Fischer M, Spies C. Sedation and analgesia in Ferman intensive care units: how is it done in reality? Results of a patient-based survey of analgesia and sedation. Intensive Care Med. 2006;32:1137–1142
  13. McCarty MC, Hennrikus DJ, Lando HA, Vessey JT. Nurses’ attitudes concerning the delivery of brief cessation advice to hospitalized smokers. Prev Med. 2001;33:674–681
  14. Mehta S, Burry L, Fischer S, Martinez-Motta JC, Hallett D, Bowman D. Canadian survey of the use of sedatives, analgesics, and neuromuscular blocking agents in critically ill patients. Crit Care Med. 2006;34:374–380
  15. Nelson BJ, Weinert CR, Bury CL, Marinelli WA, Gross CR. Intensive care unit drug use and subsequent quality of life in acute lung injury patients. Crit Care Med. 2000;28:3626–3630
  16. Ostermann ME, Keenan SP, Seiferling RA, Sibbald WJ. Sedation in the intensive care unit: a systematic review. JAMA. 2000;283:1451–1459
  17. Rhoney DH, Murry KR. National survey of the use of sedating drugs, neuromuscular blocking agents, and reversal agents in the intensive care unit. J Intensive Care Med. 2003;18:139–145
  18. Samuelson K, Lundberg D, Fridlund B. Memory in relation to depth of sedation in adult mechanically ventilated intensive care patients. J Intensive Care Med. 2006;32:660–667
  19. Sun X, Weissman C. The use of analgesics and sedatives in critically ill patients: physicians’ orders versus medications administered. Heart Lung. 1994;23:169–176
  20. Walker N, Gillen P. Investigating nurses’ perceptions of their role in managing sedation in intensive care: an exploratory study. Intensive Crit Care Nurs. 2006;22:338–345
  21. Weinert CR, Calvin AD. Epidemiology of sedation and sedation adequacy for mechanically ventilated patients in a medical and surgical intensive care unit. Crit Care Med. 2007;35:393–401
  22. Weinert CR, Chlan L, Gross C. Sedating critically ill patients: Factors affecting nurses’ delivery of sedative therapy. Am J Crit Care. 2001;10:156–165

PII: S0964-3397(09)00103-7

doi: 10.1016/j.iccn.2009.10.004

Intensive and Critical Care Nursing
Volume 26, Issue 1 , Pages 44-50 , February 2010

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