Abstract
Objectives: 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. Methods: The Nurse Sedation Practices Scale was mailed to a random sample of 1250 members of the American Association of Critical Care Nurses. Results: 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 (rs = .28, p < .001) and their intent to administer sedation (rs = .58, p < .001). Attitudes did not vary with respect to individual or practice setting characteristics. Conclusion: Nurses' attitudes impact sedation administration practices. Modifying nurses' attitudes on sedation and the experience of mechanical ventilation may be necessary to change sedation practices with mechanically ventilated patients.
Original language | English (US) |
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Pages (from-to) | 44-50 |
Number of pages | 7 |
Journal | Intensive and Critical Care Nursing |
Volume | 26 |
Issue number | 1 |
DOIs | |
State | Published - Feb 2010 |
Keywords
- Artificial
- Critical care nursing
- Critically ill patients
- Hypnotics and sedatives
- Respiration