Are nurses using best practice in tracheal suctioning of artificial airways?

Ng, Linda C. H. and Chang, Anne M. (2009) Are nurses using best practice in tracheal suctioning of artificial airways? In: Asia Pacific Critical Care 2008 Congress, 30 Oct - 2 Nov 2008, Sydney, Australia.

Abstract

Introduction: Effective suctioning is an essential aspect of airway management in the critically ill. The technique and equipment used for suctioning needs to ensure that suctioning induced hypoxemia, tracheal trauma and infection are minimized. It is imperative that nurses are aware of these risks and are able to practice according to current evidence-based recommendations.

Study objective: The objectives were: 1. To audit the current practice of nurses in the tracheal suctioning of artificial airway in the intensive care unit. 2. To develop and plan strategies for the dissemination and implementation of evidence-based tracheal suctioning.

Method: A quality assurance project was undertaken using a pre-and post-test approach to determine the change in tracheal suctioning practice following introduction of evidence-based tracheal suctioning guidelines. All nurses providing care to patients with artificial airways were invited to participate. Data on the evidence-based criteria for tracheal suctioning derived from the systematic review were collected by direct observation and questioning.

Results: The pre-test findings indicated that gaps exist between actual nursing practice and evidence-based recommendations for suctioning. Feedback was provided to the ICU staff on the pre-test results followed by discussion on the evidence-based tracheal suctioning guidelines and how this could be incorporated into practice. Preliminary post-test findings indicated overall improvement in compliance with the guidelines. Final results will be reported at the conference.

Conclusion:Careful planning for change in practice, the use of audit and feedback as well as follow-up in the clinical setting (educational outreach)have led to improvements in evidence-based practice tracheal suctioning in ICU.


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Item Type: Conference or Workshop Item (Commonwealth Reporting Category E) (Paper)
Refereed: Yes
Item Status: Live Archive
Additional Information: Published abstract made not accessible.
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 14 Aug 2019 04:35
Last Modified: 14 Aug 2019 04:35
Uncontrolled Keywords: artificial airway, tracheal suctioning, intensive care unit, quality assurance project
Fields of Research : 11 Medical and Health Sciences > 1110 Nursing > 111003 Clinical Nursing: Secondary (Acute Care)
Identification Number or DOI: 10.1016/j.aucc.2008.12.028
URI: http://eprints.usq.edu.au/id/eprint/35908

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