A Delphi Study of Competencies to Perform Tracheal Suction for ALS Patients with Mechanical Ventilation at Home

2.50
Hdl Handle:
http://hdl.handle.net/10755/151148
Type:
Presentation
Title:
A Delphi Study of Competencies to Perform Tracheal Suction for ALS Patients with Mechanical Ventilation at Home
Abstract:
A Delphi Study of Competencies to Perform Tracheal Suction for ALS Patients with Mechanical Ventilation at Home
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Imaiso, Junko, BS, BA, RN, PHN
P.I. Institution Name:Ishikawa Prefectural Nursing University
Title:Assistant
Co-Authors:Toyoaki Yamauchi, MD, ND, PhD, FNP, RN; Utako Sasaki, RN, MSN; Kayoko Nozaki, CN, RN
[Research Paper or Poster Presentation] Background: In Japan, the number of ALS patients with mechanical ventilation at home increases. From about 2003, possibility of providing suction by caregivers is discussed because of family caregivers' burden. Objective: To identify the most important items for nurses to instruct the way of performing tracheal suction at home for ALS patients with mechanical ventilation to professional caregivers. Methods: Expert panels were defined 1) as an instructor; home-visit nurses who have ever experienced to instruct the way of performing suction for caregivers or interested in the instruction 2) as a learner; caregivers who have ever experienced to perform suction or interested in performing suction. Through a comprehensive literature review and a pre-test, the initial questionnaire was consisted of 8 skill items, 12 knowledge items and 7 attitude items, and it was given to each expert. Subsequently, a three round Delphi study was conducted to validate the items. For each round, participants were asked to select the 5 stage importance of competencies for nurses and caregivers. The criterion for consensus was set as an agreement rate of 100%. Results: At Round 1, the number of participants was 25 nurses (31.3%) and 13 caregivers (59.1%). At Round 2, responses were turned 19 nurses and 9 caregivers, and at Round 3, 17 nurses and 9 caregivers. Following the experts' opinions about the initial questionnaire items, the second questionnaire was revised; 9 skill items, 11 knowledge items and 6 attitude items. At Round 3, the questionnaire wasn't revised. 3 competencies as very important item achieved a 100% agreement between nurses and caregivers. The items were as follows; 1) Way of coping with emergency situation 2) Estimated dangerous items 3) Observation of a patient's breathing. Conclusions: A system of educating the way of performing suction safely to caregivers by nurses in home-setting will be expected.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Delphi Study of Competencies to Perform Tracheal Suction for ALS Patients with Mechanical Ventilation at Homeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151148-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Delphi Study of Competencies to Perform Tracheal Suction for ALS Patients with Mechanical Ventilation at Home</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Imaiso, Junko, BS, BA, RN, PHN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Ishikawa Prefectural Nursing University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">junkoi@ishikawa-nu.ac.jp</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Toyoaki Yamauchi, MD, ND, PhD, FNP, RN; Utako Sasaki, RN, MSN; Kayoko Nozaki, CN, RN</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Background: In Japan, the number of ALS patients with mechanical ventilation at home increases. From about 2003, possibility of providing suction by caregivers is discussed because of family caregivers' burden. Objective: To identify the most important items for nurses to instruct the way of performing tracheal suction at home for ALS patients with mechanical ventilation to professional caregivers. Methods: Expert panels were defined 1) as an instructor; home-visit nurses who have ever experienced to instruct the way of performing suction for caregivers or interested in the instruction 2) as a learner; caregivers who have ever experienced to perform suction or interested in performing suction. Through a comprehensive literature review and a pre-test, the initial questionnaire was consisted of 8 skill items, 12 knowledge items and 7 attitude items, and it was given to each expert. Subsequently, a three round Delphi study was conducted to validate the items. For each round, participants were asked to select the 5 stage importance of competencies for nurses and caregivers. The criterion for consensus was set as an agreement rate of 100%. Results: At Round 1, the number of participants was 25 nurses (31.3%) and 13 caregivers (59.1%). At Round 2, responses were turned 19 nurses and 9 caregivers, and at Round 3, 17 nurses and 9 caregivers. Following the experts' opinions about the initial questionnaire items, the second questionnaire was revised; 9 skill items, 11 knowledge items and 6 attitude items. At Round 3, the questionnaire wasn't revised. 3 competencies as very important item achieved a 100% agreement between nurses and caregivers. The items were as follows; 1) Way of coping with emergency situation 2) Estimated dangerous items 3) Observation of a patient's breathing. Conclusions: A system of educating the way of performing suction safely to caregivers by nurses in home-setting will be expected.</td></tr></table>en_GB
dc.date.available2011-10-26T10:53:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:53:18Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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