Factors That Promote the Practice of Airway Suctioning of Clinical Nurse

2.50
Hdl Handle:
http://hdl.handle.net/10755/602854
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Factors That Promote the Practice of Airway Suctioning of Clinical Nurse
Author(s):
Sakuma, Saori; Kashihara, Rie; Watanabe, Yoriko; Sumitani, Shotaro; Kashihara, Rie; Watanabe, Yoriko; Sumitani, Shotaro
Lead Author STTI Affiliation:
Tau Nu
Author Details:
Saori Sakuma, RN, saori-s@seirei.ac.jp; Rie Kashihara, RN; Yoriko Watanabe, PhD, RN; Shotaro Sumitani, RN
Abstract:
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background  Airway suctioning practices have been standardized in accordance with evidence-based guidelines (American Association for Respiratory Care, 2010, Japan Society of Respiratory Care Medicine, 2013). Evidence-based procedures in guidelines, has been reported to reduce the physical invasion of the patient. However, there have been few studies on airway suctioning procedure performed by clinical nurses in Japan.  It has not been clarified whether the clinical nurse to properly perform evidence-based procedures in guidelines. And not disclosed also factors related to performing the procedures. Purpose: To clarify the performance of procedure according to the evidence-based guidelines on airway suctioning practices by clinical nurses in japan. Method  Registered nurses who provided respiratory care to patients were recruited to complete an anonymous questionnaire.  The questionnaire was composed 15 items on airway suctioning procedures based on Nursing Interventions Classification. Results: The subjects were 602 nurses (experience range: 1-35 years). 31.2% nurses worked in intensive care unit (ICU), and 68.8% nurses worked in general nursing unit. 26.9% nurses had physical assessment education in school, and 54.5% nurses had after graduation.  Eight among the 15 items in the questionnaire were procedures that were recommended in the guidelines, in accordance with the GRADE criteria. For four items, ‘Observation of secretions’, ‘Assessment of need’, ‘Infection prevention’, and ‘Monitoring of oxygenation and hemodynamics’, the rate of implementation was more than 80%. However, for four items, ‘Pre-Oxygenation’, ‘Decision on time of suctioning‘, ‘Decision on minimum pressure’, and ‘Choice of catheter size’, the rate of implementation was less than 80%.  Physical assessment education after graduation increased the rate of implementation of the following techniques:  ‘Assessment of need’, ‘Monitoring of breath sounds before suctioning’, and ‘Monitoring of breath sounds after suctioning’. No correlations were found in regard to the physical assessment education in school.  ICU nurses increased the rate of implementation of the following items:  ‘Monitoring of breath sounds before suctioning’, ‘Monitoring of breath sounds after suctioning’, ‘Monitoring of oxygenation and hemodynamics, and ‘Discontinue and Oxygenation in hazardous situations’. Conclusions  Most nurses practiced procedures for infection prevention, monitoring and observation in airway suctioning. However, procedures for minimally invasive suctioning were less practice in japan.  To promote airway suctioning practice effective, nurses need to have more education program after graduation.
Keywords:
airway suctioning; nursing education; clinical nursing techniques
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15EB2.29
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleFactors That Promote the Practice of Airway Suctioning of Clinical Nurseen
dc.contributor.authorSakuma, Saorien
dc.contributor.authorKashihara, Rieen
dc.contributor.authorWatanabe, Yorikoen
dc.contributor.authorSumitani, Shotaroen
dc.contributor.authorKashihara, Rieen
dc.contributor.authorWatanabe, Yorikoen
dc.contributor.authorSumitani, Shotaroen
dc.contributor.departmentTau Nuen
dc.author.detailsSaori Sakuma, RN, saori-s@seirei.ac.jp; Rie Kashihara, RN; Yoriko Watanabe, PhD, RN; Shotaro Sumitani, RNen
dc.identifier.urihttp://hdl.handle.net/10755/602854en
dc.description.abstractSession presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background  Airway suctioning practices have been standardized in accordance with evidence-based guidelines (American Association for Respiratory Care, 2010, Japan Society of Respiratory Care Medicine, 2013). Evidence-based procedures in guidelines, has been reported to reduce the physical invasion of the patient. However, there have been few studies on airway suctioning procedure performed by clinical nurses in Japan.  It has not been clarified whether the clinical nurse to properly perform evidence-based procedures in guidelines. And not disclosed also factors related to performing the procedures. Purpose: To clarify the performance of procedure according to the evidence-based guidelines on airway suctioning practices by clinical nurses in japan. Method  Registered nurses who provided respiratory care to patients were recruited to complete an anonymous questionnaire.  The questionnaire was composed 15 items on airway suctioning procedures based on Nursing Interventions Classification. Results: The subjects were 602 nurses (experience range: 1-35 years). 31.2% nurses worked in intensive care unit (ICU), and 68.8% nurses worked in general nursing unit. 26.9% nurses had physical assessment education in school, and 54.5% nurses had after graduation.  Eight among the 15 items in the questionnaire were procedures that were recommended in the guidelines, in accordance with the GRADE criteria. For four items, ‘Observation of secretions’, ‘Assessment of need’, ‘Infection prevention’, and ‘Monitoring of oxygenation and hemodynamics’, the rate of implementation was more than 80%. However, for four items, ‘Pre-Oxygenation’, ‘Decision on time of suctioning‘, ‘Decision on minimum pressure’, and ‘Choice of catheter size’, the rate of implementation was less than 80%.  Physical assessment education after graduation increased the rate of implementation of the following techniques:  ‘Assessment of need’, ‘Monitoring of breath sounds before suctioning’, and ‘Monitoring of breath sounds after suctioning’. No correlations were found in regard to the physical assessment education in school.  ICU nurses increased the rate of implementation of the following items:  ‘Monitoring of breath sounds before suctioning’, ‘Monitoring of breath sounds after suctioning’, ‘Monitoring of oxygenation and hemodynamics, and ‘Discontinue and Oxygenation in hazardous situations’. Conclusions  Most nurses practiced procedures for infection prevention, monitoring and observation in airway suctioning. However, procedures for minimally invasive suctioning were less practice in japan.  To promote airway suctioning practice effective, nurses need to have more education program after graduation.en
dc.subjectairway suctioningen
dc.subjectnursing educationen
dc.subjectclinical nursing techniquesen
dc.date.available2016-03-21T16:38:08Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:38:08Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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