Font Size: Clinical Nursing Practice Guideline for Successful Weaning from Mechanical Ventilation
Yupha Wongrostrai, Orasa Panpakdee, Supreeda Monkong
Abstract
Abstract: The objectives of this study were to establish clinical nursing practice guideline (CNPG) using a research utilization process to promote the successful
weaning the patients from mechanical ventilation. This CNPG could help the healthcare providers, especially nurses, to perform the effective weaning from
mechanical ventilation. Moreover, the CNPG would be useful in promoting the communications within the healthcare team, and providing necessary information
for nurses and physicians. This information could be used to achieve the best decision in giving proper treatment and care for ventilated patients to ensure
successful weaning. The development of CNPG was done from analysis and synthesis of 42 relevant studies and was approved by three experts. The results of the CNPG development consisted of the nursing intervention in three phases including: pre-weaning phase, weaning phase, and post-weaning phase. In
addition, the CNPG focused on the assessment of the readiness weaning, the monitoring the patients’ weaning abilities and the evaluation of the outcome in each phase of weaning. In addition, the CNPG was reviewed by experts in terms of content validity and feasibility of clinical practice. The inv estigator recommended that the CNPG should be implemented in the clinical setting to evaluate its feasibility for practice and develop acare model for patients who required mechanical ventilation. Furthermore, a pilot study should be conducted in clinical setting to evaluate the effective of the CNPG and outcomes. In addition, the CNPG should be improved continuously for the quality of nursing care.
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