Effects of nursing practice guidelines for weaning ventilators in surgical intensive Care Unit Kumphawapi Hospital, Udon Thani Province

Abstract

     This action research aims to study nursing practice guidelines for weaning ventilators and effectiveness of following nursing guidelines for weaning from a ventilator in surgical intensive care unit Kumphawapi Hospital Udon Thani Province. The sample group consisted of 11 personnels and 68 patients. Data collected by the nursing practice and patient information questionnaire CVI= 1, the knowledge questionnaire KR-20= 0.95. Data were analyzed by descriptive statistics and content analysis.
     Results: found that development of nursing practice guidelines for weaning ventilators with PDSA as follows: 1) goal setting, 2) design, 3) learning, 4) implementing guidelines, and 5) supervision. The results of development were nursing practice manual with 3 steps as follows 1) assessment of readiness to wean 2) spontaneous breathing trial 3) extubation. After development, most had good knowledge, increasing from 18.2% to 90.9%. nursing practice, increasing from 72.7% to 90.9%. They were satisfied with nursing practices at high level 100% (= 4.48, S.D.=0.71) Results in patients after development shown that death decreased from 31.6% to 10.5%. No cardiac arrest from 78.9% to 89.5%, septic shock from 68.4% to 63.2%,