Guideline implementation powered by feedback and education improves manual hyperinflation performance
| Autor: | Jan M. Binnekade, Pauline Middelhoek, Frederique Paulus, Margreeth B. Vroom, Marcus J. SchuItz |
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| Rok vydání: | 2014 |
| Předmět: |
Resuscitation
medicine.medical_specialty Manual hyperinflation business.industry 030208 emergency & critical care medicine Guideline Critical Care Nursing Intensive care unit law.invention Skills laboratory 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Guideline implementation law Critical care nursing Physical therapy Medicine business Respiratory care |
| Zdroj: | Nursing in Critical Care. 21:36-43 |
| ISSN: | 1362-1017 |
| DOI: | 10.1111/nicc.12068 |
| Popis: | Aim To determine whether a literature-based guideline, powered by educational meetings and individual feedback, improves manual hyperinflation (MH) performance by intensive care unit (ICU) nurses. Background MH is frequently applied in intubated and mechanically ventilated ICU patients. MH is a complex intervention, and large variation in its performance has been found. Materials and methods First, a literature-based guideline on MH was developed. The intervention consisted of education of this guideline and individual feedback. Before and 3 months after the intervention, ICU nurses performed MH maneuvers in a skills laboratory. Data collected included applied volumes, peak inspiratory flows (PIF) and peak expiratory flows (PEF), and the use of inspiratory holds. Results Eighty nurses participated. Decrease of PIF was not statistically significant. PEF increased from 52 ± 7 to 83 ± 23 L/min (P |
| Databáze: | OpenAIRE |
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