Oral care practices for orally intubated critically ill adults
| Autor: | Pamela H. Mitchell, Elizabeth Bridges, Laura L. Feider |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
medicine.medical_specialty Cross-sectional study medicine.medical_treatment Critical Illness MEDLINE Critical Care Nursing law.invention law Critical care nursing medicine Intubation Intratracheal Intubation Humans Mechanical ventilation Internet Mouth business.industry Critically ill Pneumonia Ventilator-Associated General Medicine medicine.disease Oral Hygiene Respiration Artificial United States stomatognathic diseases Pneumonia Intensive Care Units Cross-Sectional Studies Health Care Surveys Emergency medicine Practice Guidelines as Topic Guideline Adherence Toothbrush business |
| Zdroj: | American journal of critical care : an official publication, American Association of Critical-Care Nurses. 19(2) |
| ISSN: | 1937-710X |
| Popis: | Background Ventilator-associated pneumonia is a major threat to patients receiving mechanical ventilation in hospitals. Oral care is a nursing intervention that may help prevent ventilator-associated pneumonia.Objectives To describe oral care practices performed by critical care nurses for orally intubated critically ill patients and compare these practices with recommendations for oral care in the 2005 AACN Procedure Manual for Critical Care and the guidelines from the Centers for Disease Control and Prevention.Methods A descriptive, cross-sectional design with a 31-item Web-based survey was used to describe oral care practices reported by 347 randomly selected members of the American Association of Critical-Care Nurses.Results Oral care was performed every 2 (50%) or 4 (42%) hours, usually with foam swabs (97%). Oral care was reported as a high priority (47%). Nurses with 7 years or more of critical care experience performed oral care more often (P=.008) than did less experienced nurses. Nurses with a bachelor’s degree in nursing used foam swabs (P=.001), suctioned the mouth before the endotracheal tube (P=.02), and suctioned after oral care (PConclusions Survey results indicate that discrepancies exist between reported practices and policies. Oral care policies appear to be present, but not well used. |
| Databáze: | OpenAIRE |
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