Review of application and barriers of the best evidence for airway clearance in ICU patients
10.3760/cma.j.cn115682-20230408-01376
- VernacularTitle:ICU患者气道廓清治疗最佳证据的应用审查及障碍分析
- Author:
Mengyang HU
1
;
Yuanyuan MI
;
Wei WU
;
Xiaojie WU
;
Jian LUO
;
Haiyan HUANG
;
Yang LIU
;
Yunhan DING
;
Yingying MENG
Author Information
1. 华中科技大学同济医学院附属协和医院重症医学科，武汉 430022
- Keywords:
Intensive Care Units;
Airway clearance;
Review indicators;
Barrier analysis;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2023;29(29):3985-3993
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the clinical application status of the best evidence for airway clearance in Intensive Care Unit (ICU) patients, analyze the barriers and enablers in the process of evidence application, so as to provide reference for formulating transformation strategies.Methods:The literature on airway clearance in ICU patients was systematically searched in domestic and foreign databases and association websites. The best evidences were summarized based on the included literature, and corresponding review indicators were constructed based on the best evidence for clinical baseline review. From July to August 2022, convenience sampling was used to select 30 nurses and 30 patients from ICU of Union Hospital, Tongji Medical College, Huazhong University of Science and Technology. We conducted barriers and transformation strategy analysis based on the review results.Results:A total of 33 review indicators were formulated. The clinical execution rate of the review indicators was 0 to 100%, with 60.6% (20/33) of the review indicators having a clinical execution rate of <60%. The main barriers were that the specialized team for airway clearance involved great personnel and was difficult to organize, nurses had insufficient awareness and importance of airway clearance knowledge, the department lacked corresponding evaluation tools and equipment, the implementation standards for airway clearance treatment within the department were not sound, and the health education materials for airway clearance were incomplete. The transformation strategy mainly included strengthening leadership support, conducting knowledge training on airway clearance, introducing tools and equipment related to airway clearance, improving the implementation standards of airway clearance and health education materials for airway clearance.Conclusions:There is a significant gap between the best evidence for airway clearance in ICU patients and clinical practice. Timely improvement should be made on relevant barriers to promote the conversion of best evidence into clinical practice and improve patient clinical outcomes.
