Scoping review of nurse-initiated protocolized weaning in adult mechanically ventilated patients
10.3760/cma.j.cn115682-20230831-00789
- VernacularTitle:护士发起的程序化撤机在成年机械通气患者相关研究的范围综述
- Author:
Lei XUE
1
;
Yiyi YIN
;
Yufang HAO
;
Liyun HAN
;
Jianan ZHANG
Author Information
1. 北京中医药大学护理学院，北京 102401
- Keywords:
Review;
Protocolized weaning;
Nurse-initiated;
Nursing care;
Scoping review
- From:
Chinese Journal of Modern Nursing
2024;30(14):1943-1949
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To comprehensively and systematically retrieve domestic and international research on nurse-initiated protocolized weaning in adult mechanically ventilated patients, clarify its outcome indicators and effectiveness in clinical practice, and identify influencing factors in its implementation.Methods:Employing the scoping review methodology of Arksey and O'Malley, databases in both English and Chinese were systematically searched. Literature was selected based on inclusion and exclusion criteria, with two researchers independently screening, organizing, and analyzing the articles.Results:Eighteen publications were included: seven interventional studies, four qualitative studies, two cross-sectional studies, two on instrument development, and three reviews. Nurse-initiated protocolized weaning was found to be safe and effective, with common clinical outcome indicators including mechanical ventilation duration, weaning time, and ICU length of stay. Significant barriers included the professional knowledge level of nurses, team cooperation, nurses' personal characteristics, and the healthcare providers' underestimation of patients' clinical symptoms. Continuous care, patient involvement, a supportive nursing culture, and recognition of the nurse's role were facilitators of this treatment.Conclusions:Future research efforts should standardize and refine the intervention measures of nurse-initiated protocolized weaning and conduct large-sample, high-quality studies to provide references for the implementation of nurse-initiated protocolized weaning in China.
