The study of contributors and obstacles to the evidence transformation of airway humidification manage-ment for hospitalized patients who receive laryngectomy and tracheostomy without mechanical ventilation
10.3761/j.issn.0254-1769.2025.13.011
- VernacularTitle:喉切除气管切开非机械通气住院患者气道湿化管理证据转化的促进和障碍因素研究
- Author:
Mingyue LUO
1
;
Ting ZHENG
;
Le PAN
;
Yajie LI
;
Shumeng ZHANG
;
Xinyu DUAN
;
Yongxia DING
Author Information
1. 030001 太原市 山西医科大学护理学院
- Publication Type:Journal Article
- Keywords:
Laryngectomy;
Airway Humidification;
Evidence Translation;
Obstacles;
Consolidated Framework for Implementation Research;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(13):1603-1609
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the potential contributors and obstacles of evidence translation for airway hu-midification management in hospitalized patients with laryngectomy tracheostomy and non-mechanical ventilation,so as to provide references for clinical evidence-based practice.Methods An interview outline and questionnaire were developed according to the consolidated framework for implementation research(CFIR).Using purposive sampling,12 healthcare professionals from Department of Otorhinolaryngology,Head and Neck Surgery of a tertiary hospital in Shanxi Province were recruited for semi-structured interviews,and thematic analysis was applied to extract main themes.The interview themes were transformed into survey items,and a survey was conducted among 42 healthcare professionals in the same department.Results Totally 16 contributors and 20 obstacles were identified across 4 domains:the credibility of the evidence and research team,the external support environment for evidence-based practice,the internal conditions for evidence-based practice,and the role recognition of implementers.Contributors include efficient internal collaboration and communication,and rigorous processes for evidence acquisition.Obstacles include insufficient educational resources,low patient knowledge acceptance capacity,lack of professional value a-mong healthcare staff.Conclusion Evidence translation of the humidification management for patients with non-mechanical ventilation after laryngectomy and tracheostomy was influenced by various factors.Future efforts should focus on constructing targeted airway humidification education content and an evaluation index system,and enhanc-ing the professional value and practical leadership of nursing staff.
