Effects of Using Nursing Practice Guidelines to Promote Success in Weaning from a Ventilator in Male Medical Ward 4 Unit, Roi Et Hospital
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Abstract
Abstract
This quasi-experimental research aimed to study the effectiveness of the nursing practice guidelines to promote successful ventilator weaning of critically ill patients. The sample consisted of (1) 80 critically ill patients receiving mechanical ventilator in the male medical ward 4, divided into 40 patients in the control group and 40 patients in the experimental group, and (2) 27 professional nurses working in the male medical ward 4. The research instrument included the nursing practice guidelines to promote successful ventilator weaning of critically ill patients, and the questionnaire on feasibility and satisfaction of the professional nurses towards the nursing practice guidelines, yielding reliability values of .90 and .89, respectively. Data were analyzed using frequency, percentage, mean, standard deviation, Chi-square test, and paired t – test.
The research results revealed that the usage of the nursing practice guidelines to promote successful ventilator weaning was divided into 3 phases: (1) pre-weaning phase, (2) weaning phase, and (3) post-weaning phase. After using the nursing practice guideline, the patients in the experimental group were significant success weaning from the ventilator than the control group (p < .05). The patients in the experimental group had significant lower hours spent on ventilator weaning, less hospital stays, and lower medical expenses than in the control group (p < .05). The overall average score on the nurses’ opinion towards the possibility of using the nursing practice guidelines was at a high level (Mean 3.80, SD .48). The overall satisfaction score of the nurses towards using the nursing practice guidelines was at a high level (Mean 3.71, SD .38).
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References
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