Application of the Theory of Self- efficacy Promotion in Nursing Practice: A Case Study of Ventilator Weaning in Patients undergoing Surgery.
Keywords:Keywords : Perceived self-efficacy promoting , Weaning ventilator, Surgical patient
Surgery is a medical method of finding causes and treating the disease. Some surgeries require the use of a ventilator during surgery. This is because the effect of using anesthesia during surgery affects the work of the respiratory muscles. The patient is to be intubated and on the ventilator until the completion of surgery. If the patient is able to breathe spontaneously after the surgery, then the ventilator weaning will be started, and finally the endotracheal tube will be extubated. However, all the activities affect the patient both physically and mentally. Therefore, postoperative care should start the process of ventilator weaning and extubation as soon as possible.
This paper aims to explain the application of self-efficacy theory in order to promote the patient’s confidence on ventilator weaning while following the ventilator weaning procedures. This process includes the self-efficacy perception assessment on ventilator weaning, the practicing skills for ventilator weaning, and the self-efficacy promoting on surgical patient through various supportive activities which resulted in the patient's success in ventilator weaning.
Bandura, A. (1997). Self-efficacy. In V. S. Ramachaudran, (Ed.), Encyclopedia of human behavior. New York:
Bandura, A. (1977). Social Learning Theory. (1st ed.). United states of America: Prentice-Hall, INC.
Bhurayanontachai, R., & Chanbrahama, C. (2016). Comparative study of the success rate of mechanical ventilator
liberation between applying and not applying rapid shallow breathing index (rsbi) in patients with acute respiratory failure after passing clinical readiness assessment. Songklanagarind Journal of Nursing, 34(4), 153-161. [In Thai].
Bunburapong, T. (2015). Respiratory care in clinical practice. (8thEd.). Bangkok: Phanyamit printing company
limited. [In Thai].
Chaiweeradet, M., Ua-Kit, N., & Oumtanee, A. (2013). Experiences of beingan adult patient receiving mechanical
ventilator. Songklanagarind Journal of Nursing, 33(3),31-46. [In Thai].
Kusum, V., & Hengyodmak, A. (2017). Air way and ventilatory management. In V. Kusum, (Ed), Critical care nursing:
A holistic approach (6thEd.) (pp.116-153). Bangkok: Sahaprachapanich. [In Thai].
Knebel, A., Shekleton, M.E., Burns, S., Clochesy, J.M., & Hanneman, S.K. (1998). Weaning from mechanical ventilatory
support: refinement of a model. Am J Crit Care, 7(2), 149-152.
Nuanjan, A., Thongthawee, B., Matchim, Y., & Saiphoklang, N. (2021) The effect of perceived self – efficacy in
respiratory muscle training with modified Qigong program on duration of weaning from mechanical ventilator in patients with respiratory failure. Thai Journal of Cardio-Thoracic Nursing, 32(1), 152-165. [In Thai].
Patchanasuntorn, B., (2017). Complications of mechanical ventilator. In S. Rungruanghiranya, (Ed.), Mechanical
ventilation: The essentials (2ndEd.) (pp. 429-438). Bangkok: Beyond enterprise company limited. [In Thai].
Pilab, S., Binhosen, V., & Pakdevong, N. (2019). Effectiveness of an enhancing self-efficacy in phase I cardiac
rehabilitation program on physical fitness among older persons post open heart surgery. Journal of Nursing and
Health Care, 37(3), 12-24. [In Thai].
Piriyapatsom, A., (2017). Extubation. In S. Rungruanghiranya, (Ed.), Mechanical ventilation: The essentials (2ndEd.)
(pp. 421-425). Bangkok: Beyond enterprise company limited. [In Thai].
Tanakitapiwut, M., (2018) Principles of mechenical ventilator. In S. Prichayudh, P. Chatrkaw, & S. Poonyathawon,
(Eds.), Chula surgical critical care (1stEd.) (pp.79-95). Bangkok: Chulalongkorn University. [In Thai].
Twibell, R., Siela, D., & Mahmoodi, M. (2003). Subjective perceptions and physiological variables during weaning from
mechanical ventilation. Am J Crit Care, 12(2), 101- 112.
Wattanakitkrileart, D., Pathomjaruvat, T., & Kedcham, D. (2013). Factors predicting weaning success in
patients with respiratory failure receiving invasive mechanical ventilator. Journal of Nursing Science, 31(3), 57-66. [In Thai].
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