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dc.contributor.authorSchults, Jessicaen_US
dc.contributor.authorCooke, Marieen_US
dc.contributor.authorLong, Deborahen_US
dc.contributor.authorMitchell, Marionen_US
dc.date.accessioned2019-06-08T01:31:23Z
dc.date.available2019-06-08T01:31:23Z
dc.date.issued2018en_US
dc.identifier.issn1036-7314en_US
dc.identifier.doi10.1016/j.aucc.2018.03.002en_US
dc.identifier.urihttp://hdl.handle.net/10072/378718
dc.description.abstractBackground: The complex nature of the Paediatric Intensive Care Unit (PICU) patient requires the bedside nurse to make rapid, complex decisions regarding endotracheal suction (ETS) interventions. It is not understood what influences nurses’ decision making in the context of ETS, however, the actions of the clinician have a direct impact on the efficacy of the ETS event and patient outcomes. Objectives: To explore and describe the use of normal saline instillation and lung recruitment with paediatric ETS in a cohort of Australian nurses, and to identify factors that influence normal saline use with ETS. Methods: A descriptive, exploratory study. An evidence-based practice model formed the conceptual basis for the study. Semi-structured interviews were conducted with 12 nurses from an Australian tertiary referral paediatric intensive care unit. Audiotaped interviews were transcribed. Inductive thematic analysis was used to code and analyse the interview data and identify themes. Findings: Data analysis revealed three themes: patient’s clinical presentation, clinician judgement and unit practice norms. Conclusions: Variability in nurses ETS practice was marked. In the absence of evidence based clinical guidelines, nurses relied on knowledge derived from clinical experience and the local setting to guide NSI and LR intervention decisions. Participants reported uncertainty regarding ETS best practice and perceived the lack of research evidence as a barrier to making informed clinical decisions at the bedside. Rigorous research evaluating the safety and efficacy of NSI and LR with ETS is urgently required for patient care; however PICU nurses rely on multiple sources of evidence to inform ETS practice decision.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.publisherElsevieren_US
dc.publisher.placeUnited Statesen_US
dc.relation.ispartofpagefrom1en_US
dc.relation.ispartofpageto7en_US
dc.relation.ispartofjournalAustralian Critical Careen_US
dc.subject.fieldofresearchNursing not elsewhere classifieden_US
dc.subject.fieldofresearchNursingen_US
dc.subject.fieldofresearchcode111099en_US
dc.subject.fieldofresearchcode1110en_US
dc.title"When no-one's looking," the application of lung recruitment and normal saline instillation with paediatric endotracheal suction: An exploratory study of nursing practiceen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dc.type.codeC - Journal Articlesen_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.en_US
gro.hasfulltextNo Full Text


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