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  • Implementing selective digestive tract decontamination in the intensive care unit: A qualitative analysis of nurse-identified considerations

    Author(s)
    Marshall, Andrea P
    Weisbrodt, Leonie
    Rose, Louise
    Duncan, Eilidh
    Prior, Maria
    Todd, Laura
    Wells, Elisabeth
    Seppelt, Ian
    Cuthbertson, Brian
    Francis, Jill
    Griffith University Author(s)
    Marshall, Andrea
    Year published
    2014
    Metadata
    Show full item record
    Abstract
    OBJECTIVE: To describe factors senior critical care nurses identify as being important to address when introducing selective digestive tract decontamination (SDD) in the clinical setting. BACKGROUND: Critically ill patients are at risk of developing ventilator-associated pneumonia (VAP). SDD is one strategy shown to prevent VAP and possibly improve survival in the critically ill. METHODS: We performed a secondary analysis of qualitative data obtained from 20 interviews. An inductive thematic analysis approach was applied to data obtained from senior critical care nurses during phase two of a multi-methods study. RESULTS: ...
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    OBJECTIVE: To describe factors senior critical care nurses identify as being important to address when introducing selective digestive tract decontamination (SDD) in the clinical setting. BACKGROUND: Critically ill patients are at risk of developing ventilator-associated pneumonia (VAP). SDD is one strategy shown to prevent VAP and possibly improve survival in the critically ill. METHODS: We performed a secondary analysis of qualitative data obtained from 20 interviews. An inductive thematic analysis approach was applied to data obtained from senior critical care nurses during phase two of a multi-methods study. RESULTS: There were four primary considerations identified that should be addressed or considered prior to implementation of SDD. These considerations included education of health care professionals, patient comfort, compatibility of SDD with existing practices, and cost. CONCLUSIONS: Despite a lack of experience with, or knowledge of SDD, nurses were able to articulate factors that may influence its implementation and delivery. Organizations or researchers considering implementation of SDD should include nurses as key members of the implementation team.
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    Journal Title
    Heart & Lung - The Journal of Acute and Critical Care
    Volume
    43
    Issue
    1
    DOI
    https://doi.org/10.1016/j.hrtlng.2013.09.002
    Subject
    Cardiovascular medicine and haematology
    Nursing
    Acute care
    Publication URI
    http://hdl.handle.net/10072/58300
    Collection
    • Journal articles

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