Factors that promote the practice of airway suctioning of clinical nurse
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Saori Sakuma, RN; Rie Kashihara, RN; Yoriko Watanabe, PhD, RN; Shotaro Sumitani, RN
- Sigma Affiliation
- Tau Nu
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Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:
Background: Airway suctioning practices have been standardized in accordance with evidence-based guidelines (American Association for Respiratory Care, 2010, Japan Society of Respiratory Care Medicine, 2013). Evidence-based procedures in guidelines, has been reported to reduce the physical invasion of the patient. However, there have been few studies on airway suctioning procedure performed by clinical nurses in Japan. It has not been clarified whether the clinical nurse to properly perform evidence-based procedures in guidelines. And not disclosed also factors related to performing the procedures.
Purpose: To clarify the performance of procedure according to the evidence-based guidelines on airway suctioning practices by clinical nurses in Japan. Method: Registered nurses who provided respiratory care to patients were recruited to complete an anonymous questionnaire. The questionnaire was composed 15 items on airway suctioning procedures based on Nursing Interventions Classification.
Results: The subjects were 602 nurses (experience range: 1-35 years). 31.2% nurses worked in intensive care unit (ICU), and 68.8% nurses worked in general nursing unit. 26.9% nurses had physical assessment education in school, and 54.5% nurses had after graduation. Eight among the 15 items in the questionnaire were procedures that wererecommended in the guidelines, in accordance with the GRADE criteria. For four items, 'Observation of secretions', 'Assessment of need', 'Infection prevention', and 'Monitoring of oxygenation and hemodynamics', the rate of implementation was more than 80%. However, for four items,'Pre-Oxygenation', 'Decision on time of suctioning', 'Decision on minimum pressure', and 'Choice of catheter size', the rate of implementation was less than 80%. Physical assessment education after graduation increased the rate of implementation of the following techniques: 'Assessment of need', 'Monitoring of breath sounds before suctioning', and 'Monitoring of breath sounds after suctioning'. No correlations were found in regard to the physical assessment education in school. ICU nurses increased the rate of implementation of the following items: 'Monitoring of breath sounds before suctioning', 'Monitoring of breath sounds after suctioning', 'Monitoring of oxygenation and hemodynamics', and 'Discontinue and Oxygenation in hazardous situations'.
Conclusions: Most nurses practiced procedures for infection prevention, monitoring and observation in airway suctioning. However, procedures for minimally invasive suctioning were less practice in Japan. To promote airway suctioning practice effective, nurses need to have more education program after graduation.
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Airway Suctioning; Nursing Education; Clinical Nursing Techniques |
Name | 43rd Biennial Convention |
Host | Sigma Theta Tau International |
Location | Las Vegas, Nevada, USA |
Date | 2015 |
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