Clinical Nursing
"Expert Consensus on Nursing Care for Prevention of Adult Oral Tracheal Intubation Unplanned Extubation" evidence application and effect evaluation
Zhang Zijun, Xia Xinhua, Sun Yanling, Wang Yuxia, Zhou Shuling
Published 2023-02-01
Cite as Chin J Prac Nurs, 2023, 39(4): 286-291. DOI: 10.3760/cma.j.cn211501-20220302-00603
Abstract
ObjectiveTo promote the evidence application of the "Expert Consensus on Nursing Care for Prevention of Adult Oral Tracheal Intubation Unplanned Extubation" and verify its effectiveness.
MethodsThis was a quasi-experimental study. A total of 31 ICU nurses from Tianjin Teda Hospital were trained by workshops, in order to help promote the evidence transformation. With the evidence application model of the JBI Evidence-Based Health Care Center, we reviewed the measures for mechanically ventilated patients before and after intervention (51 cases at baseline and 77 cases at second review).
ResultsNo unplanned extubation occurred during the period of two rounds of evidence review, the implementation rate of 9 review indicators had improved, and 6 of them showed statistically significant differences. indicator 1 increased from 3.92% (2/51) to 100.00% (77/77),indicator 3 increased from 86.27% (44/51) to 100.00% (77/77), indicator 5 increased from 27.45% (14/51) to 100.00% (77/77), indicator 7 increased from 45.10% (23/51) to 70.13% (54/ 77), indicator 8 increased from 50.98% (26/51) to 100.00% (77/77), indicator 9 increased from 45.10% (23/51) to 77.92 % (60/77), the difference was all statistically significant (χ2 values were 8.02-119.87, all P<0.05).
ConclusionsThe "Expert Consensus on Nursing Care for Prevention of Adult Oral Tracheal Intubation Unplanned Extubation" can provide guidelines for clinical nursing practice. While preventing unplanned extubation, it can standardize nurses' behavior and promote medical-nursing cooperation.
Key words:
Intubation, intratracheal; Unplanned extubation; Evidence application; Medical-nursing cooperation; Workshop
Contributor Information
Zhang Zijun
Nursing Department, Tianjin Teda Hospital, Tianjin 300457, China
Xia Xinhua
Nursing Department, Tianjin Teda Hospital, Tianjin 300457, China
Sun Yanling
Nursing Department, Tianjin Teda Hospital, Tianjin 300457, China
Wang Yuxia
Nursing Department, Tianjin Teda Hospital, Tianjin 300457, China
Zhou Shuling
Nursing Department, Tianjin Teda Hospital, Tianjin 300457, China