Are nurses using best practice in tracheal suctioning of artificial airways?

Paper


Ng, Linda C. H. and Chang, Anne M.. 2009. "Are nurses using best practice in tracheal suctioning of artificial airways?" Asia Pacific Critical Care 2008 Congress. Sydney, Australia 30 Oct - 02 Nov 2008 United States. https://doi.org/10.1016/j.aucc.2008.12.028
Paper/Presentation Title

Are nurses using best practice in tracheal suctioning of artificial airways?

Presentation TypePaper
AuthorsNg, Linda C. H. (Author) and Chang, Anne M. (Author)
Journal or Proceedings TitleAustralian Critical Care
Journal Citation22 (1), pp. 53-53
Number of Pages1
Year2009
Place of PublicationUnited States
ISSN1036-7314
1878-1721
Digital Object Identifier (DOI)https://doi.org/10.1016/j.aucc.2008.12.028
Web Address (URL) of Paperhttps://www.australiancriticalcare.com/article/S1036-7314(08)00201-4/fulltext
Conference/EventAsia Pacific Critical Care 2008 Congress
Event Details
Asia Pacific Critical Care 2008 Congress
Event Date
30 Oct 2008 to end of 02 Nov 2008
Event Location
Sydney, Australia
Abstract

Introduction: Effective suctioning is an essential aspect of airway management in the critically ill. The technique and equipment used for suctioning needs to ensure that suctioning induced hypoxemia, tracheal trauma and infection are minimized. It is imperative that nurses are aware of these risks and are able to practice according to current evidence-based recommendations.

Study objective: The objectives were: 1. To audit the current practice of nurses in the tracheal suctioning of artificial airway in the intensive care unit. 2. To develop and plan strategies for the dissemination and implementation of evidence-based tracheal suctioning.

Method: A quality assurance project was undertaken using a pre-and post-test approach to determine the change in tracheal suctioning practice following introduction of evidence-based tracheal suctioning guidelines. All nurses providing care to patients with artificial airways were invited to participate. Data on the evidence-based criteria for tracheal suctioning derived from the systematic review were collected by direct observation and questioning.

Results: The pre-test findings indicated that gaps exist between actual nursing practice and evidence-based recommendations for suctioning. Feedback was provided to the ICU staff on the pre-test results followed by discussion on the evidence-based tracheal suctioning guidelines and how this could be incorporated into practice. Preliminary post-test findings indicated overall improvement in compliance with the guidelines. Final results will be reported at the conference.

Conclusion:Careful planning for change in practice, the use of audit and feedback as well as follow-up in the clinical setting (educational outreach)have led to improvements in evidence-based practice tracheal suctioning in ICU.

Keywordsartificial airway, tracheal suctioning, intensive care unit, quality assurance project
ANZSRC Field of Research 2020420501. Acute care
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Byline AffiliationsMater Education Centre, Australia
Mater Group, Australia
Institution of OriginUniversity of Southern Queensland
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