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Published on: March 24, 2014
Survey of nursing practices with closed-system suctioning
1West Virginia University School of Nursing, Morgantown, USA.
Summary
Closed-system suctioning is widely used by critical care nurses, but practices vary. Hyperoxygenation is more common than hyperinflation, and nurses show knowledge gaps in these procedures.
Area of Science:
- Nursing Practice
- Respiratory Care
- Critical Care Medicine
Background:
- Limited research exists on closed-system suctioning practices.
- Current patterns of closed-system suctioning use and nurse practices are not well-documented.
Purpose of the Study:
- To determine the frequency of closed-system versus open-system suctioning use by critical care nurses.
- To describe current endotracheal suctioning practices, including hyperoxygenation and hyperinflation, among nurses using closed-system suctioning.
Main Methods:
- A survey questionnaire was developed and mailed to 241 critical care nurses.
- The sample was stratified and proportional, drawn from members of the American Association of Critical-Care Nurses.
- The response rate for the 19-item survey was 50%.
Main Results:
- Closed-system suctioning is prevalent in critical care settings.
- Nursing practices for closed-system suctioning demonstrate variability.
- Hyperoxygenation is used more frequently than hyperinflation, and nurses exhibit knowledge deficits regarding both procedures.
Conclusions:
- Further research is needed on closed-system suctioning.
- Investigating the practices of hyperoxygenation and hyperinflation is crucial.
- The effect of these interventions on preventing suctioning-induced hypoxemia requires further study.
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