Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Protocolized weaning from mechanical ventilation: ICU physicians' views.

Bronagh Blackwood¹, Jenifer Wilson-Barnett, John Trinder

¹School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK. b.blackwood@qub.ac.uk

Journal of Advanced Nursing

|September 7, 2004

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Alpha2 agonists for sedation to produce better outcomes for adults with critical illness: a synopsis of the A2B RCT with cost-effectiveness and process evaluation.

Health technology assessment (Winchester, England)·2026

Same author

Defining delayed graft function in kidney transplantation: A scoping review of outcome reporting practices.

Transplantation reviews (Orlando, Fla.)·2026

Same author

Definitions and outcomes reported in studies investigating the management of new onset atrial fibrillation in acutely unwell patients admitted to the intensive care unit: a scoping review.

European heart journal open·2026

Same author

Carbocisteine or Hypertonic Saline for Acute Respiratory Failure.

The New England journal of medicine·2026

Same author

The Effects of Conservative Fluid Management and Active Deresuscitation on Markers of Tissue Perfusion, Kidney Injury, and Vascular Injury in Critically Ill Adults: A Secondary Analysis of the Role of Active Deresuscitation After Resuscitation-2 (RADAR-2) Trial.

Critical care explorations·2026

Same author

Development and Psychometric Testing of the Optimizing Context in Assessing Sedation in ICU (OCEAN-ICU) Instrument to Optimize Sedation Use in Intensive Care.

Critical care explorations·2026

Same journal

A Mixed Methods Study Exploring Nurse-Patient Interactions in Acute Hospital Settings When Electronic Health Record Systems Are Used.

Journal of advanced nursing·2026

Same journal

Zombie Leadership in Nursing: A Critical Discursive Paper.

Journal of advanced nursing·2026

Same journal

Clinical Supervision and Burnout Among Nurses: A Scoping Review.

Journal of advanced nursing·2026

Same journal

Exploring the Effectiveness of Practice Development Interventions on Patient and Staff Outcomes: A Systematic Review.

Journal of advanced nursing·2026

Same journal

A Study of the Correlation Between Vulnerability to Psychological Crisis and Self-Disclosure in Elderly Patients With Multimorbidity: A Mixed-Methods Study.

Journal of advanced nursing·2026

Same journal

Elderspeak in Healthcare Settings: How Care, Control and Personhood Intersect in Care Communication-A Qualitative Meta-Synthesis.

Journal of advanced nursing·2026

See all related articles

Implementing protocols for mechanical ventilation weaning in the UK faces challenges. Physician views highlight the complexity of decision-making information, suggesting difficulties in protocol adoption despite theoretical support.

Area of Science:

Critical Care Medicine
Respiratory Therapy
Health Services Research

Background:

Protocolized weaning from mechanical ventilation is underutilized in the UK.
Existing evidence may not be perceived as applicable to diverse clinical settings.
Intensive care unit (ICU) consultant physicians are key stakeholders in weaning decisions.

Purpose of the Study:

To explore ICU physicians' perspectives on mechanical ventilation weaning.
To assess physicians' views on the utility and implementation of weaning protocols.
To identify facilitators and barriers to developing and adopting weaning protocols in clinical practice.

Main Methods:

Qualitative study employing semi-structured interviews.
Purposive sampling of 10 consultant physicians from two ICUs in Northern Ireland.

Related Experiment Videos

Content analysis of interview transcripts to identify key themes.

Main Results:

Physicians identified three types of information crucial for weaning decisions: empirical objective, empirical subjective, and abstract.
Incorporating all necessary information into a protocol was considered challenging.
Opinions were divided on protocol utility with limited nursing experience; certain patient groups were deemed more suitable for protocolized weaning.

Conclusions:

While physicians theoretically support protocolized weaning, practical implementation is likely difficult due to the complexity of decision-making information.
Physician perspectives in this UK study differ from some US findings regarding caution potentially prolonging weaning.
Addressing the breadth of information and physician concerns is crucial for successful protocol introduction.