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A Structured Approach to Extubation in Mechanically Ventilated Rats
Published on: July 18, 2025
Issues in weaning from mechanical ventilation: literature review
1Division of Nursing, RMIT University, Melbourne, Victoria, Australia. louise.rose@rmit.edu.au
Journal of Advanced Nursing
|March 24, 2006
Summary
Skill mix and organizational structure may impact weaning patients from mechanical ventilation. Further research is needed to clarify the critical care nurses
Area of Science:
- Critical Care Medicine
- Nursing Science
Background:
- Mechanical ventilation is a life-saving intervention with potential complications.
- Minimizing mechanical ventilation duration is crucial due to associated risks and costs.
- Research focuses on improving patient outcomes by optimizing weaning processes.
Purpose of the Study:
- To explore the influence of skill mix and organizational structure on weaning patients from mechanical ventilation.
- To question the effectiveness of current weaning practices and protocols.
Main Methods:
- A literature review was conducted from 1986 to 2004.
- Databases searched included Medline, Proquest, Science Direct, CINAHL, and Blackwell Science.
- Keywords focused on mechanical ventilation, weaning, protocols, critical care, nursing role, decision-making, and readiness assessment.
Main Results:
- Controversy exists regarding optimal weaning readiness indicators, methods, and protocol use.
- Weaning protocols may be less effective in collaborative environments with autonomous nursing decision-making and highly qualified nursing staff.
Conclusions:
- Further research is essential to quantify the critical care nurses' role in weaning.
- Contextual factors influencing nursing roles and the weaning process require further investigation.
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