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Person-centred care during prolonged weaning from mechanical ventilation, nurses' views: an interview study
Carl-Johan Cederwall1, Sepideh Olausson2, Louise Rose3
1Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Box 457, 405 30, Gothenburg, Sweden; Sahlgrenska University Hospital, Central intensive care unit, CIVA, Gröna stråket 2, 413 45, Gothenburg, Sweden.
Intensive & Critical Care Nursing
|March 24, 2018
Summary
This study found person-centred care elements present during prolonged mechanical ventilation weaning. Barriers included poor team collaboration and limited resources, highlighting the need for patient involvement in decision-making.
Area of Science:
- Critical Care Nursing
- Patient-Centred Care
- Mechanical Ventilation Weaning
Background:
- Prolonged mechanical ventilation weaning presents challenges to patient-centred care.
- Understanding the presence of person-centred care elements and associated barriers is crucial for improving patient outcomes.
Purpose of the Study:
- To determine the presence of person-centred care elements (initiating, working, safeguarding the partnership) during prolonged mechanical ventilation weaning.
- To identify barriers to implementing person-centred care in this context.
Main Methods:
- Secondary analysis of semi-structured interviews with 19 critical care nurses.
- Theoretical thematic analysis was employed.
- Study conducted in three Swedish intensive care units.
Main Results:
- Evidence of all three person-centred care elements was found.
- Themes identified: 'finding a person behind the patient,' 'striving to restore patient's sense of control,' and 'impact of patient involvement.'
- A significant theme of 'barriers to person-centred care' was also identified.
Conclusions:
- Person-centred care routines were evident, but barriers such as lack of team collaboration and resources were present.
- Facilitating patient participation in decision-making during weaning may optimize outcomes.
- Further research is warranted to explore strategies for enhancing person-centred care during weaning.