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Updated: Jul 24, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
He survived thanks to a non-sedation protocol: Nurses' reflections about caring for critically ill, non-sedated and
Ranveig Lind1, Hilde-Irén Liland2, Berit S Brinchmann3
1Department of Health and Care Sciences, UiT The Arctic University of Norway, Campus Harstad, Pb. 1063, 9480 Harstad, Norway; Intensive Care Unit, University Hospital of North Norway, 9038 Tromsø, Norway.
Objective:
The objective was to explore ICU nurses' experiences of caring for non-sedated, critically ill mechanically ventilated patients, when following a study protocol as part of a clinical trial.
Design:
The study had a qualitative design with twelve nurses participating in two focus groups. The interviews were analysed using a thematic approach.
Findings:
One overall theme emerged, "Cautious optimism", which suggests positive experiences but with a negative undertone. The most remarkable experiences were related to caring for the patient, but there were some disappointments with regard to the interprofessional teamwork. Three subthemes were identified: 1) Excitement and uncertainty 2) Inspiring but demanding nurse-patient relationship, and 3) Teamwork or working against the tide?
Conclusion:
The main findings reflect the remarkable and positive aspects of caring for awake and involved mechanically ventilated ICU patients, but also how nurses found it demanding to follow a weakly implemented study protocol that sometimes resulted in deviations from their nursing ethical standards of care. A more strategic implementation plan for the study and improved interprofessional teamwork might have improved their experiences.
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