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Lysane Paquette, Kelley Kilpatrick

    Recherche En Soins Infirmiers
    |January 24, 2021
    PubMed
    Summary
    This summary is machine-generated.

    Nurses

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    Area of Science:

    • Nursing
    • Critical Care
    • Respiratory Therapy

    Background:

    • Nurses play a crucial role in weaning patients from mechanical ventilation (WMV).
    • Nurses' autonomy and decision-making are vital for effective WMV.
    • Limited nurse involvement in decision-making exists in some care settings.

    Purpose of the Study:

    • To define and characterize autonomous decision-making in nursing during WMV.
    • To analyze the attributes, antecedents, and consequences of this concept.

    Main Methods:

    • Concept analysis using Rodgers' evolutionary method.
    • Identification of concept attributes, antecedents, and consequences.

    Main Results:

    • Ambiguity exists in the definition of autonomous decision-making for nurses during WMV.
    • Nurses utilize autonomous decision-making for task execution and algorithm-based choices.
    • Key factors supporting nurse autonomy include scope of practice, patient knowledge, and commitment to WMV success.

    Conclusions:

    • Autonomous decision-making in nursing during WMV requires clear definition and support.
    • Nurses' participation in interdependent decision-making incorporates the patient's perspective.
    • Evidence-based practice can expand avenues for autonomous nursing decisions in WMV.