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Related Experiment Videos

Dangling practices of 51 nurses: a pilot project

L D Lane1, E H Winslow, R J Woods

  • 1University of Texas Southwest Medical Center, Dallas, Tex, USA.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|May 1, 1997
PubMed
Summary

Nurses use various strategies to help patients tolerate dangling, a common nursing intervention. Further research is needed to standardize and improve these patient care practices.

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Area of Science:

  • Nursing
  • Patient Care
  • Critical Care

Background:

  • Dangling is a routine nursing intervention to assess patient tolerance to positional changes.
  • Limited research exists on current dangling practices and nurse methodologies.

Purpose of the Study:

  • To describe the dangling practices of critical care and acute care nurses.
  • To identify strategies used by nurses to promote patient tolerance during dangling.

Main Methods:

  • A structured interview tool was used.
  • 51 experienced critical care and acute care nurses from seven states were interviewed.

Main Results:

  • Dangling is often not routinely ordered and may not require a physician's order.

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  • Nurses employ pre-intervention strategies (e.g., pain management) and intra-intervention techniques (e.g., deep breathing) for patient tolerance.
  • Intolerance indicators include vital sign changes and patient distress; duration varies based on patient response.

    • Conclusions:

    • Nurses have developed diverse approaches for dangling acutely ill patients.
    • These practices require further description and empirical testing to enhance nursing interventions and patient outcomes.