Achieving Quality Health Outcomes Through the Implementation of a Spontaneous Awakening and Spontaneous Breathing Trial Protocol

Jones, Kimmith; Newhouse, Robin; Johnson, Karen; Seidl, Kristin L.

doi:10.1097/nci.0000000000000011

Cited by 8 publications

(19 citation statements)

References 19 publications

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“…The evidence around DSI yields favourable patient‐related outcomes when compared to continuous infusions of sedation. Reduced mechanical ventilation days, shorter length of stay and increased survival are shown in several studies, both randomized and non‐randomized (Kress et al , ; Yiliaz et al , ; Jones et al , ; Khan et al , ). However, the use of sedation protocols and algorithms that target continuous light levels of sedation also show improved patient outcomes (de Wit et al , ; Mehta et al , ; Burry, ; Minhas et al , ).…”

Section: Methodsmentioning

confidence: 96%

Improving the quality of nurse‐influenced patient care in the intensive care unit

Sutton-Smith

Jarden

2016

Nursing in Critical Care

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The use of a nursing QI framework incorporating audit and feedback is one method of evaluating and enhancing the quality of care and improving patient outcomes. This initiative demonstrated the improved quality of nursing care for ICU patients, particularly in relation to early enteral nutrition commencement, timely antibiotics, DSIs and daily mobilizing. It is thus highly relevant to critical care nursing teams, particularly those working to create a culture where change is safe, achievable and valued.

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Section: Methodsmentioning

confidence: 96%

Improving the quality of nurse‐influenced patient care in the intensive care unit

Sutton-Smith

Jarden

2016

Nursing in Critical Care

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“…Perante a análise dos estudos constata-se que o desmame ventilatório do doente crítico, submetido a VMI, compreende várias estratégias que podem ser organizadas em etapas consecutivas, sendo que a progressão para a etapa seguinte depende da verificação da anterior, nomeadamente: interrupção da sedação e avaliação diária do doente face aos critérios preditores do sucesso do desmame; realização de TRE e avaliação dos critérios de sucesso/insucesso do TRE; extubação (12)(13)(14)(15)(16)(17) .…”

Section: Discussionunclassified

<br/> ESTRATÉGIAS PARA O DESMAME DA VENTILAÇÃO MECÂNICA INVASIVA: REVISÃO INTEGRATIVA <br/>

Martins

Santiago

2022

riase

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“…Many respondents in the present study stated that delirium has a negative impact and that the ABCDE bundle could contribute to better outcomes for their ICU patients. According to previous published literature (Jones et al, 2014; Kher et al, 2013; Miller et al, 2013, 2015), even with good knowledge and effective awareness of the bundle, staff perceive that application of the bundle protocol is scarce. This result is in line with those reported by Balas et al (2013), in which only a few participants thought that the bundle was regularly applied.…”

Section: Discussionmentioning

confidence: 99%

The ABCDE bundle implementation in an intensive care unit: Facilitators and barriers perceived by nurses and doctors

Negro

Bambi

Vecchi

et al. 2021

Int J of Nursing Practice

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Aim: To describe the facilitators and barriers perceived by healthcare teams after the implementation of the Awakening, Breathing, Coordination, Delirium monitoring/ management and Early mobility bundle in an intensive care unit in Italy. This multicomponent intervention strategy has been associated with lower probabilities of delirium, improved functional outcomes and shorter duration of mechanical ventilation. Methods: A survey study conducted between June 2015 and May 2016 explored variables related to intensive care unit team members: perceptions of delirium; knowledge of the Awakening, Breathing, Coordination, Delirium monitoring/management and Early mobility bundle; teamwork perception and resource availability. Results: Most of the participants affirmed having reasonable knowledge of delirium, outcomes of delirious episodes, Awakening, Breathing, Coordination, Delirium monitoring/management and Early mobility bundle components and their effectiveness.Low coordination between healthcare professionals was identified as a barrier. Overall, the time elapsing from the beginning of implementation of the bundle determined an increase in levels of awareness and confidence in the application of the bundle protocol and the Confusion Assessment Method Intensive Care Unit scale. Conclusion:Issues with the Awakening, Breathing, Coordination, Delirium monitoring/management and Early mobility bundle relating to coordination, management and interdisciplinary ward rounds are critical and should be remedied and monitored.

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Achieving Quality Health Outcomes Through the Implementation of a Spontaneous Awakening and Spontaneous Breathing Trial Protocol

Abstract: The duration of treatment with MV and the VUR were reduced in patients who received the SAT/SBT protocol. The incidence of self-extubation was not different when an SAT was implemented. The ICU LOS was not reduced in patients who received SATs and SBTs.

Cited by 8 publications

References 19 publications

Improving the quality of nurse‐influenced patient care in the intensive care unit

Improving the quality of nurse‐influenced patient care in the intensive care unit

<br/> ESTRATÉGIAS PARA O DESMAME DA VENTILAÇÃO MECÂNICA INVASIVA: REVISÃO INTEGRATIVA <br/>

The ABCDE bundle implementation in an intensive care unit: Facilitators and barriers perceived by nurses and doctors

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