Caregiver suctioning education for Japanese patients with an invasive home ventilator

Abstract

In Japan, more people require care activities at home. In particular, patients with an invasive mechanical ventilator in the home require extensive care by family caregivers. Collaboration between their nurses and paid caregivers in the provision of care activities, especially tracheal suctioning, is necessary. This three-round Delphi study identifies the essential items required by nurses to instruct the paid caregivers in how to carry out tracheal suctioning on patients with an invasive mechanical ventilator in the home. By the final round, three competencies were found to be important by the home-visit nurses and paid caregivers: the anticipation of risk, the manner of handling an emergency situation, and the observation of a patient's breathing. The Delphi technique was used to obtain consensus between the home-visit nurses and the paid caregivers regarding the essential knowledge, skills, and attitudes required to carry out tracheal suctioning for patients with an invasive mechanical ventilator in the home.

Invasive Clinical Intervention Education for Social Care Support Workers of Adults: A Review of the Current Literature

“…The search strategy allowed retrieving articles between 1999 and 2013; three of the five articles were published within the last four years (Donley, Chan, & Webber, ; Imaiso & Yamauchi, ; Tredinnick & Cocks, ). One article was published in early 2000's (Chadwick, Jolliffe, & Goldbart, ) and one late 1990's (Sterrick & Foley, ).…”

“…All of the studies provided a comprehensive up‐to‐date literature review, the methodology was identified, and the rationale for undertaking the research clearly outlined. However, ethical considerations were only mentioned in two of the five articles (Imaiso & Yamauchi, ; Tredinnick & Cocks, ). None of the papers were excluded due to poor quality.…”

“…The range of interventions was different within the studies: two focused on the management of dysphagia (Chadwick et al, ; Tredinnick & Cocks, ), one on tracheal suctioning of mechanically ventilated adults (Imaiso & Yamauchi, ), one on the use of psychotropic medication for the purpose of restraint (Donley et al, ) and the final study included focused on the use of rectal diazepam during seizures (Sterrick & Foley, ). Four of the studies focused on adults with ID requiring interventions; however the study by Imaiso and Yamauchi () concentrated on people with amyotrophic lateral sclerosis (ALS), known MND.…”

“…The studies by Imaiso and Yamauchi () on tracheal suctioning, and Donley et al () on psychotropic medication did not include a theory component, but focused on assessing the knowledge levels of SCSWs regarding the particular ICI. In the case of the study by Imaiso and Yamauchi (), training had been delivered to caregivers (but no detail is given regarding this training) and the article focuses on identifying the essential items required by nurses to instruct paid caregivers in how to undertake tracheal suctioning on clients with an invasive mechanical ventilation at home. The views of nurses and caregivers with regards to the importance of difference competencies when undertaking tracheal suctioning were assessed using the Delphi technique.…”

Survey on Self Care, Respiratory Difficulty, Sleep Impediment, Anxiety and Depression among Patients with Neuromuscular Disease dependent on Home Mechanical Ventilator

“…HMV 적용 환자의 실태 [4], 관련장비의 효용성 [8], 건강상태에 대한 영향요인과 다학제 접근의 효과 [10][11][12][13][14], HMV 적용 환자 에 관한 체계적 고찰과 가이드라인 제시 [15][16][17] 등 다양한 형태 로 많은 연구들이 보고되고 있다. 그러나 국내에서는 HMV 적 용 환자와 관련한 실태조사 [6,18], 삶의 질과 재입원의 영향요 인 [7,19] Table 1).…”