Ineffective Airway Clearance in Surgical Patients: Evaluation of Nursing Interventions and Outcomes

Silva, Lorrany Fontenele Moraes da; Pascoal, Lí­via Maia; Nunes, Simony Fabíola Lopes; Freire, Vanessa Emille Carvalho de Sousa; Almeida, Alana Gomes de Araújo; Gontijo, Paula Vitória Costa; Neto, Marcelino Santos

doi:10.1111/2047-3095.12242

Cited by 9 publications

(3 citation statements)

References 7 publications

(5 reference statements)

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“…Studies investigating the use of SNTs (NANDA‐I, NNN, NANDA‐I/NIC, and OS transitional care programs) in different populations, reported a statistically significant enhancement in several physiological or clinical outcomes such as glycemic control (Cardenas‐Valladolid et al, 2012; Pérez Rivas et al, 2016; Wei et al, 2019; Zhang et al, 2017), blood pressure control (Cardenas‐Valladolid et al, 2012;Pérez Rivas et al, 2016; Zhang et al, 2017), lipid levels (Pérez Rivas et al, 2016; Zhang et al, 2017), weight control (Zhang et al, 2017), sleep quality (Laguna‐Parras et al, 2013; Liu et al, 2021), and post‐postoperative complications (da Silva et al, 2019; Liu et al, 2021). However, some authors have not confirmed a significant improvement in patients for lipid levels (Cardenas‐Valladolid et al, 2012; Zhao et al, 2020), sleep quality (Mello et al, 2016), and weight control (Cardenas‐Valladolid et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

Impact of standardized nursing terminologies on patient and organizational outcomes: A systematic review and meta‐analysis

Bertocchi

Dante

Cerra

et al. 2023

J of Nursing Scholarship

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AimsTo explore the impact of 12 American Nurses Association recognized standardized nursing terminologies (SNTs) on patient and organizational outcomes.BackgroundPrevious studies reported an effect of SNTs on outcomes, but no previous frameworks nor meta‐analyses were found.DesignSystematic review and meta‐analyses.Review MethodsPubMed, Scopus, CINAHL, and OpenGrey databases were last consulted in July 2021. All abstracts and full texts were screened independently by two researchers. The review included primary quantitative studies that reported an association between recognized SNTs and outcomes. Two reviewers independently assessed the risk of bias and certainty of evidence for each meta‐analyzed outcome using the “Grading of Recommendations, Assessment, Development and Evaluation” (GRADE) approach.ResultsFifty‐three reports were included. NANDA‐NIC‐NOC and Omaha System were the most frequently reported SNTs used in the studies. Risk of bias in randomized controlled trials and not‐randomized controlled trials ranged from high to unclear, this risk was low in cross‐sectional studies. The number of nursing diagnoses NANDA‐I moderately correlated with the intensive care unit length of stay (r = 0.38; 95% CI = 0.31–0.44). Using the Omaha System nurse‐led transitional care program showed a large increase in both knowledge (d = 1.21; 95% CI = 0.97–1.44) and self‐efficacy (d = 1.23; 95% CI = 0.97–1.48), while a reduction on the readmission rate (OR = 0.46; 95% CI = 0.09–0.83). Nursing diagnoses were found to be useful predictors for organizational (length of stay) and patients' outcomes (mortality, quality of life). The GRADE indicated that the certainty of evidence was rated from very low to low.ConclusionsStudies using SNTs demonstrated significant improvement and prediction power in several patients' and organizational outcomes. Further high‐quality research is required to increase the certainty of evidence of these relationships.Clinical relevanceSNTs should be considered by healthcare policymakers to improve nursing care and as essential reporting data about patient's nursing complexity to guide reimbursement criteria.

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Section: Resultsmentioning

confidence: 99%

Impact of standardized nursing terminologies on patient and organizational outcomes: A systematic review and meta‐analysis

Bertocchi

Dante

Cerra

et al. 2023

J of Nursing Scholarship

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“…et al also studied post-cardiac surgery patients; and claimed 29.6% sample positive for IAC. 2 Moreover, another study 19 was conducted by de Silva et al showed that IAC was present in 49.5% of the sample who underwent abdominal surgeries and thoracic operations. A study conducted by Rocha et al found a 63.6% prevalence of IAC in patients after CABG in the postoperative.…”

Section: Discussionmentioning

confidence: 98%

Frequency of the clinical indicators of ‘ineffective airway clearance’ among patients after coronary artery bypass grafting at tertiary care hospitals Karachi, Pakistan.

Razzaq

Rasheed

Ahmed³

et al. 2023

TPMJ

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Objective: To determine the frequency of the clinical indicators of ineffective airway clearance among patients after Coronary Artery Bypass Grafting at tertiary care hospitals in Karachi, Pakistan. Study Design: Cross-sectional study. Setting: Dow University Hospital (DUH), Ojha Campus, and Tabba Heart Institute (THI) Karachi. Period: December 2019 to July 2020. Material & Methods: A total of 113 patients were enrolled after CABG surgery through purposive sampling nine clinical indicators were assessed in post-CABG patients for the presence of Ineffective Airway Clearance (IAC). A data collection tool with demographic variables and nine clinical indicators (defining characteristics) of IAC was used. The association of clinical indicators with IAC was determined through the Fisher Exact Test. Results: The mean age of study patients was 57.50± 9.107 years. IAC was found in 105 (92.9%) patients in post-CABG surgery patients within 24 hours of intubating of the ventilator. The most frequent clinical indicator was adventitious breath sounds (ABS) which has shown up in 90 (79.6%) patients of the study population. The majority of the indicators were found to be statistically significantly associated with IAC. Conclusion: This study concludes high incidence of IAC 92.2% among the study population of post CABG patients. The most frequent clinical indicator were ABS, excessive sputum, and ineffective cough.

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“…Bersihan jalan napas tidak efektif adalah 1) Manajemen jalan napas: fasilitasi patensi saluran udara; 2) Pemantauan pernapasan: pengumpulan dan analisis data pasien untuk memastikan patensi jalan napas dan gas yang cukup bertukar; dan Peningkatan batuk: peningkatan napas dalam oleh pasien dengan tekanan intratoraks lebih tinggi (Carpenito-Moyet, 2010;Da-Silva et al, 2019;Doenges et al, 2010b;Moorhead et al, 2013). Hasil penelitian menunjukkan bahwa implementasi yang dilakukan oleh perawat pada diagnosis Bersihan jalan napas tidak efektif adalah memberi oksigen, menganjurkan buang dahak di pot, memberikan posisi semi fowler, menganjurkan minum hangat, memotivasi memakai masker, mengajarkan etika batuk, memotivasi menggunakan oksigen, memotivasi menutup mulut saat batuk, dan menganjurkan batuk efektif.…”

Section: Intervensi Keperawatan Pada Diagnosisunclassified

Implementasi Keperawatan Tuberkulosis Paru dengan Bersihan Jalan Napas Tidak Efektif dan Nutrisi Tidak Seimbang: Kurang dari Kebutuhan Tubuh

Rofii

2021

Holistic Nursing and Health Science

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Introduction: Several nursing implementations do not match with nursing intervention classification. This situation requires further study to prove it. This study aims to describe nursing implementations on tuberculosis patients with airway clearance ineffective and imbalance nutrition: less than body requirement. Methods: This study was a quantitative observational descriptive study. Data were collected by observing nursing implementation documentations during two months. The research variable was nursing implementation in pulmonary tuberculosis patients. The sampling technique was purposive sampling.Results: Most of the implementation carried out by nurses in the diagnosis of ineffective airway clearance was providing oxygen (58.1%) and the second order was recommending sputum in the pot (10,5%). Most nursing implementation in diagnosis imbalance nutrition: less than body required was to educate the diet (85.7%), and the smallest is to recommend eating that is not spicy (1.2%). Conclusion: The most implementation that nurses do to overcome the diagnosis of ineffective airway clearance was giving oxygen to the patient. While the most implementation that nurses do in diagnosis imbalance nutrition: less than body required was educate the patient's diet. Interventions carried out by nurses are activities of the intervention, not nursing interventions. Further studies are required to improve nurses’ skills to implement according to standards.

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Ineffective Airway Clearance in Surgical Patients: Evaluation of Nursing Interventions and Outcomes

Cited by 9 publications

References 7 publications

Impact of standardized nursing terminologies on patient and organizational outcomes: A systematic review and meta‐analysis

Impact of standardized nursing terminologies on patient and organizational outcomes: A systematic review and meta‐analysis

Frequency of the clinical indicators of ‘ineffective airway clearance’ among patients after coronary artery bypass grafting at tertiary care hospitals Karachi, Pakistan.

Implementasi Keperawatan Tuberkulosis Paru dengan Bersihan Jalan Napas Tidak Efektif dan Nutrisi Tidak Seimbang: Kurang dari Kebutuhan Tubuh

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