Nurses' attitudes and practices related to sedation

A national survey

Jill L. Guttormson, Linda Chlan, Mary Fran Tracy, Breanna D Hetland, Jay Mandrekar

Research output: Contribution to journalArticle

Abstract

Background Nurses are fundamental to the implementation of sedation protocols for patients receiving mechanical ventilation. A 2005 survey showed that nurses' attitudes toward sedation affected their sedation practices. Since then, updated guidelines on managing pain, agitation, and delirium have been published. Objective To explore nurses' self-reported attitudes and practices related to sedation and determine whether they have changed in the past decade. Methods Members of the American Association of Critical-Care Nurses were invited to complete the Nurse Sedation Practices Scale, which measures nurses' selfreported sedation practices and factors that affect them. Item and subscale responses were analyzed, and differences in item responses by respondent characteristics were determined. Results Respondents (N = 177) were mostly staff nurses (68%) with a bachelor's degree in nursing (63%). Nurses' attitudes toward the effectiveness of sedation in relieving patients' distress during mechanical ventilation correlated positively with their intention to administer sedatives (rs = 0.65). Sixty-six percent of nurses agreed that sedation was necessary for patients' comfort, and 34% agreed that limiting patients' recall was a desired outcome of sedation. Respondents with more experience or CCRN certification had a less positive evaluation of the effectiveness of sedation in minimizing distress. Conclusions Nurses' attitudes toward sedating patients receiving mechanical ventilation have shifted in the past decade, with fewer nurses now believing that all patients should be sedated. However, more than half of nurses still agree that sedation is needed for patients' comfort, highlighting the need to consider nurses' attitudes when seeking to optimize sedation practices during mechanical ventilation.

Original languageEnglish (US)
Pages (from-to)255-263
Number of pages9
JournalAmerican Journal of Critical Care
Volume28
Issue number4
DOIs
StatePublished - Jul 1 2019

Fingerprint

Nurses
Artificial Respiration
Surveys and Questionnaires
Delirium
Certification
Critical Care
Hypnotics and Sedatives
Nursing
Guidelines
Pain

ASJC Scopus subject areas

  • Critical Care

Cite this

Nurses' attitudes and practices related to sedation : A national survey. / Guttormson, Jill L.; Chlan, Linda; Tracy, Mary Fran; Hetland, Breanna D; Mandrekar, Jay.

In: American Journal of Critical Care, Vol. 28, No. 4, 01.07.2019, p. 255-263.

Research output: Contribution to journalArticle

Guttormson, Jill L. ; Chlan, Linda ; Tracy, Mary Fran ; Hetland, Breanna D ; Mandrekar, Jay. / Nurses' attitudes and practices related to sedation : A national survey. In: American Journal of Critical Care. 2019 ; Vol. 28, No. 4. pp. 255-263.
@article{49464f71a0344ef09dadde4e61a2a736,
title = "Nurses' attitudes and practices related to sedation: A national survey",
abstract = "Background Nurses are fundamental to the implementation of sedation protocols for patients receiving mechanical ventilation. A 2005 survey showed that nurses' attitudes toward sedation affected their sedation practices. Since then, updated guidelines on managing pain, agitation, and delirium have been published. Objective To explore nurses' self-reported attitudes and practices related to sedation and determine whether they have changed in the past decade. Methods Members of the American Association of Critical-Care Nurses were invited to complete the Nurse Sedation Practices Scale, which measures nurses' selfreported sedation practices and factors that affect them. Item and subscale responses were analyzed, and differences in item responses by respondent characteristics were determined. Results Respondents (N = 177) were mostly staff nurses (68{\%}) with a bachelor's degree in nursing (63{\%}). Nurses' attitudes toward the effectiveness of sedation in relieving patients' distress during mechanical ventilation correlated positively with their intention to administer sedatives (rs = 0.65). Sixty-six percent of nurses agreed that sedation was necessary for patients' comfort, and 34{\%} agreed that limiting patients' recall was a desired outcome of sedation. Respondents with more experience or CCRN certification had a less positive evaluation of the effectiveness of sedation in minimizing distress. Conclusions Nurses' attitudes toward sedating patients receiving mechanical ventilation have shifted in the past decade, with fewer nurses now believing that all patients should be sedated. However, more than half of nurses still agree that sedation is needed for patients' comfort, highlighting the need to consider nurses' attitudes when seeking to optimize sedation practices during mechanical ventilation.",
author = "Guttormson, {Jill L.} and Linda Chlan and Tracy, {Mary Fran} and Hetland, {Breanna D} and Jay Mandrekar",
year = "2019",
month = "7",
day = "1",
doi = "10.4037/ajcc2019526",
language = "English (US)",
volume = "28",
pages = "255--263",
journal = "American Journal of Critical Care",
issn = "1062-3264",
publisher = "American Association of Critical Care Nurses",
number = "4",

}

TY - JOUR

T1 - Nurses' attitudes and practices related to sedation

T2 - A national survey

AU - Guttormson, Jill L.

AU - Chlan, Linda

AU - Tracy, Mary Fran

AU - Hetland, Breanna D

AU - Mandrekar, Jay

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Background Nurses are fundamental to the implementation of sedation protocols for patients receiving mechanical ventilation. A 2005 survey showed that nurses' attitudes toward sedation affected their sedation practices. Since then, updated guidelines on managing pain, agitation, and delirium have been published. Objective To explore nurses' self-reported attitudes and practices related to sedation and determine whether they have changed in the past decade. Methods Members of the American Association of Critical-Care Nurses were invited to complete the Nurse Sedation Practices Scale, which measures nurses' selfreported sedation practices and factors that affect them. Item and subscale responses were analyzed, and differences in item responses by respondent characteristics were determined. Results Respondents (N = 177) were mostly staff nurses (68%) with a bachelor's degree in nursing (63%). Nurses' attitudes toward the effectiveness of sedation in relieving patients' distress during mechanical ventilation correlated positively with their intention to administer sedatives (rs = 0.65). Sixty-six percent of nurses agreed that sedation was necessary for patients' comfort, and 34% agreed that limiting patients' recall was a desired outcome of sedation. Respondents with more experience or CCRN certification had a less positive evaluation of the effectiveness of sedation in minimizing distress. Conclusions Nurses' attitudes toward sedating patients receiving mechanical ventilation have shifted in the past decade, with fewer nurses now believing that all patients should be sedated. However, more than half of nurses still agree that sedation is needed for patients' comfort, highlighting the need to consider nurses' attitudes when seeking to optimize sedation practices during mechanical ventilation.

AB - Background Nurses are fundamental to the implementation of sedation protocols for patients receiving mechanical ventilation. A 2005 survey showed that nurses' attitudes toward sedation affected their sedation practices. Since then, updated guidelines on managing pain, agitation, and delirium have been published. Objective To explore nurses' self-reported attitudes and practices related to sedation and determine whether they have changed in the past decade. Methods Members of the American Association of Critical-Care Nurses were invited to complete the Nurse Sedation Practices Scale, which measures nurses' selfreported sedation practices and factors that affect them. Item and subscale responses were analyzed, and differences in item responses by respondent characteristics were determined. Results Respondents (N = 177) were mostly staff nurses (68%) with a bachelor's degree in nursing (63%). Nurses' attitudes toward the effectiveness of sedation in relieving patients' distress during mechanical ventilation correlated positively with their intention to administer sedatives (rs = 0.65). Sixty-six percent of nurses agreed that sedation was necessary for patients' comfort, and 34% agreed that limiting patients' recall was a desired outcome of sedation. Respondents with more experience or CCRN certification had a less positive evaluation of the effectiveness of sedation in minimizing distress. Conclusions Nurses' attitudes toward sedating patients receiving mechanical ventilation have shifted in the past decade, with fewer nurses now believing that all patients should be sedated. However, more than half of nurses still agree that sedation is needed for patients' comfort, highlighting the need to consider nurses' attitudes when seeking to optimize sedation practices during mechanical ventilation.

UR - http://www.scopus.com/inward/record.url?scp=85068534058&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85068534058&partnerID=8YFLogxK

U2 - 10.4037/ajcc2019526

DO - 10.4037/ajcc2019526

M3 - Article

VL - 28

SP - 255

EP - 263

JO - American Journal of Critical Care

JF - American Journal of Critical Care

SN - 1062-3264

IS - 4

ER -