“Sedation is tricky”

A qualitative content analysis of nurses’ perceptions of sedation administration in mechanically ventilated intensive care unit patients

Breanna D Hetland, Jill Guttormson, Mary Fran Tracy, Linda Chlan

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: Critical care nurses are responsible for administering sedative medications to mechanically ventilated patients. With significant advancements in the understanding of the impact of sedative exposure on physiological and psychological outcomes of ventilated patients, updated practice guidelines for assessment and management of pain, agitation, and delirium in the intensive care unit were released in 2013. The primary aim of this qualitative study was to identify and describe themes derived from critical care nurses’ comments regarding sedation administration practices with mechanically ventilated patients. Methods: This is a qualitative content analysis of secondary text data captured through a national electronic survey of members of the American Association of Critical-Care Nurses. A subsample (n = 67) of nurses responded to a single, open-ended item at the end of a survey that evaluated nurses’ perceptions of current sedation administration practices. Findings: Multiple factors guided sedation administration practices, including individual patient needs, nurses’ synthesis of clinical evidence, application of best practices, and various personal and professional practice perspectives. Our results also indicated nurses desire additional resources to improve their sedation administration practices including more training, better communication tools, and adequate staffing. Conclusions: Critical care nurses endorse recommendations to minimise sedation administration when possible, but a variety of factors, including personal perspectives, impact sedation administration in the intensive care unit and need to be considered. Critical care nurses continue to encounter numerous challenges when assessing and managing sedation of mechanically ventilated patients.

Original languageEnglish (US)
Pages (from-to)153-158
Number of pages6
JournalAustralian Critical Care
Volume31
Issue number3
DOIs
StatePublished - May 1 2018

Fingerprint

Intensive Care Units
Nurses
Critical Care
Hypnotics and Sedatives
Practice Guidelines
Professional Practice
Delirium
Practice Management
Pain Measurement
Communication
Psychology

Keywords

  • Artificial
  • Critical care
  • Critical care nursing
  • Practice guideline
  • Respiration
  • Sedatives

ASJC Scopus subject areas

  • Emergency
  • Critical Care

Cite this

“Sedation is tricky” : A qualitative content analysis of nurses’ perceptions of sedation administration in mechanically ventilated intensive care unit patients. / Hetland, Breanna D; Guttormson, Jill; Tracy, Mary Fran; Chlan, Linda.

In: Australian Critical Care, Vol. 31, No. 3, 01.05.2018, p. 153-158.

Research output: Contribution to journalArticle

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