SEDATION ASSESSMENT IN MECHANICAL VENTILATED PATIENTS: THE LEVEL OF KNOWLEDGE ASSESSMENT AMONG CRITICAL NURSES IN A PUBLIC TERTIARY CARE HOSPITAL LAHORE

G RAIZ; S BRUCE; Z AMIR; SS TASNEEM; R JABEEN

doi:10.54112/bcsrj.v2024i1.1250

Authors

G RAIZ Shaukat Khanum Memorial Cancer Hospital and Research Centre Lahore, Pakistan
S BRUCE Department of Surgery, Jinnah Burn & Reconstructive Surgery Centre Lahore, Pakistan
Z AMIR Department of nursing The superior university Lahore, Pakistan
SS TASNEEM Department of nursing The superior university Lahore, Pakistan
R JABEEN Department of nursing The superior university Lahore, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.1250

Keywords:

Critical Care Nurses, Knowledge, Public Tertiary Care Hospital, Sedation Management. Mechanical Ventilation.

Abstract

By appropriately evaluating and controlling sedation in patients on mechanical ventilation, nursing problems can be prevented. However, critical care nurses in public tertiary care hospitals with limited training and resources continue to lack certain expertise. Critical care nurses need to assess and manage sedation. Patients are at significant risk from both over and insufficient sedation. Critical care nurses must possess adequate expertise in sedation assessment and management. Objective: The study's objective is to evaluate critical care nurses' knowledge in sedation management for patients on mechanical ventilation at Pakistan's public tertiary care hospitals. Method: A cross-sectional study with a descriptive design was carried out at the public tertiary care hospital in Lahore. Convenience sampling techniques were used to recruit study participants from the critical care unit. Knowledge levels were divided into three categories: poor, fair and good. Data was collected through questionnaires, which were evaluated using descriptive statistical analysis. Results: The result showed that 36% had fair knowledge, just 16% of the nurses had a strong understanding of sedation management, and 48% of the nurses had low knowledge. Conclusion: The study highlighted a significant lack of sedation management knowledge among critical care nurses in public tertiary care hospitals. Addressing these gaps through targeted training and standardized sedation protocols is essential for improving patient safety in critical settings.

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References

Macpherson, D., Hutchinson, A., & Bloomer, M. J. (2024). Factors that influence critical care nurses’ management of sedation for ventilated patients in critical care: A qualitative study. Intensive and Critical Care Nursing, 83, 103685

Allawy, M. E. A., & Ibrahim, M. H. (2023). Critical Care Nurses' Knowledge and Practices regarding Intravenous Sedation for Mechanically Ventilated Patients: Suggested Nursing Guidelines. Egyptian Journal of Health Care, 14(3), 838. Ismailia, Egypt: Faculty of Nursing, Suez Canal University.

Alsomali, H. A., AlSomali, F. A., & Felemban, M. M. (2023). Critical care nurses’ perceived knowledge towards sedation among mechanically ventilated patients in the intensive care unit. Traditional Medicine Research. https://doi.org/10.53388/IN2023034

Varga, S., Ryan, T., Moore, T., & Seymour, J. (2022). What are the perceptions of intensive care staff about their sedation practices when caring for a mechanically ventilated patient? A systematic mixed-methods review. International Journal of Nursing Studies Advances. Advanced online publication. https://doi.org/10.1016/j.ijnsa.2021.100060.

Hwang, J. M., & Choi, S. J. (2022). Early Sedation Depth and Clinical Outcomes in Mechanically Ventilated Patients in a Hospital: Retrospective Cohort Study. Asian Nursing Research. Advanced online publication. https://doi.org/10.1016/j.anr.2022.12.002

Alemayehu, M., Azazh, A., Hussien, H., & Baru, A. (2022). Characteristics and Outcomes of Mechanically Ventilated Patients at Adult ICU of Selected Public Hospitals in Addis Ababa, Ethiopia. Open Access Emergency Medicine, 395-404. doi. DOI: 10.2147/OAEM.S369752

Hanidziar, D., & Westover, M. B. (2022). Monitoring of sedation in mechanically ventilated patients using remote technology. Current Opinion in Critical Care, 28(3), 360-366

Hwang, J. M., & Choi, S. J. (2022). Early sedation depth and clinical outcomes in mechanically ventilated patients in a hospital: Retrospective cohort study. Asian Nursing Research. https://doi.org/10.1016/j.anr.2022.12.002

Qi, Z., Yang, S., Qu, J., Li, M., Zheng, J., Huang, R., & Li, H. (2021). Effects of nurse-led sedation protocols on mechanically ventilated intensive care adults: A systematic review and meta-analysis. Australian Critical Care, 34(3), 278-286

Masih, S., Dhamani, K. A., & Khan, S. F. (2020). Critical Care Nurses’ Knowledge of Sedation and Its Management in Mechanically Ventilated Patients at a Tertiary Care Hospital in Pakistan. CONNECT: The World of Critical Care Nursing, 14(1), 7-Page.

Rocha, M. B., Poeira, A. F., Flamino, R., & Santos, N. (2020). Nursing interventions in the extubation process: A scoping review. International Physical Medicine & Rehabilitation Journal. DOI: 10.15406/ipmrj.2020.05.00268.

Rasheed, A. M., Amirah, M. F., Abdallah, M., P.J., Parameaswari, Issa, M., & Alharthy, A. (2019). Ramsay Sedation Scale and Richmond Agitation Sedation Scale: A Cross-sectional Study. Dimensions of Critical Care Nursing, 38(2), 90-95. https://doi.org/10.1097/DCC.0000000000000346.

Kayir, S., Ulusoy, H., & Dogan, G. (2018). The effect of daily sedation-weaning application on morbidity and mortality in intensive care unit patients. Cureus, 10(1).

Adhikari, N. K. J., Arali, R., Attanayake, U., Balasundaram, S., Beane, A., Chakravarthy, V., Channanath Ashraf, N., Darshana, S., Devaprasad, D., Dondorp, A. M., Fowler, R., Haniffa, R., Ishani, P., James, A., Jawad, I., Jayakumar, D., Kodipilly, C., Laxmappa, R., Mangal, K., Mani, A., Mathew, M., Patodia, S., Pattnaik, R., Priyadarshini, D., Pulicken, M., Rabindrarajan, E., Ramachandran, P., Ramesh, K., Rani, U., Ranjit, S., Ramaiyan, A., Ramakrishnan, N., Ranganathan, L., Rashan, T., Savio, R. D., Selva, J., Tirupakuzhi Vijayaraghavan, B. K., Tripathy, S., Tolppa, T., Udayanga, I., Venkataraman, R., & Vijayan, D. (2020). Implementing an intensive care registry in India: preliminary results of the case-mix program and an opportunity for quality improvement and research [version 2; peer review: 2 approved]. Wellcome Open Research. https://doi.org/10.12688/wellcomeopenres.16152.2

Hashmi, M., Taqi, A., Memon, M. I., Ali, S. M., Khaskheli, S., Sheharyar, M., Hayat, M., Shiekh, M., Kodippily, C., Gamage, D., Dondorp, A. M., Haniffa, R., & Beane, A. (2020). A national survey of critical care services in hospitals accredited for training in a lower-middle income country: Pakistan. Journal of Critical Care, 60, 273-278. https://doi.org/10.1016/j.jcrc.2020.08.017

Anwar Abdel ElAziz, M., Aly Mohammed, M., Mohamed Morsy, K., & AbdElaziem, M. (2020). Effect of Nursing Care Protocol daily Interruption of Sedation on Mechanical Ventilated Patients' Outcome. Egyptian Journal of Health Care, 11(4), 759-774. doi.10.21608/EJHC.2020.179449

Anderson, C. C., Johnson, J. L., deBoisblanc, B. P., & Jolley, S. E. (2020). Care erosion in sedation assessment: A prospective comparison of usual care RASS assessment with protocolized assessment for medical intensive care unit patients. Journal of Nursing Management.

Abdel ElAziz, M. A., Mohammed, M. A., Morsy, K. M., & Abd Elaziem, M. (2020). Effect of nursing care protocol daily interruption of sedation on mechanically ventilated patients' outcome. Egyptian Journal of Health Care, 11(4), 759.

Fathy, A. S. M., Khalil, N. S., Taha, N. M., & M Abd-elbaky, M. (2020). Nurse’s knowledge and practice regarding medication errors in critical care units: descriptive study. Minia Scientific Nursing Journal, 8(1), 111-120.

Aragón, R. E., Proaño, A., Mongilardi, N., de Ferrari, A., Herrera, P., Roldan, R., ... Checkley, W. (2019). Sedation practices and clinical outcomes in mechanically ventilated patients in a prospective multicenter cohort. Critical Care. https://doi.org/10.1186/s13054-019-2394-9

Mahmood, S. A., Mahmood, O. S., El-Menyar, A. A., Asim, M. M., Abdelbari, A. A. A., Chughtai, T. S., & Al-Thani, H. A. (2019). Self-extubation in patients with traumatic head injury: determinants, complications, and outcomes. Anesthesia Essays and Researches, 13(3), 589-595.

Abeer Mohammed Abdalhamid Farag, A. A., Eweda, S. M., & Elsayed, N. F. (2017). Nurses knowledge and practice in dealing with high alert medications. Alexandria Scientific Nursing Journal, 19(2), 1-24.