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A systematic review of nurse‐led weaning protocol for mechanically ventilated adult patients

2019Journal article Restricted access
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dc.contributor.authorHirzallah, Fatima Mohammad
dc.contributor.authorAlkaissi, Aidah
dc.contributor.authorBarbieri-Figueiredo, MC
dc.date.accessioned2020-06-01T17:47:04Z
dc.date.available2020-06-01T17:47:04Z
dc.date.issued2019
dc.description.abstractObjectives: The aim of this systematic review is to synthesize the current best evidence for the effectiveness of weaning protocols led by nurses compared with usual physician-led care. Background: Protocol-directed weaning has been shown to reduce the duration of mechanical ventilation. Studies have reported that a weaning protocol administered by nurses leads to a reduction in the duration of mechanical ventilation and has a major effect on weaning outcomes. This can have especially positive consequences for critically ill patients. Study design: Systematic review with meta-analysis. Search strategy: The databases CINAHL, PubMed, Scopus, and the Cochrane Central Register of Controlled Trials were searched from as far back as the database allowed until January 2016. Inclusion and exclusion criteria: Searches were performed to identify the best available evidence including quantitative studies of nurse-led weaning protocols formechanically ventilated adult patients. We excluded all studies of weaning protocols implemented by non-nurses and non-invasive mechanical ventilation and studies that addressed patient populations younger than 18 years of age. Results: The database searches resulted in retrieving 369 articles. Three eligible studies with a total of 532 patients were included in the final review. Pooled data showed a statistically significant difference in favour of the nurse-led weaning protocol for reducing the duration of mechanical ventilation (mean differences=−1.69 days, 95% confidence interval =−3.23 to 0.16), intensive care unit length of stay (mean differences=−2.04 days, 95% confidence interval=−2.57 to −1.52, I2 =18%, and p=0.00001); and hospital length of stay (mean differences=−2.9 days, 95% confidence interval=−4.24 to −1.56, I2 =0%, and p=0.00001). Conclusion: There is evidence that the use of nurse-led weaning protocols for mechanically ventilated adult patients has a positive impact on weaning outcomes and patient safety. Relevance to clinical practice: This review provides evidence supporting intensive care unit nurses’ crucial role and abilities to lead weaning from mechanical ventilation.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citation(2019) Nursing in Critical Care, 24 (2), pp. 89-96.pt_PT
dc.identifier.doi10.1111/nicc.12404pt_PT
dc.identifier.eissn1478-5153
dc.identifier.urihttp://hdl.handle.net/10400.26/32465
dc.language.isoengpt_PT
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/abs/10.1111/nicc.12404pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectAdultpt_PT
dc.subjectClinical Protocolspt_PT
dc.subjectCritical Care Nursingpt_PT
dc.subjectHumanspt_PT
dc.subjectIntensive Care Unitspt_PT
dc.subjectLength of Staypt_PT
dc.subjectTime Factorspt_PT
dc.subjectVentilator Weaningpt_PT
dc.subjectCritical Illnesspt_PT
dc.subjectRespiration, Artificialpt_PT
dc.titleA systematic review of nurse‐led weaning protocol for mechanically ventilated adult patientspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage96pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage89pt_PT
oaire.citation.titleNursing in Critical Carept_PT
oaire.citation.volume24pt_PT
person.familyNameBarbieri-Figueiredo
person.givenNameMC
person.identifier.ciencia-id7212-3EC5-34CE
person.identifier.orcid0000-0003-0329-0325
person.identifier.ridF-4264-2015
person.identifier.scopus-author-id39361079000
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationce37f804-c848-4341-88c9-928ddbcab1d1
relation.isAuthorOfPublication.latestForDiscoveryce37f804-c848-4341-88c9-928ddbcab1d1

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