Nurses' Attitudes and Practices Related to Sedation: A National Survey. Am J Crit Care 2019 Jul;28(4):255-263
Date
07/03/2019Pubmed ID
31263007Pubmed Central ID
PMC6760853DOI
10.4037/ajcc2019526Scopus ID
2-s2.0-85068534058 (requires institutional sign-in at Scopus site) 13 CitationsAbstract
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' self-reported 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 (r s = 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 List
Guttormson JL, Chlan L, Tracy MF, Hetland B, Mandrekar JAuthor
Jill Guttormson BSN,MS,PhD Assistant Professor in the College of Nursing department at Marquette UniversityMESH terms used to index this publication - Major topics in bold
AdultAttitude of Health Personnel
Critical Care
Deep Sedation
Female
Health Knowledge, Attitudes, Practice
Humans
Intensive Care Units
Male
Middle Aged
Nursing Staff, Hospital
Practice Guidelines as Topic
Respiration, Artificial
Stress, Psychological
Young Adult
