Good nursing practices towards patients on invasive mechanical ventilation in hospital emergency^a

ABSTRACT

Objective

To identify care conceived as good nursing practices for patients on invasive mechanical ventilation in the context of hospital emergency.

Method

Descriptive, qualitative study, conducted from June to September 2017 with the participation of 16 nurses from general emergency room of a hospital in Brazil’s southern region. Care, extracted from the literature and classified according to evidence level, were grouped into categories by similarity and selected in Discussion Groups.

Results

The nurses considered a total of 13 care measures as good practices for the patients on mechanical ventilation. These care measures are related to endotracheal tube, ventilator and circuit, prevention of bronchoaspiration, infection control and sedation, analgesia/sleep, wakefulness/pain. Practices were extracted from studies with evidence levels IIb, IV and VI.

Conclusion and implications for practice

Good nursing practices related to invasive mechanical ventilation, as conceived by nurses from the emergency room, scientifically supportive care towards patients on invasive ventilatory support and may be applied in similar contexts.

Keywords:
Respiration, Artificial; Nursing Care; Emergency Nursing; Patient Safety