[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 8, Issue 2 (Military Caring Sciences 2021) ::
MCS 2021, 8(2): 148-155 Back to browse issues page
Evaluation of Implementation of Airway Care Safety Guidelines for Patients under Mechanical Ventilation in Intensive Care Unit (ICU) by Nurses
Shirin Kaveh1 , Maryam Nezamzadeh * 2, Fatemeh Kalroozi3 , Seyyed Amir Hossein Pishgooie4
1- MSc in Military Nursing, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.
2- MSc in Nursing, Instructor, Critical Care Nursing Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.
3- Ph.D. in Nursing, Instructor, Pediatric Nursing Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.
4- Ph.D. in Nursing, Associate Professor, Critical Care Nursing Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.
Abstract:   (43 Views)
Introduction: Caring for patients treated with mechanical ventilation is of particular importance because of its complications. The occurrence of various diseases, including pneumonia and its resulting mortality, is affected by inadequate and improper implementation of principled and safe instructions by the care team, especially nurses.
Objective: This study aimed to evaluate the implementation of airway care safety guidelines for patients under mechanical ventilation.
Materials and Methods: This descriptive study was performed in 2020 in the intensive care units (ICUs) of selected Military hospitals in Tehran. The study population included all nurses working in these wards. The performance of 90 nurses working in these wards was observed four times. A total of 270 observations of nurses’ performance in patients’ airway care were recorded in a researcher-made observation checklist. Data were analyzed using SPSS software version 25 and descriptive and inferential statistical tests such as independent t-test, ANOVA, and Pearson correlation coefficient. The significance level was considered less than 0.05.
Results: In total, 61.1% were male, 54.4% were married, 92.2% were bachelor, and 7.2% had a formal contract with a mean age of 33.36±8.44 years. The total amount of care in the first time was 35.08±7.59, in the second time was 35.12±7.30, and in the third time was 35.61±7.05. Safe airway care of patients had a significant relationship with the variables of gender, marital status, work experience, type of employment, shift and work history of patient safety, intensive care, and mechanical ventilation.
Discussion and Conclusion: In this study, it was found that the status of implementation of airway safety instructions by nurses for patients under mechanical ventilation is at an unfavorable level. Further monitoring of nurses’ performance, practical and quality training on how to care for patients’ airways, and strict implementation of safety instructions are strongly recommended.
Keywords: Airway, Intensive Care Unit, Nurse, Safety
Full-Text [PDF 403 kb]   (21 Downloads)    
Type of Study: Research | Subject: Internal-surgery Nursing
Received: 2021/01/15 | Accepted: 2021/02/3 | Published: 2021/11/1
1. Schneider MA, Ruth-Sahd LA. Fundamentals: Still the building blocks of safe patient care. Nursing. 2015; 45(6): 60-3. [DOI] [PubMed]
2. Van Gelderen SC, Zegers M, Boeijen W, Westert GP, Robben PB, Wollersheim HC. Evaluation of the organisation and effectiveness of internal audits to govern patient safety in hospitals: a mixed-methods study. BMJ Open. 2017; 7(7): e015506. [DOI] [PubMed]
3. Latest Patient Safety Guidelines: Ministry of Health and Medical Education; 2019 [Cited 2020]. Available from: https://medcare.behdasht.gov.ir/.
4. World Health Organization. Latest Patient Safety Guidelines and Approach 2019 [Cited 2020]. Available from: https://www.who.int/docs/default-source/patient-safety/1st-draft-global-patient-safety-action-plan-august-2020.pdf?sfvrsn=9b1552d2_4.
5. Habibzadeh HAF, Qhavami H, Moradi K. Investigating the establishment of patient-friendly safety standards in the educational and medical centers of Urmia University of Medical Sciences. Nurs Midwifery J. 2019; 17(7): 525-34. (Persian)
6. Fan E, Del Sorbo L, Goligher EC, Hodgson CL, Munshi L, Walkey AJ, et al. An official american thoracic society/european society of intensive care medicine/society of critical care medicine clinical practice guideline: Mechanical ventilation in adult patients with acute respiratory distress syndrome. Am J Respir Crit Care Med. 2017; 195(9): 1253-63. [DOI] [PubMed]
7. Zolfaghari M, Aeen FB, Noghabi AA, Mehran A. Effects of active and passive implementation of ventilator associated pneumonia guideline on nurses' performance in critical care units: A controlled clinical trial. Nurs Pract Today. 2014; 1(3): 126-34. (Persian)
8. Razmara R, Masoumpoor A, Dabirian A, Pahlavanzadeh B. Auditing of pre & postoperative nursing cares in neonates admitted at selected hospitals of shahid beheshti university of medical sciences. J Urmia Nurs & Midwif Faculty. 2015; 13(8): 718-27. (Persian)
9. Shahidi Far S, Emami Zeydi A, Taghipour B, Sharif Nia H, Soleimani MA, Hassan Zadeh Kiabi F, et al. Evaluation of critical care nurses’ knowledge of evidence-based guidelines for prevention of ventilator-associated pneumonia. Military Caring Sciences. 2015; 2(1): 14-23. (Persian) [DOI]
10. ZakeriMoghadam MBH, Abbasi Z, Haghani H. The effect of music therapy on ventilation criteria in patients undergoing mechanical ventilation. Cardiovascular Nursing J. 2016; 5(2): 30-7. (Persian)
11. Mohamamdi E. A safe method to prevent Ventilator-Associated Pneumonia (VAP): Endotracheal tube cuff Management. J Crit Care Nurs. 2021; 13(2): 1-3.
12. Khanjari S, Behzadi F, Haghani H. Nurses' performance for oral care in children under mechanical ventilation: An observational study. Iran Journal of Nursing. 2016; 29(101): 12-22. (Persian) [DOI]
13. Cason CL, Tyner T, Saunders S, Broome L, Centers for Disease C, Prevention. Nurses' implementation of guidelines for ventilator-associated pneumonia from the centers for disease control and prevention. Am J Crit Care. 2007; 16(1): 28-36; Discussion 7; Quiz 8. (Persian) [PubMed]
14. Mazaheri ESM, Mohammdi R. Performance of nursing staff in tuberculosis care of patients under mechanical ventilation. HC J. 2012; 13(2): 51-6. (Persian)
15. Bayatmanesh HZTM, Manoochehri H, Akbarzadeh Baghban AR. Patient safety observation by nurses working in the intensive care units of selected hospitals affiliated to yasuj university of medical sciences. Iran South Med J 2019; 21(6): 493-506. (Persian)
16. Alja'afreh MA, Mosleh SM, Habashneh SS. Nurses' perception and attitudes towards oral care practices for mechanically ventilated patients. Saudi Med J. 2018; 39(4): 379-85. (Persian) [DOI] [PubMed]
17. Adib-Hajbaghery M, Ansari A, Azizi-Fini I. Intensive care nurses' opinions and practice for oral care of mechanically ventilated patients. Indian J Crit Care Med. 2013; 17(1): 23-7. (Persian) [DOI] [PubMed]
18. Mazaheri E, Seyedjavadi M, Mohammadi R, Savadpour MT. How nursing staff perform in caring for endotracheal tubes in mechanically ventilated patients. HC J. 2012; 13(2): 51-5. (Persian)
19. Aghakhani N, Alizadeh F, Baghaei R, Alinezhad V. Study of Nurses Practice About Elderly Patient Safety Care Hospitalized in Medical Wards of Treatment and Educational Center in Urmia. Nurs Midwifery J. 2019;17(1):71-81. (Persian)
20. Mahmoudi Markid F, Feizi A. The Level of Injection Safety Standards Compliance by emergency department nurses of educational hospital in urma university of medical sciences. Nurs Midwifery J. 2016; 14(1): 10-20. (Persian)
21. Shafipour V, Haghighi A, Bagheri Nesami M. The impact of oral care in the prevention of ventilator-associated pneumonia: A narrative review. Iranian J Nursing Res. 2018; 12(6): 25-36. (Persian) [DOI]
22. Amirzadeh N, Baghaei R, Feizi A. Evaluation of the status of observance of nursing standards in relation to safe suction in nurses working in the intensive care unit of one of the medical centers of Urmia. Nurs Midwifery J. 2013; 11(3): 92-7. (Persian) [Article]
23. Converso D, Sottimano I, Guidetti G, Loera B, Cortini M, Viotti S. Aging and work ability: The moderating role of job and personal resources. Front Psychol. 2017; 8:2262. [DOI] [PubMed]
Send email to the article author

Add your comments about this article
Your username or Email:


Ethics code: IR.AJAUMS.REC.1399.072

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Kaveh S, Nezamzadeh M, Kalroozi F, Pishgooie S A H. Evaluation of Implementation of Airway Care Safety Guidelines for Patients under Mechanical Ventilation in Intensive Care Unit (ICU) by Nurses. MCS. 2021; 8 (2) :148-155
URL: http://mcs.ajaums.ac.ir/article-1-440-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 8, Issue 2 (Military Caring Sciences 2021) Back to browse issues page
مجله علوم مراقبتی نظامی Military Caring Sciences Journal
Persian site map - English site map - Created in 0.03 seconds with 30 queries by YEKTAWEB 4355