Establishment of evidence‐based nursing review indicators for airway management of adult critical patients and analysis of obstacle factors

Aim To select and obtain relevant evidence of airway management in adult critically ill patients at home and abroad, formulate clinical quality review indicators based on evidence and analyse obstacle factors and promoting factors in evidence‐based nursing practice. To promote standardized ICU airwa...

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Bibliographic Details
Published in:Nursing open 2021-11, Vol.8 (6), p.3677-3687
Main Authors: Yujiao, Yan, Juan, Ding, Xurui, Zeng, Hong, Wang
Format: Article
Language:English
Subjects:
Adult
Adults
Airway Management
artificial airway
Clinical decision making
Clinical medicine
Critical Illness
critically ill patients
Evidence-Based Nursing
Evidence-based practice
Graduate students
Health care
Hospitals
Humans
Intensive care
Intubation
management
Nurses
obstacle analysis
Patients
review of nursing quality
Study Protocol
Tracheotomy
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Summary:Aim To select and obtain relevant evidence of airway management in adult critically ill patients at home and abroad, formulate clinical quality review indicators based on evidence and analyse obstacle factors and promoting factors in evidence‐based nursing practice. To promote standardized ICU airway management evidence‐based nursing practice to provide the basis. Design Obstacle factor analysis. Methods Take the Joanna Briggs Institute (JBI) evidence‐based healthcare model as theoretical guidance, establish evidence‐based problems, form a team, systematically search for literature, evaluate quality and summarize evidence, establish quality review indicators and review methods, analyse obstacles and facilitating factors based on the review results and formulate corresponding action strategies. Results According to the 29 best evidences, 21 review indicators were developed. Through the results of clinical quality review, the main barriers to evidence‐based practice were analysed: the lack of nurse training and relevant evidence‐based knowledge at the practitioner level, the lack of standardized procedures for airway management and the lack of materials at the system level. Conclusion There is a big gap between airway management evidence and clinical practice in critically ill adult patients. Therefore, improvement measures should be formulated for obstacle factors to promote effective transformation of evidence into clinical practice.
ISSN:2054-1058
2054-1058
DOI:10.1002/nop2.898