Critical care nurses' decision making: Sedation assessment and management in intensive care

Journal of Clinical Nursing

Volumn 18, Issue 1, 2009, Pages 36-45

  Aitken, Leanne M ^a,e   Marshall, Andrea P ^b   Elliott, Rosalind ^c   McKinley, Sharon ^d  

^a GRIFFITH UNIVERSITY   (Australia)

^b UNIVERSITY OF SYDNEY   (Australia)

^c ROYAL NORTH SHORE HOSPITAL   (Australia)

^d UNIVERSITY OF TECHNOLOGY SYDNEY   (Australia)

^e PRINCESS ALEXANDRA HOSPITAL   (Australia)

Author keywords

Critical care; Decision making; Nurses; Nursing; Sedation

Indexed keywords

HYPNOTIC SEDATIVE AGENT;

ADULT; ARTICLE; DECISION MAKING; FEMALE; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; MALE; MANPOWER; MIDDLE AGED; NURSE; PILOT STUDY; PSYCHOLOGICAL ASPECT;

ADULT; CRITICAL CARE; DECISION MAKING; FEMALE; HUMANS; HYPNOTICS AND SEDATIVES; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; NURSES; PILOT PROJECTS;

EID: 57649158463     PISSN: 09621067     EISSN: 13652702     Source Type: Journal    
DOI: 10.1111/j.1365-2702.2008.02318.x     Document Type: Article

References (34)

1. Abbott (2004) Consensus conference on sedation assessment. A collaborative venture by Abbott Laboratories, American Association of Critical-Care Nurses and Saint Thomas Health System. Critical Care Nurse 24, 33 41.
2. Aitken LM (2000) Expert critical care nurses' use of pulmonary artery pressure monitoring. Intensive and Critical Care Nursing 16, 209 220.
3. Aitken LM (2003) Critical care nurses' use of decision making strategies. Journal of Clinical Nursing 12, 476 483.
4. Aitken LM Mardegan KJ (2000) Using 'thinking aloud' as a means of data collection in the natural setting. Western Journal of Nursing Research 22, 841 853.
5. Benner P (1984) From Novice to Expert: Excellence and Power in Clinical Nursing Practice. Addison-Wesley, Menlo Park.
6. Brattebo G, Hofoss D, Flaatten H, Muri AK, Gjerde S Plsek PE (2002) Effect of a scoring system and protocol for sedation on duration of patients' need for ventilator support in a surgical intensive care unit. British Medical Journal 324, 1386 1389.
7. Bucknall T (2003) The clinical landscape of critical care: nurses' decision-making. Journal of Advanced Nursing 43, 310 319.
8. Camacho A Dimsdale JE (2000) Platelets and psychiatry: lessons learned from old and new studies. Psychosomatic Medicine 62, 326 336.
9. Carrasco G (2000) Instruments for monitoring intensive care unit sedation. Critical Care 4, 217 225.
10. Corcoran-Perry SA, Narayan SM Cochrane S (1999) Coronary care nurses' clinical decision making. Nursing & Health Sciences 1, 49 61.
11. De Jonghe B, Cook D, Appere-De-Vecchi C, Guyatt G, Meade M Outin H (2000) Using and understanding sedation scoring systems: a systematic review. Intensive Care Medicine 26, 275 285.
12. Egerod I (2002) Uncertain terms of sedation in ICU. How nurses and physicians manage and describe sedation for mechanically ventilated patients. Journal of Clinical Nursing 11, 831 840.
13. Egerod I, Christensen BV Johansen L (2006) Trends in sedation practices in Danish intensive care units in 2003: a national survey. Intensive Care Medicine 32, 60 66.
14. Elliott R, McKinley S Aitken L (2006a) Adoption of a sedation scoring system and sedation guideline in an intensive care unit. Journal of Advanced Nursing 54, 208 216.
15. Elliott R, McKinley S, Aitken LM Hendrikz J (2006b) The effect of an algorithm-based sedation guideline on the duration of mechanical ventilation in an Australian intensive care unit. Intensive Care Medicine 32, 1506 1514.
16. Elstein AS, Shulman LS Sprafka SA (1990) Medical problem solving: an analysis of clinical reasoning. Evaluation and the Health Professionals 13, 5 36.
17. Fraser GL Riker RR (2007) Sedation and analgesia in the critically ill adult. Current Opinion in Anaesthesiology 20, 119 123.
18. Gehlbach BK Kress JP (2002) Sedation in the intensive care unit. Current Opinion in Critical Care 8, 290 298.
19. Hancock HC Easen PR (2006) The decision-making processes of nurses when extubating patients following cardiac surgery: an ethnographic study. International Journal of Nursing Studies 43, 693 705.
20. Hedberg B Satterlund Larsson U (2003) Observations, confirmations and strategies - useful tools in decision-making process for nurses in practice? Journal of Clinical Nursing 12, 215 222.
21. Kress JP Hall JB (2006) Sedation in the mechanically ventilated patient. Critical Care Medicine 34, 2541 2546.
22. McCaughan D, Thompson C, Cullum N, Sheldon T Raynor P (2005) Nurse practitioner and practice nurses' use of research information in clinical decision making: findings from an exploratory study. Family Practice 22, 490 497.
23. McFetridge JA Yarandi HN (1997) Cardiovascular function during cognitive stress in men before and after coronary artery bypass grafts. Nursing Research 46, 188 194.
24. McKinley S, Nagy S, Stein-Parbury J, Bramwell M Hudson J (2002) Vulnerability and security in seriously ill patients in intensive care. Intensive and Critical Care Nursing 18, 27 36.
25. Mehta S, Burry L, Fischer S, Martinez-Motta JC, Hallett D, Bowman D, Wong C, Meade MO, Stewart TE Cook DJ (2006) Canadian survey of the use of sedatives, analgesics and neuromuscular blocking agents in critically ill patients. Critical Care Medicine 34, 374 380.
26. Michelson D, Gold PW Sternberg EM (1994) The stress response in critical illness. New Horizons 2, 426 431.
27. Stein-Parbury J McKinley S (2000) Patients' experiences of being in an intensive care unit: a select literature review. American Journal of Critical Care 9, 20 27.
28. Taylor C (2000) Clinical problem-solving in nursing: insights from the literature. Journal of Advanced Nursing 31, 842 849.
29. Taylor F (2006) A comparative study examining the decision-making processes of medical and nursing staff in weaning patients from mechanical ventilation. Intensive and Critical Care Nursing 22, 253 263.
30. Thompson C (1999) A conceptual treadmill: the need for 'middle ground' in clinical decision making theory in nursing. Journal of Advanced Nursing 30, 1222 1229.
31. Thompson C, Cullum N, McCaughan D, Sheldon T Raynor P (2004) Nurses, information use and clinical decision making - the real world potential for evidence-based decisions in nursing. Evidence-Based Nursing 7, 68 72.
32. Weinert CR, Chlan L Gross C (2001) Sedating critically ill patients: factors affecting nurses' delivery of sedative therapy. American Journal of Critical Care 10, 156 165 quiz 166-167.
33. Young C, Knudsen N, Hilton A Reves JG (2000) Sedation in the intensive care unit. Critical Care Medicine 28, 854 866.
34. Zeller JM, McCain NL Swanson B (1996) Psychoneuroimmunology: an emerging framework for nursing research. Journal of Advanced Nursing 23, 657 664.