Autonomous Nursing Interventions as Quality Sensitive Indicators for patient care with Noninvasive Ventilation

• Autor(a) principal: Garcia, Susana
• Data de Publicação: 2023
• Outros Autores: Augusta, Veiga-Branco
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.48492/servir0204.28108
• topic: Enfermagem; Intervenções Autónomas; Indicadores Sensíveis; Doente crítico; Ventilação Não Invasiva; Nursing; Autonomous Interventions; Sensitive Indicators; Critically ill; Noninvasive Ventilation; Enfermería; Intervenciones Autónomas; Indicadores sensibles; Enfermos críticos; Ventilación no invasiva

Introduction: Autonomous Nursing Interventions (IAN) may acquire the status of Quality Sensitive Indicators (ISQ) for critical patient care with Noninvasive Mechanical Ventilation (NIV), if their consistency of application is in accordance with the effectiveness of recovery. Objective/s: Recognizing the IAN of nurses in the care of critically ill patients with NIV, which, due to consistency of execution, can be considered ISQ to health care. Methods: This is a cross-sectional, exploratory and quantitative study, based on the application of a questionnaire, elaborated for this purpose, in a sample of 76 nurses, mostly female (82.9%), and age group between 36 and 45 years (51.3%), from the North, in Emergency and Intensive Care Services. Results: The eight IAN identified as ISQ were "(...) the register of the state of consciousness"; "(..) recording of hemodynamic parameters"; "use of antibacterial filter and humidification (...)"; "the measurement of the size of the interface is relevant"; "patient positioned in bed with headboard >30º"; "the interface is selected in order to suit the patient"; "the lift to the chair is indicated" and "application of vaseline on the lips and humidification of the oral cavity (...)". Conclusion: It reaffirms the pertinence of the nurses' autonomous competencies, in the provision and visibility of the provision of differentiated care, as well as the need to create a protocol for the use of NIV therapy for the critically ill.