Interdependent nursing interventions as sensitive indicators of quality - care in noninvasive mechanical ventilation

• Autor(a) principal: Fernandes,Andreia Filipa Fidalgo
• Data de Publicação: 2023
• Outros Autores: Branco,Maria Augusta Romão da Veiga
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0873-30152023000200202
• topic: interdependent interventions; NIMV; constraints; ISQ; competencies

Abstract Introduction: The Interdependent Nursing Interventions (INI) in Non-Invasive Mechanical Ventilation (NIMV) for the critically ill are essential for quality in health, so it is important to recognize the process indicators (IP) that promote the visibility of these care interventions. Objectives: To identify the INI for critically ill patients with NIMV, which, due to their enforceable consistency, are assumed to be Process Indicators, Quality Sensitive (IPSQ) to care, and their relationship with professional variables. Methods: Exploratory, quantitative and descriptive study, based on the analysis of the answers to a questionnaire prepared for this purpose, in a sample of 76 nurses, of urgency and intensive medicine, mostly female (82.9%), aged between 36 and 45 years (51.3%). Results: The IIEs for critically ill patients with NIMV, which, due to their enforceable consistency, are assumed to be ISQs for care, are: “the patient is monitored according to the recommendations” and “(…) their collaboration is informed and requested” and the most felt constraints were: “presence of excessive secretions (…)”, “the occurrence of cardiac arrest is a contraindication” and “the patient's level of consciousness influences success (…)”. Statistically significant relationships were found between: the IIE “use of sedation” and length of service, and the constraint “level of consciousness” and the variables: specific training and length of service. Conclusion: A protocol of action in NIMV is essential for standardization of care.