Advertisement

Situational Awareness of Expert Nurses on the Process of Weaning a Ventilator

  • Kazumi WatanabeEmail author
  • Manami Nozaki
  • Masami Ishihara
  • Hidenobu Takao
Conference paper
  • 21 Downloads
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 1205)

Abstract

The purpose of this study is to elucidate the situational awareness of expert nurses on the process of weaning a ventilator. Participation consent was obtained from expert nurses and novice nurses who had experience weaning a ventilator. Semi-structured interviews were conducted to elucidate what information they pay attention to, and to elucidate how to collect and to assess information on the process of weaning a ventilator. Data were analyzed qualitatively comparing the skills of the 4 experts nurses with the skills of the 4 novices nurses. Expert nurses focused on both body and mental state, while novice nurses mainly focused on the body. Expert nurses judged a patient based on a few days trend. They were careful about not only oxygenation in the lungs but also oxygenation in tissues. They were also concerned that patients knew the current situation properly.

Keywords

Situational awareness Expert nurse Weaning a ventilator 

Notes

Acknowledgments

We would like to thank the nurses for participating and for making this study possible. This work was supported by JSPS KAKENHI Grant JP19K22769.

References

  1. 1.
    Girard, T.D., Kress, J.P., Fuchs, B.D., et al.: Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomized controlled trial. Lancet 371(9607), 126–134 (2008)CrossRefGoogle Scholar
  2. 2.
    Warren, D.K., Shukla, S.J., Olsen, M.A., et al.: Outcome and attributable cost of ventilator-associated pneumonia among intensive care unit patients in a suburban medical center. Crit. Care Med. 31(5), 1312–1317 (2003)CrossRefGoogle Scholar
  3. 3.
    Endsley, M.R.: Toward a theory of situation awareness in dynamic systems. Hum. Factors 37(1), 32–64 (1995)CrossRefGoogle Scholar
  4. 4.
    Manias, E., Aitken, R., Dunning, T.: Decision-making models used by ‘graduate nurses’ managing patients’ medications. J. Adv. Nurs. 47, 270–278 (2004)Google Scholar
  5. 5.
    Itano, J.K.: A comparison of the clinical judgment process in experienced registered nurses and student nurses. J. Nurs. Educ. 28, 120–126 (1989)Google Scholar
  6. 6.
    Tanner, C.A., et al.: Diagnostic reasoning strategies of nurses and nursing students. Nurs. Res. 36, 358–363 (1987)CrossRefGoogle Scholar
  7. 7.
    Hoffman, K.A., et al.: A comparison of novice and expert nurses’ cue collection during clinical decision-making: verbal protocol analysis. Int. J. Nurs. Stud. 46, 1335–1344 (2009).  https://doi.org/10.1016/j.ijnurstu.2009.04.001CrossRefGoogle Scholar
  8. 8.
    Kahneman, D.: Attention and Effort. Prentice Hall, Englewood Cliffs (1973)Google Scholar
  9. 9.
    Benner, P., Tanner, C., Chesla, C.A.: Expertise in Nursing Practice, a Thinking in Action. Springer (1996)Google Scholar

Copyright information

© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Kazumi Watanabe
    • 1
    Email author
  • Manami Nozaki
    • 2
  • Masami Ishihara
    • 3
  • Hidenobu Takao
    • 4
  1. 1.Yamanashi Prefectural UniversityKofuJapan
  2. 2.Juntendo UniversityUrayasuJapan
  3. 3.Tokyo Metropolitan UniversityHachiojiJapan
  4. 4.Kanagawa Institute of TechnologyAtsugiJapan

Personalised recommendations