Patient's experiences of endotracheal tubes and suction following cardiac surgery.
cardiac surgery
endotracheal suction
intensive care
patient experience
qualitative study
Journal
Nursing in critical care
ISSN: 1478-5153
Titre abrégé: Nurs Crit Care
Pays: England
ID NLM: 9808649
Informations de publication
Date de publication:
03 2022
03 2022
Historique:
revised:
27
12
2020
received:
26
05
2020
accepted:
28
01
2021
pubmed:
16
2
2021
medline:
8
4
2022
entrez:
15
2
2021
Statut:
ppublish
Résumé
There is a growing body of evidence addressing the patient experience of intensive care, including patient reports that the presence of an endotracheal tube is bothersome and distressing, and that endotracheal suction is moderately to extremely painful. Yet there remains little information about the patient experience of the endotracheal tube and suction in those patients receiving planned short-term mechanical ventilation. This study aimed to describe the patient experience of the endotracheal tube and suction, following mechanical ventilation in post-operative cardiac surgical patients. This qualitative study used inductive thematic analysis. Participants having planned cardiac surgery, anticipated to receive less than 12-hours mechanical ventilation, were approached pre-operatively and written consent provided. Ten participants were recruited using purposive sampling. Semi-structured interviews were conducted between days four and six post-operatively. One researcher interviewed all participants; two researchers independently read, coded, and agreed themes. None of the participants recalled endotracheal suction, while half had no recollection of the endotracheal tube. Three themes were identified; the experience of the endotracheal tube and extubation, the experience of emerging from sedation, and participants concerns about the future. The presence of the endotracheal tube was described as bothersome, whilst breathing through the tube and extubation were described as 'weird' and 'strange' but not painful. Knowledge of the patient experience can help inform nursing practice by improving pre and post-operative care planning. This study adds to the body of knowledge about the patient experience of the endotracheal tube and extubation. Prospective registration with the Australian New Zealand Clinical Trials Registry. www.anzctr.org.au (ACTRN12616001515482).
Sections du résumé
BACKGROUND
There is a growing body of evidence addressing the patient experience of intensive care, including patient reports that the presence of an endotracheal tube is bothersome and distressing, and that endotracheal suction is moderately to extremely painful. Yet there remains little information about the patient experience of the endotracheal tube and suction in those patients receiving planned short-term mechanical ventilation.
AIMS AND OBJECTIVES
This study aimed to describe the patient experience of the endotracheal tube and suction, following mechanical ventilation in post-operative cardiac surgical patients.
DESIGN
This qualitative study used inductive thematic analysis. Participants having planned cardiac surgery, anticipated to receive less than 12-hours mechanical ventilation, were approached pre-operatively and written consent provided.
METHODS
Ten participants were recruited using purposive sampling. Semi-structured interviews were conducted between days four and six post-operatively. One researcher interviewed all participants; two researchers independently read, coded, and agreed themes.
FINDINGS
None of the participants recalled endotracheal suction, while half had no recollection of the endotracheal tube. Three themes were identified; the experience of the endotracheal tube and extubation, the experience of emerging from sedation, and participants concerns about the future. The presence of the endotracheal tube was described as bothersome, whilst breathing through the tube and extubation were described as 'weird' and 'strange' but not painful.
CONCLUSIONS
Knowledge of the patient experience can help inform nursing practice by improving pre and post-operative care planning.
RELEVANCE TO CLINICAL PRACTICE
This study adds to the body of knowledge about the patient experience of the endotracheal tube and extubation.
TRIAL REGISTRATION
Prospective registration with the Australian New Zealand Clinical Trials Registry. www.anzctr.org.au (ACTRN12616001515482).
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Pagination
187-194Subventions
Organisme : A+ Charitable Trust Project Grant
ID : 7323-SPG-1609-005
Organisme : Green Lane Research and Education Fund
ID : 16/44/4127
Organisme : Health Research Council of New Zealand
ID : 17/148
Informations de copyright
© 2021 British Association of Critical Care Nurses.
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