Factors Affecting Accidental Extubation of Endotracheal Tube in Critical Care Units: Suggested Nursing Care Protocol | ||||
| Egyptian Journal of Health Care | ||||
| Article 60, Volume 13, Issue 4, December 2022, Page 799-814 PDF (274.47 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2022.265093 | ||||
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| Authors | ||||
| Shaimaa Mohamed Mohamed Abdallah1; Amany Mohammed Safwat2; Dalia Ali Ameen Ibrahim3 | ||||
| 1Registered Nurse Supervisor, Emergency Intensive Care Unit, Zagazig Hospitals University | ||||
| 2Professor of Critical Nursing Faculty of Nursing -Ain Shams University. | ||||
| 3Assisstant Professor of Critical Nursing, Faculty of Nursing -Ain Shams University | ||||
| Abstract | ||||
| Background: Accidental extubation defined as unwelcome extubations. Aim: The study aimed to assess factors affecting accidental extubation of endotracheal tube in critical care units. Design: A descriptive exploratory design was utilized to conduct this study. Setting: The study was conducted in the ICUs of zagazig University Hospitals which has 70 ICU bed capacities that classified into: emergency ICU consisted of 23 beds, post-operative ICUs consisted of ICUA had 15 beds, ICUB had 10 beds and internal medicine ICU consisted of 22 beds. Subject: A convenient sample of all available nurses with total number 50 was recruited in the previously mentioned units. Data collection tools: 1) Nurses' self- administered questionnaire, 2) Nurses’ practice observational checklists. 3) Ramsy Sedation Scale (RSS) 4) Factors affecting accidental extubation of endotracheal tube. Results: The present study revealed that more than half of the nurses had satisfactory level of knowledge regarding endotracheal tube care and level of practice (54%, 52%) respectively. Many factors affecting positively on accidental extubation of endotracheal tube is reported by majority of the nurses under the study namely; patient related factors, nurses related factors and environmental related factors (42%, 68%, 64 %)respectively. Conclusion: Based on the current study, it can be concluded that more than half of the study nurses had satisfactory level of knowledge regarding care of endotracheal tube. In addition many factors affecting positively on accidental extubation of endotracheal tube in critical care units as reported by majority of the nurses under the study namely; patient related factors, nurses related factors and environmental related factors Recommendations: suggest nurses’ care protocol for improving knowledge & practice regarding endotracheal tube care taking into consideration the factors affecting accidental extubation. | ||||
| Keywords | ||||
| Accidental Extubation; Endoreacheal Tube; Intensive Care Unit | ||||
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