Impact of a Nursing Strategy for Mechanical Ventilation Liberation on Patients' Outcomes
Ibrahim Abbas Ghoneim, N., Shoeib Ali Abd Elraheim, F., Mohamed Ahmed Ayed, M., A. Abdelrahman, H. (2025). Impact of a Nursing Strategy for Mechanical Ventilation Liberation on Patients' Outcomes. EKB Journal Management System, 16(1), 669-678. doi: 10.21608/ejhc.2025.417302
Nagwa Ibrahim Abbas Ghoneim; Fatma Shoeib Ali Abd Elraheim; Manal Mohamed Ahmed Ayed; Hala A. Abdelrahman. "Impact of a Nursing Strategy for Mechanical Ventilation Liberation on Patients' Outcomes". EKB Journal Management System, 16, 1, 2025, 669-678. doi: 10.21608/ejhc.2025.417302
Ibrahim Abbas Ghoneim, N., Shoeib Ali Abd Elraheim, F., Mohamed Ahmed Ayed, M., A. Abdelrahman, H. (2025). 'Impact of a Nursing Strategy for Mechanical Ventilation Liberation on Patients' Outcomes', EKB Journal Management System, 16(1), pp. 669-678. doi: 10.21608/ejhc.2025.417302
Ibrahim Abbas Ghoneim, N., Shoeib Ali Abd Elraheim, F., Mohamed Ahmed Ayed, M., A. Abdelrahman, H. Impact of a Nursing Strategy for Mechanical Ventilation Liberation on Patients' Outcomes. EKB Journal Management System, 2025; 16(1): 669-678. doi: 10.21608/ejhc.2025.417302

Impact of a Nursing Strategy for Mechanical Ventilation Liberation on Patients' Outcomes

Egyptian Journal of Health Care
Volume 16, Issue 1, March 2025, Page 669-678  XML PDF (359.17 K)
Document Type: Original Article
DOI: 10.21608/ejhc.2025.417302
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Authors
Nagwa Ibrahim Abbas Ghoneim1; Fatma Shoeib Ali Abd Elraheim2; Manal Mohamed Ahmed Ayed3; Hala A. Abdelrahman4
1Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt
2Assistant Professor of Critical Care and Emergency Nursing, Faculty of nursing, Cairo University
3Pediatric Nursing, Faculty of Nursing, Sohag University
4Assistant professor, Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University
Abstract
Background:  Successful liberation from mechanical ventilation is a critical milestone in intensive care, facilitating patient recovery and reducing the risk of ventilator-associated complications. Optimizing this process requires structured, evidence-based nursing strategies that ensure timely and safe weaning from mechanical support. Aim of the study: to evaluate the impact of a nursing strategy for mechanical ventilation liberation on patients' outcomes. Design: A quasi-experimental pre and post. Setting: The study was conducted in the general intensive care unit (ICU) of Sohag University Hospital. Sample: A total convenient sample of 50 adult patients with acute exacerbation of chronic obstructive pulmonary disease requiring mechanical ventilation was recruited.  Data collection tools included: Tool (I) a mechanically ventilated patient assessment sheet, Tool (II) respiratory care for ventilator weaning, and Tool (III) a patient outcome assessment sheet. Results: Significant decrease number of patients (25.7%, P = 0.001) had prolonged mechanical ventilation (>21 day) post respiratory care. There was a significant decrease in Sequential Organ Failure Assessment score in the studied patients post intervention than pre intervention (3.29±2.72) versus (5.69±4.516) respectively P=0.009. Conclusion: Application of nursing strategy for mechanical ventilation liberation has positive effects on improving respiratory care for ventilation weaning assessment as decrease duration of mechanical ventilation and Sequential Organ Failure Assessment score. Recommendations: Applying respiratory care for ventilator weaning preparedness assessment on different intensive care units.
Keywords
Liberation; Mechanical ventilation; Nursing strategy & Patients` outcomes
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