Outcomes of Implementing the Nurse-Led Respiratory Care Intervention for Mechanically Ventilated Patients | ||||
| Alexandria Scientific Nursing Journal | ||||
| Volume 27, Issue 2, June 2025, Page 17-27 PDF (252.71 K) | ||||
| Document Type: Research articles | ||||
| DOI: 10.21608/asalexu.2025.429789 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ayat Reda Elmitwally Abass* 1; Nadia Taha Mohamed Ahmed2; Bassem Nashaat Beshay3; Eman Arafa Hassan Ali4 | ||||
| 1Assistant lecturer, Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||||
| 2Professor Emeritus, Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||||
| 3Professor , Critical care medicine, Faculty of medicine, Alexandria University | ||||
| 4Assistant Professor Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||||
| Abstract | ||||
| Background: Critically ill patients receiving mechanical ventilation have a high hospital mortality rate, which is related to nosocomial infection and unsuccessful weaning. The critical care nurse plays an essential role in minimizing these pulmonary complications through the application of different respiratory care interventions. Objective: To determine the outcomes of implementing the nurse-led respiratory care intervention for mechanically ventilated patients. Settings: The study was carried out in three adult ICUs at Alexandria Main University Hospital. Subjects: A convenience sample of 80 critically ill patients, which was divided randomly into two equal groups (40 patients in each). The intervention group was assigned to the nurse-led respiratory care intervention that included electrical diaphragmatic muscle stimulation, chest physiotherapy maneuvers, and patient mobilization, and the control group was subjected to hospital routine care. Tools: Three tools were used. Tool one: "Patient's profile data tool". Tool two: “The ventilator-associated events calculator". Tool three: "Modified Burns Wean Assessment Program (m-BWAP) Scores". Results: The study results showed that the occurrence of ventilator-associated events was significantly reduced in the intervention group compared to the control group (χ²=6.348, pMC=0.022). Furthermore, the spontaneous breathing trial over five days showed a statistically significant difference (P=0.03) between the two groups. Conclusion: Implementation of the nurse-led respiratory care intervention significantly reduced the occurrence of ventilator-associated events and increased the success rate of spontaneous breathing trials. Recommendations: Critical care nurses should integrate the nurse-led respiratory care intervention into their daily practice of mechanically ventilated patient. | ||||
| Keywords | ||||
| Nurse-led; respiratory care intervention; mechanically ventilated patients | ||||
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