Professional nurses' knowledge regarding weaning the critically ill patient from the mechanical ventilation
- Authors: Demingo, Xavier Preston
- Date: 2011
- Subjects: Artificial respiration , Respiratory therapy , Critical care medicine , Respirators (Medical equipment) , Artificial respiration -- Nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10026 , http://hdl.handle.net/10948/1323 , Artificial respiration , Respiratory therapy , Critical care medicine , Respirators (Medical equipment) , Artificial respiration -- Nursing
- Description: Mechanical ventilation (MV) is one of the most frequently used treatment modalities in the intensive care unit (ICU) (Burns, 2005:14). Up to 90% of critically ill patients in ICUs globally are connected to a mechanical ventilator. Although mechanical ventilation is a lifesaving intervention, it is expensive and is associated with diverse complications (Mclean, Jensen, Schroeder, Gibney & Skjodt, 2006: 299). Ventilator-associated pneumonia (VAP) accounts for 25% of all infections in ICU, with global crude mortality figures estimated at 20-70% (Craven, 2006:251). Minimising the time that a patient is connected to a mechanical ventilator to the absolute minimum can have considerable benefits in terms of decreased mortality and morbidity, as well as a decreased length of ICU stay and lower hospital costs. Critically ill patients therefore need to be weaned from the mechanical ventilator as soon as their condition that warranted the need for mechanical ventilation is stabilized. The process of weaning the critically ill patient from mechanical ventilation constitutes a significant proportion of total ventilator time. As professional nurses attend to the mechanically ventilated patient 24 hours a day, they have a vital role to play in the collaborative management of the patient requiring weaning from mechanical ventilation. The objectives of this study were to explore and describe the professional nurses’ knowledge regarding weaning the critically ill patient from mechanical ventilation. Based on the results, recommendations in the form of a protocol were made in order to improve the professional nurses’ knowledge and enhance the care of the mechanically ventilated patient. A quantitative design, which was exploratory, descriptive and contextual in nature, was utilised for the study. The data collection instrument of choice was a self-administered questionnaire. Convenience, non-probability sampling was the sampling method chosen for the purpose of this study. Collected data were analysed with the assistance of a statistician using descriptive and inferential statistics. Results were displayed in the form of graphs and tables. The results obtained in the study, combined with data from the literature review, were used to develop recommendations to enhance vi professional nurses’ knowledge regarding weaning the critically ill patient from mechanical ventilation. The recommendations were presented in the form of a protocol based on the available evidence. Ethical principles as they relate to conducting research were adhered to throughout the study.
- Full Text:
- Date Issued: 2011
- Authors: Demingo, Xavier Preston
- Date: 2011
- Subjects: Artificial respiration , Respiratory therapy , Critical care medicine , Respirators (Medical equipment) , Artificial respiration -- Nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10026 , http://hdl.handle.net/10948/1323 , Artificial respiration , Respiratory therapy , Critical care medicine , Respirators (Medical equipment) , Artificial respiration -- Nursing
- Description: Mechanical ventilation (MV) is one of the most frequently used treatment modalities in the intensive care unit (ICU) (Burns, 2005:14). Up to 90% of critically ill patients in ICUs globally are connected to a mechanical ventilator. Although mechanical ventilation is a lifesaving intervention, it is expensive and is associated with diverse complications (Mclean, Jensen, Schroeder, Gibney & Skjodt, 2006: 299). Ventilator-associated pneumonia (VAP) accounts for 25% of all infections in ICU, with global crude mortality figures estimated at 20-70% (Craven, 2006:251). Minimising the time that a patient is connected to a mechanical ventilator to the absolute minimum can have considerable benefits in terms of decreased mortality and morbidity, as well as a decreased length of ICU stay and lower hospital costs. Critically ill patients therefore need to be weaned from the mechanical ventilator as soon as their condition that warranted the need for mechanical ventilation is stabilized. The process of weaning the critically ill patient from mechanical ventilation constitutes a significant proportion of total ventilator time. As professional nurses attend to the mechanically ventilated patient 24 hours a day, they have a vital role to play in the collaborative management of the patient requiring weaning from mechanical ventilation. The objectives of this study were to explore and describe the professional nurses’ knowledge regarding weaning the critically ill patient from mechanical ventilation. Based on the results, recommendations in the form of a protocol were made in order to improve the professional nurses’ knowledge and enhance the care of the mechanically ventilated patient. A quantitative design, which was exploratory, descriptive and contextual in nature, was utilised for the study. The data collection instrument of choice was a self-administered questionnaire. Convenience, non-probability sampling was the sampling method chosen for the purpose of this study. Collected data were analysed with the assistance of a statistician using descriptive and inferential statistics. Results were displayed in the form of graphs and tables. The results obtained in the study, combined with data from the literature review, were used to develop recommendations to enhance vi professional nurses’ knowledge regarding weaning the critically ill patient from mechanical ventilation. The recommendations were presented in the form of a protocol based on the available evidence. Ethical principles as they relate to conducting research were adhered to throughout the study.
- Full Text:
- Date Issued: 2011
Design and development of a remote reconfigurable internet embedded I/O controller
- Authors: Phillips, Grant
- Date: 2003
- Subjects: Embedded computer systems -- Design and construction , Computer input-output equipment , Programmable controllers , Electronic controllers -- Design and construction
- Language: English
- Type: Thesis , Masters , MTech (Electrical Engineering)
- Identifier: vital:10817 , http://hdl.handle.net/10948/116 , Embedded computer systems -- Design and construction , Computer input-output equipment , Programmable controllers , Electronic controllers -- Design and construction
- Description: The use of embedded Internet systems is growing rapidly in the manufacturing sector. These systems allow the monitoring and controlling of plant machinery and manufactured items from a remote location via a standard Web interface. In a manufacturing environment, it is inevitable that long running processes will require support for dynamic reconfiguration because, for example, machines may fail, services may be moved or withdrawn and user requirements may change. In such an environment it is essential that the operation and architecture of such processes can be modified to reflect such changes. This research project will present methods and ideas for establishing a reconfigurable remote system by using standard 8-bit microcontrollers and reconfigurable hardware. It will allow a manufacturing process to be modified and changed within minutes without even having to be physically present at the location where the process is running.
- Full Text:
- Date Issued: 2003
- Authors: Phillips, Grant
- Date: 2003
- Subjects: Embedded computer systems -- Design and construction , Computer input-output equipment , Programmable controllers , Electronic controllers -- Design and construction
- Language: English
- Type: Thesis , Masters , MTech (Electrical Engineering)
- Identifier: vital:10817 , http://hdl.handle.net/10948/116 , Embedded computer systems -- Design and construction , Computer input-output equipment , Programmable controllers , Electronic controllers -- Design and construction
- Description: The use of embedded Internet systems is growing rapidly in the manufacturing sector. These systems allow the monitoring and controlling of plant machinery and manufactured items from a remote location via a standard Web interface. In a manufacturing environment, it is inevitable that long running processes will require support for dynamic reconfiguration because, for example, machines may fail, services may be moved or withdrawn and user requirements may change. In such an environment it is essential that the operation and architecture of such processes can be modified to reflect such changes. This research project will present methods and ideas for establishing a reconfigurable remote system by using standard 8-bit microcontrollers and reconfigurable hardware. It will allow a manufacturing process to be modified and changed within minutes without even having to be physically present at the location where the process is running.
- Full Text:
- Date Issued: 2003
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