Table 3 Summary of distribution of EAP-AIMVS re-arranged after EFA for 200 subjects by ventilation status (N = 200)
Item | Total (N = 200) | Weaning (N = 123) | Die during ventilation (N = 77) |
|---|---|---|---|
Factor 1:Availability | Â | Â | Â |
1. Check ventilator function | 3.63 ± 0.49 | 3.84 ± 0.37 | 3.29 ± 0.45 |
2. Select available types and styles of endotracheal or tracheostomy tubes | 3.6 ± 0.49 | 3.81 ± 0.39 | 3.25 ± 0.43 |
3. Nursing staff has the necessary knowledge and skills to manage mechanical ventilation system | 3.66 ± 0.48 | 3.85 ± 0.36 | 3.35 ± 0.48 |
4. Various policies and procedures related to mechanical ventilation are available | 3.62 ± 0.49 | 3.81 ± 0.39 | 3.31 ± 0.47 |
5. Environment is suitable for ventilated patient | 3.59 ± 0.52 | 3.78 ± 0.42 | 3.29 ± 0.53 |
Factor 2: Dependability | Â | Â | Â |
6. Ensure that ventilation tubing is not twisted and that it is adequately supported so as not to pull on the ETT/trachi | 3.3 ± 0.69 | 3.6 ± 0.54 | 2.82 ± 0.62 |
7. Check placement of tube by listening for equal bilateral breath sounds | 3.32 ± 0.69 | 3.63 ± 0.52 | 2.82 ± 0.64 |
8. Ensure that endotracheal tube or tracheostomy tube is held securely in position but not too tightly to result in pressure area lesions | 3.1 ± 0.65 | 3.34 ± 0.54 | 2.7 ± 0.61 |
9. Stabilize the tube while turning or moving the patient | 3.12 ± 0.71 | 3.39 ± 0.6 | 2.68 ± 0.66 |
10. When possible, elevate head of bed to 30° to 45° prevent ventilator-associated pneumonia | 3.29 ± 0.69 | 3.58 ± 0.57 | 2.82 ± 0.6 |
11. Maintain proper cuff pressure and check if necessary to prevent leakage of air and contaminated secretions | 3.26 ± 0.72 | 3.58 ± 0.57 | 2.74 ± 0.62 |
12. Suction oropharyngeal and tracheal secretions, more often if necessary, to maintain a patent airway | 3.34 ± 0.68 | 3.66 ± 0.51 | 2.83 ± 0.62 |
13. Oral care at least once a shift and more often if indicated | 3.3 ± 0.66 | 3.61 ± 0.51 | 2.81 ± 0.59 |
14. Carry out appropriate airway humidification to prevent sticky sputum and keep patient comfortable | 3.28 ± 0.69 | 3.58 ± 0.54 | 2.79 ± 0.61 |
15. Ventilator circuits are changed weekly or as necessary | 3.3 ± 0.71 | 3.61 ± 0.55 | 2.79 ± 0.64 |
16. HME filters and end expiratory filters are changed routinely every 24 hours or more frequently if condensation is visible | 3.29 ± 0.69 | 3.59 ± 0.54 | 2.81 ± 0.63 |
17. Assess patients’ psychological state and help them develop individualized nurse-patient communication method and plan | 3.28 ± 0.7 | 3.58 ± 0.57 | 2.81 ± 0.63 |
Factor 3: Capability | Â | Â | Â |
18. Tube displacement | 3.16 ± 1.1 | 3.69 ± 0.68 | 2.31 ± 1.1 |
19. Unplanned extubation | 3.4 ± 0.9 | 3.8 ± 0.55 | 2.74 ± 0.95 |
20. Airway obstruction | 3.36 ± 0.93 | 3.75 ± 0.58 | 2.73 ± 1.03 |
21. Ventilator-associated pneumonia | 3.2 ± 1.03 | 3.63 ± 0.69 | 2.51 ± 1.11 |
22. Adverse psychological reactions | 3.11 ± 1.08 | 3.58 ± 0.71 | 2.35 ± 1.13 |
Total EAP-AIMVS | 73.76 ± 11.62 | 80.41 ± 6.29 | 63.13 ± 10.19 |