|
Factor 1:Availability
| | | |
|
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
| | | |
|
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
| | | |
|
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
|
