Abstract
Sedation is a fundamental aspect of management of Intensive Care Unit (ICU) patients. Improvements in sedation practice (including daily interruption of sedation [DIS]) have been strongly associated with decreased ICU length of stay and decreased duration of mechanical ventilation [1]. A previous intra-departmental audit had shown scope for improving DIS performance [2]. Nursing care factors impact on efficacious performance of DIS. However, there is limited qualitative evidence determining the specific factors to target in order to optimise patient care.
Highlights
Sedation is a fundamental aspect of management of Intensive Care Unit (ICU) patients
The most commonly stated disadvantages of DIS were: risk to patient (46.7%), agitation (28.3%) and causing the patient distress (16.7%) - demonstrating similar heterogeneity
The majority (83%) of respondents were unaware of any research concerning DIS. 55.9% were untrained in DIS with 79.3% desiring training/further training. 48.3% stated that doctors led DIS whilst 45% stated that this role was a joint doctor-nurse responsibility. 68.3% felt that it should be led jointly. 61.7% were unaware of the recommended sedation score target during a DIS
Summary
Sedation is a fundamental aspect of management of Intensive Care Unit (ICU) patients. Improvements in sedation practice (including daily interruption of sedation [DIS]) have been strongly associated with decreased ICU length of stay and decreased duration of mechanical ventilation [1]. A previous intra-departmental audit had shown scope for improving DIS performance [2]. Nursing care factors impact on efficacious performance of DIS. There is limited qualitative evidence determining the specific factors to target in order to optimise patient care. The majority (83%) of respondents were unaware of any research concerning DIS. 55.9% were untrained in DIS with 79.3% desiring training/further training. 48.3% stated that doctors led DIS whilst 45% stated that this role was a joint doctor-nurse responsibility. 61.7% were unaware of the recommended sedation score target during a DIS The majority (83%) of respondents were unaware of any research concerning DIS. 55.9% were untrained in DIS with 79.3% desiring training/further training. 48.3% stated that doctors led DIS whilst 45% stated that this role was a joint doctor-nurse responsibility. 68.3% felt that it should be led jointly. 61.7% were unaware of the recommended sedation score target during a DIS
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