Assessment of Nurses Performance Obstacles during Weaning patients from Mechanical Ventilation

Document Type : Original Article

Authors

1 Nursing Specialist in Technical Institute of Nursing, Faculty of Nursing, Assiut University, Egypt

2 Assistant Professor of Critical Care and Emergency Nursing Department Faculty of Nursing Assiut University, Egypt

3 Lecturer of Anesthesia Department, Faculty of Medicine, Assiut University, Egypt

Abstract

Background: The intensive care unit is a highly stressful environment, where nurses face multiple challenges during the weaning process from mechanical ventilation. Identifying these performance obstacles is essential to improve nursing care quality and ensure patient safety during weaning. Aim: Assessment of nurses performance obstacles on weaning during patients  from mechanical ventilation. Research design: Descriptive research design was utilized. Setting: This study was conducted in intensive care units in main hospital at Assiut University hospitals. Subjects: sixty of critical care nurses in intensive care units. Tools; Tool (I): Nurses Assessment tool. Tool (II): obstacles face critical care nurse during weaning patient from mechanical ventilation . Results: The study revealed that 76.7% of nurses demonstrated satisfactory clinical practice during weaning from mechanical ventilation. However, gaps were observed in areas such as nutritional assessment (61.7%) and laboratory data evaluation (70%). Most nurses (88.3%) had basic knowledge of mechanical ventilation, yet only 35% recognized pH disorders as a contraindication to weaning. Additionally, 33.3% of nurses reported shortages in essential equipment. The most common obstacles reported were high workload, fatigue (91.7%), and lack of training. Conclusion: This study concluded that nurses face significant obstacles during weaning from mechanical ventilation, including limited knowledge, inconsistent practices, equipment shortages, and high workload. These factors negatively affect patient outcomes and delay recovery. Recommendation: Overcome  these obstacles are essential in hospitals through application of new strategies to provide appropriate patients care during weaning .

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