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- Title
Il ruolo decisionale dell'infermiere nella gestione della ventilazione meccanica: un confronto tra la realtà italiana e quella spagnola.
- Authors
GALAZZI, ALESSANDRO; KILIM, KORNELIUSZ; GIUSTI, GIAN DOMENICO; ANDRESI, ILARIA; ADAMINI, ILEANA
- Abstract
Introduction: optimal management of mechanical ventilation and weaning requires a dynamic and collaborative decision-making process to minimize complications and avoid delays in extubation. In absence of collaboration, the ventilation process can be fragmented, incoherent and delayed with an increase in mortality. The results of weaning and the duration of mechanical ventilation are positively influenced by the increasing participation of nurses. Aim: to understand the decision-making role of nurses in managing mechanical ventilation comparing the Italian reality with the Spanish one. Material and methods: descriptive, transversal, multicentre study, carried out by the administration of a validated questionnaire to nurses of eight intensive care units, in a university and non-university hospital, both in Italy and in Spain. Results: 114 questionnaires were filled in. The perception of nursing responsibility in mechanical ventilation is greater in Spanish, where nurses perceive it as a collaborative process (52%), while in Italy as mainly a physician responsibility (69%). Collaboration is felt more in university hospitals than in non-university hospitals. Conclusions: nurses' decision-making responsibility during mechanical ventilation varies depending on the type of activity, although its role is still not high in both Spain and Italy.
- Subjects
ITALY; SPAIN; ARTIFICIAL respiration; INTENSIVE care nursing; INTENSIVE care units; INTERPROFESSIONAL relations; RESEARCH methodology; MEDICAL cooperation; QUESTIONNAIRES; RESEARCH; DECISION making in clinical medicine; DESCRIPTIVE statistics
- Publication
SCENARIO: Official Italian Journal of ANIARTI, 2017, Vol 34, Issue 4, p34
- ISSN
1592-5951
- Publication type
Article