Poster Presentation

Thursday, July 12, 2007
9:30 AM - 10:15 AM

Thursday, July 12, 2007
3:15 PM - 4:00 PM
This presentation is part of : Poster Presentation II
Clinical Nursing Practice Guideline for Post Extubation Care in Infant Patients
Manee Sakunpunphuk, MNS, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Learning Objective #1: used this clinical nursing practice guideline as a tool for nurses who provide care for post extubation infant patients.
Learning Objective #2: used this clinical nursing practice guideline for further nursing research which investigates and determines effective methods for post extubation care in infant patients.

ABSTRACTThe purpose of this study was to develop a clinical nursing practice guideline for post extubation care in infant patients in order to prevent extubation failure in the PICU through a systematic review and research utilization process. There were a total of 45 research literatures and academic evidences related to post extubation care selected. The guideline was validated for accuracy of the language, content validity, and feasibility of use in clinical practice by five experts in post extubation infant patients. The guideline can help practitioners, especially novice and advanced-beginner nurses to develop their knowledge and increase their confidence to effectively and efficiently provide standard nursing care.

The guideline presented post extubation assessment and nursing care in each condition of infant patients: 1) Normal condition, 2) Infant patients with mild hypoxemia, 3) Infant patients with high risk of upper airway obstruction from airway edema or lower airway obstruction from bronchospasm, airway swelling or retained secretion, 4) Infant patients with accumulative or retainable secretions in the airway/ secretion blocking/ atelectasis, and 5) Infant patients with the risk of respiratory failure. The nursing care in each condition consists of a number of procedures and interventions which will help infant patients to achieve successful extubation.

It is recommended that this guideline be tested with the target population in a clinical setting. Also, it should be evaluated for implementation outcomes, and subsequently revised and improved for suitability for actual nursing practice.




142 P.