The importance of knowing the patient in weaning from mechanical ventilation
Article first published online: 13 OCT 2009
© 2009 The Authors. Journal Compilation © 2009 British Association of Critical Care Nurses
Nursing in Critical Care
Volume 14, Issue 6, pages 289–296, November/December 2009
How to Cite
Crocker, C. and Scholes, J. (2009), The importance of knowing the patient in weaning from mechanical ventilation. Nursing in Critical Care, 14: 289–296. doi: 10.1111/j.1478-5153.2009.00355.x
- Issue published online: 13 OCT 2009
- Article first published online: 13 OCT 2009
- Critical care;
- Knowing the patient;
- Mechanical ventilation;
Aim: The aim of the research was to understand how nurses used technology to wean patients from mechanical ventilation.
Background: The literature concerned with the development of critical care centres on the role of technology with little emphasis on the nursing contribution.
Design: An ethnographic approach was used to understand how nurses used technology to wean patients from mechanical ventilation.
Methods: Data were gathered by participant observation and interviewing over a 6-month period. In total, 250 h of field notes were recorded.
Results: Data were analysed by the content analysis method. Knowing the patient was a central theme identified. Three sub-themes were identified: ways of knowing, continuity of care and the role of the patient in the weaning trajectory.
Conclusion: ‘Knowing the patient' was implied during the interviews as essential to the delivery of patient-centred care. There were two main factors that needed to be present in order for nurses to know their patients: continuity of care and expertise. ‘Ways of knowing’ was reliant on gaining information about the patient. The role of the patient was a passive recipient of treatment.
Implications for practice: Knowing the patient has been defined as a characteristic of expert nursing. To be truly patient-centred nursing needs to address the barriers that prevent nurses from getting to ‘know’ their patients.