چگونه می توان تمایل پرستاران را برای استفاده از ساکشن به روش بسته بهبود بخشید؟

Goals: Tracheal suction is a method to clean the airway from discharge. This method is used for patients with reduced level of consciousness and respiratory muscle weakness who are not able to cough and discharge their secretions. There exist two suction systems: open suction system [OSS) and closed suction system [CSS). This study aims to improve application of closed suction in intensive care unit. Methods: This study is an action research. ۶۰ ICU nurses were selected through convenience sampling, ۳۰ of whom were chosen by random sampling. The required data was gathered by the help of observation, interviews and the standard American Association of C ritical Care Nurses [AACN) questionnaires. The following steps were exactly taken in the present study: precise statement of the problem, gathering information, planning and goal setting, implementation, and evaluation. In the present study, using the questionnaire and interview, problems associated with closed suction were prioritized and solutions were found out through silent brain storming and participation of nursing staff. Affordable solutions were eventually taken. Results: The prevalence of preference for using closed suction before the study was ۱۰.۵% and ۶۶.۷% afterwards. The frequency of using the open suction method, according to the connectedness of closed suction to patients, was ۶۰% before the intervention and ۵۷.۱% after that. No significant difference was observed between the mean score of suction before and after the intervention [p>۰.۰۵). Conclusion: Action research is a suitable way to change and improve nurses’ performance, since in this method, taking the advantage of the staff’s comments and involving them in the study makes it plausible to bring about changes faster. Additionally, the made decisions would be more stable and reliable among the nursing staff.

کلیدواژه ها:

Closed suction ، ICU ، Nurse ، ساکشن بسته ، بخش مراقبت های ویژه ، پرستار