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Tidig extubering efter hjärtkirurgi: Intensivvårdssjuksköterskans kunskap om tidig extubering och deras syn på faktorer som påverkar tiden till extubering
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2014 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Early extubation of cardiac surgery patients has become increasingly important. The assessment of the patient before an early extubation is crucial and the intensive care nurses (ICU nurses) in this estimation is there for very important.

The aim of this study was to examine critical care nurses' knowledge of early extubation, and what view ICU nurse has about factors that affect the time to extubation of cardiac surgery patients.

A quantitative approach with descriptive and comparative design was used. Selection was all ICU nurses at a thoracic intensive care unit who were clinically active in patient care.

The study showed that ICU nurses had good knowledge of why an early extubation was essential. However, the knowledge about the unit’s extubation criteria was low. ICU nurses felt that the criteria for the cardiac surgery patients on the unit was adequate. The time target of 90 minutes was reasonable. No relationship existed between professional experience and knowledge of the extubation criteria or between knowledge of the criteria and need of support from colleagues in early extubation of the cardiac surgery patients.

The ICU nurses considered themselves familiar with the unit’s extubation criteria but the knowledge of them was low and the majority was working according to their own criteria. The units criteria was not sufficiently visible in the unit and could contributed to the low level of knowledge and contribute to that the majority of the ICU nurses was working according to their own criteria.


Abstract [sv]

Tidig extubering av hjärtkirurgipatienter har blivit allt mer viktigt, en åtgärd där intensivvårdssjuksköterskan har en viktig roll i dennes bedömning av patienten.

Syftet med studien var att belysa intensivvårdssjuksköterskans kunskap om tidig extubering samt vilken syn intensivvårdssjuksköterskan har på faktorer som påverkar tiden till extubering av hjärtkirurgipatienter.

Studien har en kvantitativ ansats med deskriptiv och jämförande design. Metoden som användes var en enkätundersökning. Urvalet var alla intensivvårdssjuksköterskor på en thoraxintensivvårdsavdelning som var kliniskt verksamma i patientvården.

Studien visade att intensivvårdssjuksköterskor hade bra kunskap om varför en tidig extubering eftersträvas. Däremot var kunskapen låg om avdelningens extuberingskriterier. Intensivvårds-sjuksköterskorna ansåg att kriterierna för hjärtkirurgipatienterna på avdelningen var tillräck-liga och att tidsmålet på 90 minuter var rimligt. Studien visade att inget samband fanns mellan yrkeserfarenhet och kunskap om extuberingskriterierna eller mellan kunskap om kriterierna och behov av stöd av kollegor vid tidig extubering av hjärtkirurgipatienter.

Intensivvårdssjuksköterskorna ansåg sig känna till avdelningens extuberingskriterier men kunskapen om avdelningens extuberingskriterier var låg och majoriteten arbetar enligt sina egna kriterier. Avdelningens extuberingskriterier var inte tillräckligt synliga på avdelningen vilket kan bidra till den låga kunskapen och bidra till att majoriteten arbetade efter egna kriterier.


Place, publisher, year, edition, pages
2014. , 23 p.
Keyword [en]
Fast-track, cardiac surgery, early extubation, mechanical ventilation, intensive care nurses
Keyword [sv]
Fast-track, hjärtkirurgi, tidig extubering, mekanisk ventilation, intensivvårdssjuksköterskor
National Category
URN: urn:nbn:se:uu:diva-226425OAI: diva2:725565
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot intensivvård
Available from: 2014-06-26 Created: 2014-06-16 Last updated: 2014-06-26Bibliographically approved

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