Staff perceptions on the use of a sedation protocol in the intensive care setting

Rose, R Louise and Bucknall, Tracey 2004, Staff perceptions on the use of a sedation protocol in the intensive care setting, Australian critical care, vol. 17, no. 4, pp. 151-159, doi: 10.1016/S1036-7314(04)80020-1.

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Title Staff perceptions on the use of a sedation protocol in the intensive care setting
Author(s) Rose, R Louise
Bucknall, TraceyORCID iD for Bucknall, Tracey
Journal name Australian critical care
Volume number 17
Issue number 4
Start page 151
End page 159
Publisher Confederation of Australian Critical Care Nurses
Place of publication Sydney, N.S.W.
Publication date 2004-11
ISSN 1036-7314
Summary Sedation protocols are increasingly being investigated as a method of achieving improved patient outcomes whilst guiding the decision making of both nursing and medical practitioners. However, only a limited number of studies have investigated the perceptions of staff towards a sedation protocol during its implementation. This study was designed to survey the perceptions of staff regarding the implementation of a sedation protocol in an Australian intensive care unit (ICU). Questionnaires were distributed to all multidisciplinary team members who had used the sedation protocol. The response rate was 50% (n=70). The questionnaire combined the use of visual analogue scales plus a comments section to obtain qualitative data.

The results revealed that staff perceived sedation management to be enhanced with the use of a protocol and therefore should be incorporated into routine clinical practice. Staff perceived that providing clear guidelines that facilitated decision making and assisted beginner practitioners enhanced sedation management. In addition, there was a perceived improvement in the patient outcomes, including a decrease in the frequency of over-sedation resulting in a reduced ICU stay.

Positive perceptions may assist in the introduction of other interventional protocols. Other protocols may target areas where variability in clinical decision making exists, despite research evidence that supports specific therapeutic interventions. Further studies addressing protocol implementation for clinical interventions are warranted in other ICU settings.

Notes Available online 13 January 2007.
Language eng
DOI 10.1016/S1036-7314(04)80020-1
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2004, Published by Elsevier B.V.
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