Respiratory failure & ventilation
Factors influencing the implementation of a ventilation weaning protocol in an adult intensive care unit: a qualitative multidisciplinary evaluation
Study context
- Population
- Professionals from four key professions in an adult intensive care unit (ICU) where a mechanical ventilation weaning protocol was underused4 key professions
- Participants
- 32 professionals
- Outcome
- Factors that influenced the implementation of the weaning protocol
Methodological detailssemidirected interviews in profession-specific focus groups, Consolidated Framework for Implementation Research
- Semidirected interviews in profession-specific focus groups
- Consolidated Framework for Implementation Research
Main finding
As reported in the abstract
Factors negatively impacting WP implementation
- Goals of the weaning protocol (WP) differed between professional groups, leading to significant frustration and breaches in collaboration
- Lack of a continuous quality improvement process
- WP incompatible with routine and procedures already in place at implementation
- Time-of-day of WP application and patient safety concerns specifically identified issues
Original publication
Factors influencing the implementation of a ventilation weaning protocol in an adult intensive care unit: a qualitative multidisciplinary evaluation. Can J Anaesth. Published 30 November 2022. doi:10.
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