Implementing selective digestive tract decontamination in the intensive care unit

A qualitative analysis of nurse-identified considerations

Andrea P Marshall, Leonie Weisbrodt, Louise Rose, Eilidh Duncan, Maria Prior, Laura Todd, Elisabeth Wells, Ian Seppelt, Brian Cuthbertson, Jill Francis

Research output: Contribution to journalArticle

6 Citations (Scopus)
5 Downloads (Pure)

Abstract

Objective
To describe factors senior critical care nurses identify as being important to address when introducing selective digestive tract decontamination (SDD) in the clinical setting.

Background
Critically ill patients are at risk of developing ventilator-associated pneumonia (VAP). SDD is one strategy shown to prevent VAP and possibly improve survival in the critically ill.

Methods
We performed a secondary analysis of qualitative data obtained from 20 interviews. An inductive thematic analysis approach was applied to data obtained from senior critical care nurses during phase two of a multi-methods study.

Results
There were four primary considerations identified that should be addressed or considered prior to implementation of SDD. These considerations included education of health care professionals, patient comfort, compatibility of SDD with existing practices, and cost.

Conclusions
Despite a lack of experience with, or knowledge of SDD, nurses were able to articulate factors that may influence its implementation and delivery. Organizations or researchers considering implementation of SDD should include nurses as key members of the implementation team.
Original languageEnglish
Pages (from-to)13-18
Number of pages6
JournalHeart & Lung : The Journal of Acute and Critical Care
Volume43
Issue number1
Early online date14 Nov 2013
DOIs
Publication statusPublished - Jan 2014

Fingerprint

Decontamination
Intensive Care Units
Gastrointestinal Tract
Nurses
Ventilator-Associated Pneumonia
Critical Care
Critical Illness
Research Personnel
Organizations
Interviews
Delivery of Health Care
Education
Costs and Cost Analysis
Survival

Keywords

  • antibiotic prophylaxis
  • critical illness
  • implementation
  • selective decontamination of the digestive tract
  • ventilator-associated pneumonia

Cite this

Implementing selective digestive tract decontamination in the intensive care unit : A qualitative analysis of nurse-identified considerations. / Marshall, Andrea P; Weisbrodt, Leonie; Rose, Louise; Duncan, Eilidh; Prior, Maria; Todd, Laura; Wells, Elisabeth; Seppelt, Ian; Cuthbertson, Brian; Francis, Jill.

In: Heart & Lung : The Journal of Acute and Critical Care, Vol. 43, No. 1, 01.2014, p. 13-18.

Research output: Contribution to journalArticle

Marshall, Andrea P ; Weisbrodt, Leonie ; Rose, Louise ; Duncan, Eilidh ; Prior, Maria ; Todd, Laura ; Wells, Elisabeth ; Seppelt, Ian ; Cuthbertson, Brian ; Francis, Jill. / Implementing selective digestive tract decontamination in the intensive care unit : A qualitative analysis of nurse-identified considerations. In: Heart & Lung : The Journal of Acute and Critical Care. 2014 ; Vol. 43, No. 1. pp. 13-18.
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N2 - ObjectiveTo describe factors senior critical care nurses identify as being important to address when introducing selective digestive tract decontamination (SDD) in the clinical setting.BackgroundCritically ill patients are at risk of developing ventilator-associated pneumonia (VAP). SDD is one strategy shown to prevent VAP and possibly improve survival in the critically ill.MethodsWe performed a secondary analysis of qualitative data obtained from 20 interviews. An inductive thematic analysis approach was applied to data obtained from senior critical care nurses during phase two of a multi-methods study.ResultsThere were four primary considerations identified that should be addressed or considered prior to implementation of SDD. These considerations included education of health care professionals, patient comfort, compatibility of SDD with existing practices, and cost.ConclusionsDespite a lack of experience with, or knowledge of SDD, nurses were able to articulate factors that may influence its implementation and delivery. Organizations or researchers considering implementation of SDD should include nurses as key members of the implementation team.

AB - ObjectiveTo describe factors senior critical care nurses identify as being important to address when introducing selective digestive tract decontamination (SDD) in the clinical setting.BackgroundCritically ill patients are at risk of developing ventilator-associated pneumonia (VAP). SDD is one strategy shown to prevent VAP and possibly improve survival in the critically ill.MethodsWe performed a secondary analysis of qualitative data obtained from 20 interviews. An inductive thematic analysis approach was applied to data obtained from senior critical care nurses during phase two of a multi-methods study.ResultsThere were four primary considerations identified that should be addressed or considered prior to implementation of SDD. These considerations included education of health care professionals, patient comfort, compatibility of SDD with existing practices, and cost.ConclusionsDespite a lack of experience with, or knowledge of SDD, nurses were able to articulate factors that may influence its implementation and delivery. Organizations or researchers considering implementation of SDD should include nurses as key members of the implementation team.

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