Date of Award

2008

Degree Name

Nursing

College

Graduate School of Education and Professional Development

Type of Degree

M.S.

Document Type

Thesis

First Advisor

Madonna Combs

Second Advisor

Karen Stanley

Third Advisor

Melanie Akers

Abstract

The purpose of this research study was to show the effectiveness of implementing a standardized nurse-respiratory driven weaning protocol in decreasing the time spent on mechanical ventilation and the incidence of ventilator-associated pneumonia in mechanically ventilated patients compared to using individual physician methods. Chart reviews were performed to compare the incidence of ventilator-associated pneumonia (VAP) prior to the initiation of the nurse-respiratory driven weaning protocol. Sister Callista Roy’s Adaptation theory was used as a framework for this study to show that nurses could promote adaption by using a standardized ventilator weaning protocol. The study did not show statistical significance that the use of the weaning protocol decreased the incidence of ventilator-associated pneumonia or decreased the time spent on mechanical ventilation. Continuing research with more subjects is needed to show the effectiveness of weaning protocols on the incidence of VAP and duration of mechanical ventilation.

Subject

Respiratory therapy

Subject

Respirators (Medical equipment)

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