Abstract
This 18-month study used a structured questionnaire to explore the roles of nursing care on the occurrence and consequences of unplanned endotracheal extubation (UEE) in intensive care units in Taiwan. Experiencing UEE were 225/1176 (22.5%) intubated patients: 91.7% were self-extubations and 8.3% were accidental. Self-extubations occurred most frequently during night shifts and in the care of nurses with less working experience. Accidental extubations occurred most frequently in patients undergoing routine nursing procedures, usually required immediate re-intubation and were associated with more complications. An appropriate nurse-to-patient ratio, better working procedures and continual nursing education programs might help reduce occurrence and complications of UEE.
MeSH terms
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Accidents / statistics & numerical data*
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Adult
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Attitude of Health Personnel*
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Clinical Competence / standards
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Conscious Sedation / statistics & numerical data
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Critical Care / organization & administration*
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Equipment Failure
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Female
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Humans
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Intensive Care Units
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Intubation, Intratracheal* / adverse effects
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Intubation, Intratracheal* / nursing
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Longitudinal Studies
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Male
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Night Care / organization & administration
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Nurse's Role*
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Nursing Evaluation Research
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Nursing Staff, Hospital* / education
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Nursing Staff, Hospital* / organization & administration
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Nursing Staff, Hospital* / psychology
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Personnel Staffing and Scheduling / organization & administration
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Quality Assurance, Health Care / organization & administration
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Restraint, Physical / statistics & numerical data
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Risk Factors
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Risk Management
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Surveys and Questionnaires
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Taiwan
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Workload