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RES31
To Breathe: The Lived Experience Of Mechanical Ventilation
By: Harris, P., Pillor, E. & Nelson, R.; California State University Sacramento, Sacramento, CA
For further information, please contact: tricia.harris@yahoo.com
Purpose: This study was conducted to describe and analyze patients’ experiences of mechanical ventilation with an emphasis on the weaning process.
Background/Significance: Early weaning can be correlated with better patient outcomes. Many studies have focused on physiological indicators of patients’ readiness to wean. Less research has been performed to understand psychological factors. Given that patients are well served by involvement in their own healthcare, a need exists to learn more about their perceptions to enhance full participation in weaning.
Methods: Researchers recruited 7 volunteers who had been mechanically ventilated for 1 to 14 days. Interviews were conducted with open-ended questions aimed to awaken memories of weaning. Six participants were interviewed within 2 weeks of extubation while one had been mechanically ventilated several years prior. The interviews were carried out either in hospital (N=4) or home (N=3), and then were recorded and transcribed. Hermeneutic phenomenological interpretation was used to analyze data. Results: There were two patient categories: respiratory failure (n=4) and cardiothoracic surgery (n=3). While most memories of weaning itself were unclear, all patients spoke of their ICU experiences before, during, and/or after mechanical ventilation. All expressed complete trust in their healthcare team. Pain, fear, and loss of control were common concerns. Analysis revealed 7 themes associated with mechanical ventilation and recovery in ICU: knowing nothing; trusting in others; entering the here and now; letting go of control; receiving guidance; accepting pain; and rising above fear.
Conclusions: Trust is vital in helping participants gain awareness of their situation and receive guidance in weaning. The themes might serve as tools for nurses in coaching patients as they move toward recovery. More research is needed to understand patient experiences and evaluate nursing actions that promote successful weaning.
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