Kliniese verpleegsorgstandaarde vir die volwasse pasiënt op druk-gekontroleerde ventilasie in die kritiekesorgeenheid

Abstract

The purpose of this article is to describe clinical nursing care standards for a patient on pressure-controlled ventilation in a critical care unit. Nursing practitioners working in the critical care unit are responsible for quality nursing care of the patient on pressure-controlled ventilation. To deliver quality nursing care to the adult patient on pressure-controlled ventilation, the use of clinical nursing care standards are of paramount importance. Clinical nursing care standards refer to descriptive statements that reflect the expected level of clinical performance by the critical care nurse during the nursing care of an adult patient on pressure-control ventilation in a critical care unit. Quality nursing care of an adult patient on pressure-controlled ventilation implies that certain characteristics of quality have been determined and are being adhered to. This nursing care occurs in relation to the health needs of an adult patient on pressure-controlled ventilation within the legal-ethical and managerial framework of critical care nursing and the health care institution (Gillies, 1994 : 97; Muller, 1998a : 3). However, in the South African nursing context there are no clinical nursing care standards for adult patients on pressure-controlled ventilation in critical care units. The following question can therefore be asked: "Which clinical nursing care standards should be formulated for an adult patient on pressure-controlled ventilation in a critical care unit?" An explorative, descriptive, standard-generating research design was followed in this study to formulate clinical nursing care standards for an adult patient on pressure-controlled ventilation in a critical care unit. The method of standard formulation was based on the method described by Muller (1990 : 49 - 53), consisting of a development phase and a quantification phase. In this study, only the development phase was implemented. The formulation of clinical nursing care standards for an adult patient on pressure-controlled ventilation in a critical care unit was based on a previous framework that was described on the basis of a literature study. In this way, the content validity of the clinical nursing care standards was ensured. Furthermore, the content validity of the clinical nursing care standards for an adult patient on pressure-controlled ventilation in a critical care unit was ensured by means of a peer group discussion that was held with clinical domain experts. During this discussion clinical nursing care standards were refined and reformulated. Seventeen clinical nursing care standards were formulated for an adult patient on pressure-controlled ventilation in a critical care unit.


(Health SA Gesondheid : interdisciplinary research journal: 2002 7(3): 19-31)