Nurses’ Attitudes and Practices Related to Sedation: A National Survey

Authors

Jill L. Guttormson, Marquette UniversityFollow
Linda L. Chlan, University of Minnesota - Twin CitiesFollow
Mary Fran Tracy, University of Minnesota - Twin Cities
Breanna Hetland, University of Nebraska Medical Center
Jay Mandrekar, Mayo Clinic

Document Type

Article

Publication Date

7-2019

Publisher

American Association of Critical-Care Nurses

Source Publication

American Journal of Critical Care

Source ISSN

1062-3264

Abstract

Background

Nurses are fundamental to the implementation of sedation protocols for patients receiving mechanical ventilation. A 2005 survey showed that nurses’ attitudes toward sedation affected their sedation practices. Since then, updated guidelines on managing pain, agitation, and delirium have been published.

Objective

To explore nurses’ self-reported attitudes and practices related to sedation and determine whether they have changed in the past decade.

Methods

Members of the American Association of Critical-Care Nurses were invited to complete the Nurse Sedation Practices Scale, which measures nurses’ self-reported sedation practices and factors that affect them. Item and subscale responses were analyzed, and differences in item responses by respondent characteristics were determined.

Results

Respondents (N = 177) were mostly staff nurses (68%) with a bachelor’s degree in nursing (63%). Nurses’ attitudes toward the effectiveness of sedation in relieving patients’ distress during mechanical ventilation correlated positively with their intention to administer sedatives (r_s = 0.65). Sixty-six percent of nurses agreed that sedation was necessary for patients’ comfort, and 34% agreed that limiting patients’ recall was a desired outcome of sedation. Respondents with more experience or CCRN certification had a less positive evaluation of the effectiveness of sedation in minimizing distress.

Conclusions

Nurses’ attitudes toward sedating patients receiving mechanical ventilation have shifted in the past decade, with fewer nurses now believing that all patients should be sedated. However, more than half of nurses still agree that sedation is needed for patients’ comfort, highlighting the need to consider nurses’ attitudes when seeking to optimize sedation practices during mechanical ventilation.

Comments

American Journal of Critical Care, Vol. 28, No. 4 (July 2019): 255-263. DOI.

Recommended Citation

Guttormson, Jill L.; Chlan, Linda L.; Tracy, Mary Fran; Hetland, Breanna; and Mandrekar, Jay, "Nurses’ Attitudes and Practices Related to Sedation: A National Survey" (2019). College of Nursing Faculty Research and Publications. 733.
https://epublications.marquette.edu/nursing_fac/733