Airway management in the hospital environment

Higginson, Ray; Parry, Andy; Williams, Meirion

doi:10.12968/bjon.2016.25.2.94

Cited by 7 publications

(8 citation statements)

References 6 publications

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“…In this context, it is essential to review the nursing education and ensure that these professionals have an effective participation in patient care during emergency situations. Patients with a compromised airway quickly become unstable and run the risk of cardiorespiratory arrest 32 . Recent studies 33 - 34 emphasize the need to evaluate strategies for ventilatory support, because nurses need to have the knowledge, ability and competent clinical reasoning to anticipate, monitor and intervene when any complication arise from ventilatory support 35 .…”

Section: Introductionmentioning

confidence: 99%

Construction and validation of competency frameworks for the training of nurses in emergencies

Girão

Mazzo

Pereira-Junior

2018

Rev. Latino-Am. Enfermagem

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Objective:to build and validate competency frameworks to be developed in the training of nurses for the care of adult patients in situations of emergency with a focus on airway, breathing and circulation approach. Method:this is a descriptive and methodological study that took place in three phases: the first phase consisted in a literature review and a workshop involving seven experts for the creation of the competency frameworks; in the second phase, 15 experts selected through the Snowball Technique and Delphi Technique participated in the face and content validation, with analysis of the content of the suggestions and calculation of the Content Validation Index to assess the agreement on the representativeness of each item; in the third phase, 13 experts participated in the final agreement of the presented material. Results:the majority of the experts were nurses, with graduation and professional experience in the theme of the study. Competency frameworks were developed and validated for the training of nurses in the airway, breathing and circulation approach. Conclusion:the study made it possible to build and validate competency frameworks. We highlight its originality and potentialities to guide teachers and researchers in an efficient and objective way in the practical development of skills involved in the subject approached.

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Section: Introductionmentioning

confidence: 99%

Construction and validation of competency frameworks for the training of nurses in emergencies

Girão

Mazzo

Pereira-Junior

2018

Rev. Latino-Am. Enfermagem

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“…The nurse makes the initial macroscopic assessment of the airway, listens for breath and feels for possible fractures, uses manual methods to open obstructed airways and intervenes in the case of compromised airways with the use of basic airway adjuncts. The nurse also helps in the maintenance of advanced airway adjuncts, delivers O 2 when needed, continually reassesses the patient with the use of the relevant monitors, communicates the condition of the patient to the doctors, interacts with the patient himself and informs the patient's relatives in the waiting area 23,24 .…”

Section: A: Airwaymentioning

confidence: 99%

Initial assessment of the trauma patient: a nursing approach

Katsaphourou¹

2019

JRPMS

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This article presents a mini review of a nursing approach to the trauma patient. Trauma injury is one of the leading causes of death and is considered a modern era disease that poses an immense financial, social and even political burden, forcing the topic of death toll due to unsafe state infrastructures into the political agenda. Reviewing articles from various sources and databases written in English and in Greek, we look into the role of the trauma nurse, focusing on the steps that need to be followed during the initial assessment and the primary evaluation of the trauma patient in an attempt to point to the fact that knowledge of protocols, speed and close collaboration can be factors that literally make a difference between life and death on the trauma patient's life.

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Section: Introductionmentioning

confidence: 99%

“…Urgency and emergency (UE) situations can occur at any level of care in the health services, and the nurses, as team leaders, must be adequately prepared to deal with them in an effective, competent and systematic manner. Among the most common, those involving patients with airway involvement require a confident and immediate professional performance, since the risk of clinical instability and evolution to cardiopulmonary arrest is imminent ( 1 ) .…”

Section: Introductionmentioning

confidence: 99%

“…Airway permeability can be effectively ensured by using relatively simple interventions, such as checking the patient's verbal response, maneuvers involving the head and jaw, thoracic inspection, and visual assessment of possible obstructions such as foreign bodies, vomiting, secretions, facial, mandibular or laryngeal fractures ( 1 , 4 ) . Nurses are among the professionals responsible for carrying out these interventions; however, they often do not receive training for airway assessment and intervention.…”

Section: Introductionmentioning

confidence: 99%

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Competences in the training of nurses to assist the airway of adult patients in urgency and emergency situations

Girão

Pereira-Junior

Mazzo

2021

Rev. Latino-Am. Enfermagem

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Objective: construction and validation in appearance and content of the competence frameworks and of the Entrustable Professional Activities to develop skills in the training of nurses to assist the airway of adult patients in urgency and emergency situations. Method: a descriptive and methodological study developed in four phases: in the first, a workshop was held, composed of experts, for the construction of the competence frameworks; in the second, the material was validated using the Snowball Technique and the Delphi Technique, in the third, content analysis and calculation of the Content Validation Index were conducted; and in the fourth phase, the Entrustable Professional Activities were built, validated in simulated workshops. Results: the competence frameworks were built and validated, with a resulting CVI≥0.85 in all the items. The Entrustable Professional Activities were validated by experts regarding their applicability; of these, 44% stated they were applicable in simulated environments, 100% that they were useful content and with appropriate language, 22% suggested the insertion of new items to assess competence, 11% reported the difficulty of assessing competence individually in the clinical settings, and 11% of the experts referred to the need for prior training of the teacher/facilitator to use it. Conclusion: the study resulted in the construction of competence frameworks and six Entrustable Professional Activities relating them to the domains of essential competences in the training of nurses to assist the airway of adult patients in urgency and emergency situations. The participation of experts in the construction and validation of this material was essential to guarantee the theoretical and practical relevance of the result.

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Airway management in the hospital environment

Cited by 7 publications

References 6 publications

Construction and validation of competency frameworks for the training of nurses in emergencies

Construction and validation of competency frameworks for the training of nurses in emergencies

Initial assessment of the trauma patient: a nursing approach

Competences in the training of nurses to assist the airway of adult patients in urgency and emergency situations

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