Poisoning

Baid, Heather; Creed, Fiona; Hargreaves, Jessica

doi:10.1093/med/9780198701071.003.0017

Cited by 1 publication

(2 citation statements)

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“…Respondents may have acquired clinical knowledge and confidence in their ability to employ chest physiotherapy techniques as a result of their extensive clinical nursing experience. In addition, the complex nature of the critical care environment requires nursing professionals to be responsible for independent clinical decision-making to ensure optimal management of critically ill patients [14]. This is likely to extend to the delivery of chest physiotherapy techniques as nursing professionals working in critical care may be able to recognise signs of deteriorating respiratory status and be confident to implement chest physiotherapy techniques accordingly using assessment findings.…”

Section: Discussionmentioning

confidence: 99%

“…Although physiotherapists have been primarily responsible for the provision of chest physiotherapy techniques, other health professionals, particularly nursing staff, have also traditionally implemented these treatment modalities. As such, nurses may view chest physiotherapy delivery as a part of their role in routine respiratory care [14]. This may be, in part, due to the prior education and training nursing professionals have received in their original entry-level qualification.…”

Section: Introductionmentioning

confidence: 99%

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Australian critical care nursing professionals' attitudes towards the use of traditional “chest physiotherapy” techniques

Newstead

Seaton

Johnston

2017

Hong Kong Physiotherapy Journal

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Background: Chest physiotherapy techniques, such as percussion, postural drainage, and expiratory vibrations, may be employed in a critical care setting. Physiotherapists are primarily responsible for their provision; however, nurses have also traditionally implemented these treatments. It is unclear whether nurses consider chest physiotherapy to be a part of their role, or how they perceive their knowledge and confidence pertaining to these techniques. Objective: To investigate the attitudes of nurses towards traditional chest physiotherapy techniques. Method: A total of 1222 members of the Australian College of Critical Care Nurses were invited to participate in an anonymous online survey. Results: There were 142 respondents (12%) with the majority ( n = 132, 93%) having performed chest physiotherapy techniques in clinical practice. Most of them considered that the provision of chest physiotherapy was a part of nurse's role. Commonly cited factors influencing nurses' use of chest physiotherapy techniques were the availability of physiotherapy services, adequacy of nursing staff training and skill, and perceptions of professional roles. Conclusions: Nurses working in critical care commonly utilised traditional chest physiotherapy techniques. Further research is required to investigate the reasons why nursing professionals might assume responsibility for the provision of chest physiotherapy techniques, and if their application of these techniques is consistent with evidence-based recommendations.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%