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The Art Is to Extubate, Not to Intubate-Swedish Registered Nurse Anesthetists' Experiences of the Process of Extubation After General Anesthesia
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.ORCID iD: 0000-0001-5897-0788
Karolinska Inst, Stockholm; Karolinska Univ Hosp, Stockholm.ORCID iD: 0000-0001-5403-4183
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.ORCID iD: 0000-0002-1614-7379
Ersta Sköndal Bräcke Univ Coll, Stockholm.
2019 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, no 4, p. 789-800Article in journal (Refereed) Published
Abstract [en]

Purpose: To describe Registered Nurse Anesthetists' (RNA's) experiences of the process of extubation of the endotracheal tube in patients undergoing general anesthesia. Design: A descriptive qualitative design. Methods: This study was conducted in two hospitals with 20 RNAs in total. Data were generated from focus group interviews. Content analysis was used to analyze data. Findings: The RNAs' experiences were described within four categories and eight subcategories. The category To be a step ahead includes assessment and preparation, and To be on my toes, their ability to recognize patterns and build a connection. To use situation awareness relates to their use of experience and feelings, and To be alone in a critical moment, to feeling alone in the team and protecting the patient. Conclusions: The RNAs make decisions when to extubate by combining theoretical knowledge, clinical experience, and intuition with the uniqueness of each patient.

Place, publisher, year, edition, pages
2019. Vol. 34, no 4, p. 789-800
Keywords [en]
critical moment, endotracheal tube, experience, extubation, Registered Nurse Anesthetist, teamwork
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-36863DOI: 10.1016/j.jopan.2018.11.007ISI: 000477975200018PubMedID: 30745264OAI: oai:DiVA.org:miun-36863DiVA, id: diva2:1343189
Available from: 2019-08-15 Created: 2019-08-15 Last updated: 2019-08-15Bibliographically approved

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Rönnberg, LindaHellzén, Ove

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