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Learning to manage vasoactive drugs: A qualitative interview study with critical care nurses
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
Region Gävleborg.
Norrbotten County Council.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
2017 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 39, 1-8 p.Article in journal (Refereed) Published
Abstract [en]

Objective: Being a nurse in an intensive care unit entails caring for seriously ill patients. Vasoactive drugs are one of the tools that are used to restore adequate circulation. Critical care nurses often manage and administer these potent drugs after medical advice from physicians.

Aim: To describe the experiences of critical care nurses learning to manage vasoactive drugs, and to highlight the competence required to manage vasoactive drugs.

Research methodology/setting: Twelve critical care nurses from three hospitals in Sweden were interviewed. Qualitative content analysis was applied.

Results: The theme "becoming proficient requires accuracy, practice and precaution" illustrated how critical care nurses learn to manage vasoactive drugs. Learning included developing cognitive, psychomotor, and effective skills. Sources for knowledge refers to specialist education combined with practical exercises, collegial support, and accessible routine documents. The competence required to manage vasoactive drugs encompassed well-developed safety thinking that included being careful, in control, and communicating failures. Specific skills were required such as titrating doses, being able to analyse and evaluate the technological assessments, adapting to the situation, and staying calm.

Conclusion: Learning to manage vasoactive drugs requires a supportive introduction for novices, collegial support, lifelong learning, and a culture of safety.

Place, publisher, year, edition, pages
2017. Vol. 39, 1-8 p.
Keyword [en]
Advanced nursing, Competence, Critical care, Lifelong learning, Patient safety, Social learning, Vasoactive drugs
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-30828DOI: 10.1016/j.iccn.2016.09.002ISI: 000396956400001PubMedID: 28108169Scopus ID: 2-s2.0-85009796983OAI: oai:DiVA.org:miun-30828DiVA: diva2:1107182
Available from: 2017-06-09 Created: 2017-06-09 Last updated: 2017-07-03Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf