Nurses' attitudes and practices related to sedation: A national survey

Jill L. Guttormson, Linda Chlan, Mary Fran Tracy, Breanna Hetland, Jay Mandrekar

Research output: Contribution to journalArticle

1 Scopus citations

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' selfreported 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 (rs = 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.

Original languageEnglish (US)
Pages (from-to)255-263
Number of pages9
JournalAmerican Journal of Critical Care
Volume28
Issue number4
DOIs
StatePublished - Jul 1 2019

ASJC Scopus subject areas

  • Critical Care

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