Establishment of evidence-based nursing review indicators for airway management of adult critical patients and analysis of obstacle factors.
Yan Yujiao, Ding Juan, Zeng Xurui and 1 others
PMID 34002937WHAT IT FOUND
Most ICU airway care indicators were poorly followed, and only 44% of nurses passed a knowledge test.
The paper provides review indicators and barriers to address, not proof that care improved.
Key findings
01Only one baseline airway care indicator reached 71.43% compliance; the other 20 were between 0% and 44.00%.
02Nurses' pass rates were 44% for airway knowledge, 20% for behaviour, and 84% for attitude.
03Twenty-five included source documents yielded 44 best evidence items, narrowed to 29 after FAME evaluation and used to create 21 review indicators.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Single-centre baseline audit in one neurosurgical ICU, so results may not apply to other settings. No post-implementation audit or comparison group, so it cannot show that the review indicators changed care or patient outcomes. Only 36 patients and 25 nurses were included. The questionnaire measured nurses' knowledge, behaviour, and attitude, not patient outcomes. The evidence items came from published literature and expert evaluation; this paper did not test them clinically. Action strategies were planned but not evaluated.
Declared interests
The article is tagged as non-U.S. government research support, but no specific funder is named. The authors declare no conflict of interest.
The easy way to misread this
Do not read the low compliance rates as evidence that these airway indicators improved patient outcomes. This was a baseline audit before implementation, and the paper reports no post-implementation patient outcomes.