Challenges and barriers to optimising sedation in intensive care: a qualitative study in eight Scottish intensive care units.

ABSTRACT:

Objectives

Various strategies to promote light sedation are highly recommended in recent guidelines, as deep sedation is associated with suboptimum patient outcomes. Yet, the challenges met by clinicians in delivering high-quality analgosedation is rarely addressed. As part of the evaluation of a cluster-randomised quality improvement trial in eight Scottish intensive care units (ICUs), we aimed to understand the challenges to optimising sedation in the Scottish ICU settings prior to the trial. This article reports on the findings.

Design

A qualitative exploratory design: We conducted focus groups (FG) with clinicians during the preintervention period. Setting and participants: Eight Scottish ICUs. Nurses, physiotherapists and doctors working in each ICU volunteered t

SUBMITTER: Kydonaki K 

PROVIDER: S-EPMC6538047 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature