Effective Care Practices in Patients Receiving Prolonged Mechanical Ventilation. An Ethnographic Study.

ABSTRACT: Rationale: Patients receiving prolonged mechanical ventilation experience low survival rates and incur high healthcare costs. However, little is known about how to optimally organize and manage their care.Objectives: To identify a set of effective care practices for patients receiving prolonged mechanical ventilation.Methods: We performed a focused ethnographic evaluation at eight long-term acute care hospitals in the United States ranking in either the lowest or highest quartile of risk-adjusted mortality in at least four of the five years between 2007 and 2011.Measurements and Main Results: We conducted 329 hours of direct observation, 196 interviews, and 39 episodes of job shadowing. Data were analyzed using thematic content analysis and a positive-negative d

SUBMITTER: Rak KJ 

PROVIDER: S-EPMC7124716 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature