Pengalaman Perawat dalam Proses Penyapihan Ventilator di Ruang ICU RSUD dr Adyatma Semarang

Abstract

Department of Nursing Faculty of Medicine Diponegoro University Semarang, June 2017 ABSTRACT Muhammad Zulfikar M “The Nurse’s Experience at Ventilator Weaning Process in Dr. Adyatma Hospital Semarang ICU Room” xv + 53 pages+ 2 table + 2 pictures + 8 attachments Background: Ventilator weaning is a process of gradually or directly discontonuing the ventilator from the patient to restore spontaneous respiratory function to the patient. Weaning success relies heavily on the role of nurses as nursing care providers that serve patients for 24 hours. Objective: to know the experience of nurses in weaning patients from ventilator in ICU Dr Adyatma Hospital Semarang. Method: Qualitative study with phenomenology approach was performed. Four participants were selected based on purposive sampling technique with criteria of nurses who have been working in ICU RS dr Adhyatma> 1 year, had done the weaning process ventilator> 5 times and already have ICU certificate. The data retrieval were conducted by in-depth interview technique. Results: There were 5 themes: the assessment of patients in ventilator weaning is hemodynamics, respiratory, temperature, psychological factors, and nutrients; weaning can be done at any time, but more often in the morning; reintubation or weaning failure are characterized by changes in blood pressure, respiratory and diaphoresis; reintubation or weaning failure are caused by the patient's disease and age; nurses are confident to make decisions in the ventilator weaning but lack of autonomy. Conclusions and recommendations: Nurses have confidence in ventilator weaning, but they have limited autonomy. Nurses are advised continuing to develop the self-efficacy in ventilator weaning. Giving the autonomy and more responsibility to the nurse should be considered by Dr Adyatma Hospital. Keywords: Ventilator weaning, nurse experience References: 65 (1997-2016)