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Effect of a collaborative weaning pl...

Henneman, Elizabeth Ann.

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Effect of a collaborative weaning plan on patient outcome in the critical care setting.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Effect of a collaborative weaning plan on patient outcome in the critical care setting./
Author:	Henneman, Elizabeth Ann.
Description:	161 p.
Notes:	Source: Dissertation Abstracts International, Volume: 58-12, Section: B, page: 6486.
Contained By:	Dissertation Abstracts International58-12B.
Subject:	Health Sciences, Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9818021
ISBN:	9780591694598

Effect of a collaborative weaning plan on patient outcome in the critical care setting.
Henneman, Elizabeth Ann.

Effect of a collaborative weaning plan on patient outcome in the critical care setting. - 161 p.

Source: Dissertation Abstracts International, Volume: 58-12, Section: B, page: 6486.

Thesis (Ph.D.)--University of California, Los Angeles, 1998.

The process of weaning from mechanical ventilation can be complex, requiring collaborative care planning by members of the health care team. Collaboration between health care members is frequently heralded as the key to improving patient outcomes in the critical care setting.

ISBN: 9780591694598Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Effect of a collaborative weaning plan on patient outcome in the critical care setting.
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035 $a (UnM)AAI9818021
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100 1 $a Henneman, Elizabeth Ann. $3 1918326
245 1 0 $a Effect of a collaborative weaning plan on patient outcome in the critical care setting.
300 $a 161 p.
500 $a Source: Dissertation Abstracts International, Volume: 58-12, Section: B, page: 6486.
500 $a Chair: Kathleen Dracup.
502 $a Thesis (Ph.D.)--University of California, Los Angeles, 1998.
520 $a The process of weaning from mechanical ventilation can be complex, requiring collaborative care planning by members of the health care team. Collaboration between health care members is frequently heralded as the key to improving patient outcomes in the critical care setting.
520 $a Most research related to weaning has focused on the prediction of weaning readiness and the comparison of various weaning modes. More recently, attention has focused on evaluating alternative patient care delivery systems as a means of impacting outcomes (e.g., specialized teams and weaning protocols).
520 $a The purpose of this study was to evaluate the effect of a collaborative weaning plan on patient outcome in the critical care setting. A new structure, in the form of a "weaning board", was introduced into a medical intensive care unit (ICU) setting. The outcomes to be studied included: length of stay in the ICU, length of time patients were mechanically ventilated, cost per ICU stay, and the incidence of complications (e.g., reventilation, readmission to the ICU, and mortality rate).
520 $a There were no significant differences in any of the outcome variables studied between the control and experimental groups in the total group of patients. However, the CWP was effective in decreasing length of stay in the ICU by 3.6 days in a subgroup of patients who received mechanical ventilation for 3 days or more (p = 0.03) and by almost 5 days in patients ventilated for 7 days or greater (p = 0.03). There were no differences between groups with regards to any patient, staffing or organizational characteristics during the two study periods.
520 $a These results lend support to the theoretical framework of the study which proposed that the CWP would provide a structure for collaborative decision-making and improved patient outcomes. More research is needed to examine the impact of collaborative approaches to care in different settings and on other important aspects of patient care, such as pain management.
590 $a School code: 0031.
650 4 $a Health Sciences, Nursing. $3 1017798
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
650 4 $a Health Sciences, Health Care Management. $3 1017922
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710 2 0 $a University of California, Los Angeles. $3 626622
773 0 $t Dissertation Abstracts International $g 58-12B.
790 1 0 $a Dracup, Kathleen, $e advisor
790 $a 0031
791 $a Ph.D.
792 $a 1998
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9818021