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Research Proposal: Impact of a nurse-led, protocol-directed weaning protocol on outcomes in patients undergoing mechanical ventilation for longer than 48 hours: a prospective randomised controlled trial

Research Proposal: Impact of a nurse-led, protocol-directed weaning protocol on outcomes in patients undergoing mechanical ventilation for longer than 48 hours: a prospective randomised controlled trial

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An essay for the 2011 Undergraduate Awards Competition by Barry Ryan. Originally submitted for Research Methods for Nursing and Midwifery Practice at University College Cork, with lecturer Ms Alice Coffey in the category of Nursing & Midwifery
An essay for the 2011 Undergraduate Awards Competition by Barry Ryan. Originally submitted for Research Methods for Nursing and Midwifery Practice at University College Cork, with lecturer Ms Alice Coffey in the category of Nursing & Midwifery

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Published by: Undergraduate Awards on Aug 29, 2012
Copyright:Attribution Non-commercial

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10/27/2013

 
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Introduction
This research proposal identifies strong international evidence to support the use of nurse-directed, protocolised weaning from mechanical ventilation as a safe means of reducing thetime patients spend ventilated. However, what is also evident are a lack of studies todemonstrate that such protocolisation of the weaning process would produce similar results inthe intensive care unit of an Irish hospital. This is of particular importance when oneconsiders the role respiratory therapists play in the care of ventilated patients in othercountries.In light of this, the proposed study intends to bridge that gap by setting out a randomisedcontrolled trial to be conducted in an Irish hospital. The primary aim of this study is todetermine if the introduction of such a protocol could reduce the time patients spenddependent on mechanical ventilation, while the, it is also intended, as a secondary aim, to
determine if the protocol‟s use would lead to an increas
e in ventilator-associated adverseaffects.

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