Mechanical Ventilation in Swedish Intensive Care Units – Health System Example

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"Mechanical Ventilation in Swedish Intensive Care Units" is a perfect example of a paper on the health system. The Swedish intensive care unit (ICU) development and utilization following the set regulations was the concern of the topic under this study (Eldh, Vogel, Soderberg, Blomqvist, & Wengstrom, 2013). The study also aimed at utilizing the facts outlined in the mechanical ventilation rules and its use. The sample was obtained by inviting general intensive care units from all over Sweden. Sixty-five ICU's were invited for the survey that consisted of the MV guidelines. The guidelines included was inclusive of four fact items from the AGREE clause (Eldh et al. , 2013).

The main participants were the heads of the ICU nurses and senior physicians. They were interviewed using questions that were semi-structured and open-ended. The questions were meant to establish how the MV guidelines were accomplished. It also meant to investigate staff adherence and non-adherence to the management daily operation of MV. In 65 ICUs cases, only 55 of them took part in the research. This formed about 88% of the total sample that was expected in data collection.

The method of collecting data was mainly phone calls and filling in a questionnaire sent through the web that had specific questions that allowed ICUs to provide the guidelines used in Mechanical Ventilation. There was no intervention that was being tested in the survey, as the questionnaire did not include how the facts were tested. The main findings of the survey were that only 51 ICU's gave out the guidelines that were 245 in total. A list of references was also given out by 22% of the units.                                                                                                       Credibility It is not clear about the study being published in a peer-reviewed journal.

The study does not give any information about the survey being published. The experimental design of the study was effectively used in addressing question under research. It comprised the study countrywide ICUs. Eighty-eight percent of the ICUs were involved, and the management of the ICUs were involved and therefore the evidence provided was enough for the study. The measuring instruments that were used in the experiment could not be reliable. The information that was collected could not be clear as there was no face-to-face contact between the interviewer and the interviewed persons.

The use of phone calls and internet survey forms of sharing information could not be reliable. The analysis does not give an account of how the researcher controlled the biases in the research. The extraneous variable in this research could involve a lack of proper communication. The researcher having noticed the ICUs departments' earlier enough; it could mean that the biases were reduced. It is not clear if the study was free of extraneous variables depending on time, place, and the method it was conducted.

It was probably free depending on where and when since it was done in the ICUs departments and at the time that was agreed on by both parties. The question of how could give some loopholes of extraneous since phone calls were not reliable means of performing an interview. The study analysis does not give an account of previous studies that had been performed for the same study and therefore it will be difficult to know whether there is consistency in the study. The findings of the study are incredible.

The method of outsourcing data could have led to false information. Some medical practitioners could lie about the ICU condition in their hospitals. The experiment did not seek the experience of the patients (Eldh et al. , 2013). Though there is a particular degree of doubt, some gave the true nature of the ICUs within their hospitals. Conclusion I do agree with the implications for practice and research although there are some areas of the research that needs to be addressed while conducting the activity.

The method that the researcher used to collect data was not reliable although it is cheap and time-saving. The researcher needs to visit the ICUs in order to collect the information himself. This would help them to access the true form of the ICU. Patients also need to be involved in the interview for they are the ones being served by the ICUs. The study could not have much difference if it were conducted with nurses in the USA. The reason is that the person conducting the research is distant from the point of information.

Based on experience in clinical guideline implementations, the guidelines are very critical for proper management of the ICUs. For experienced professionals, the guidelines may not be very critical in carrying out their duty. The result from the Swedish nurses may be different from those based in the USA since the USA government puts more effort into health facilities than the Swedish government.  

References

Eldh, A. C., Vogel, G., Soderberg, A., Blomqvist, H., & Wengstrom, Y. (2013). Use of Evidence in Clinical Guidelines and Everyday Practice for Mechanical Ventilation in Swedish Intensive Care Units. Worldviews on Evidence-Based Nursing, 198–207.
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