FEATURE CRITICAL CARE 049
SUCTION: EVERYONE KNOWS HOW TO DO IT Staff working at the bedside often consider ‘the evidence base’ as something that relates only to complex studies such as randomised controlled trials for high-cost medications and ‘medical breakthroughs’. But if we are to improve the care of our patients we need to apply Evidenced Based Practice (EBP) in all patient interventions. Simply because a skill is ‘basic’ this should not preclude an attempt to make ‘conscientious, explicit and judicious use of theory-derived, research based information in making decisions about care delivery (Ingersoll, 2000). Suctioning of paediatric critical care patients is an example of how the application of EBP makes a huge difference to the most vulnerable patients.
CONTROVERSY #1: DIFFICULTIES AND THE IMPORTANCE OF APPLYING EBP Using evidence can be difficult for practitioners as many contradictions exist in the literature. It is therefore a major task for Nursing Policy Forums to filter and apply evidence to patient care processes to make them function better. We can be certain that suctioning of paediatric patients is a process that needs to be made better. The psychological impact of ICU care on children has been documented and ICU recollection studies indicate that being suctioned is remembered as a particularly horrific experience, ‘like fire’, is a common description that school-age children give for the feeling of being suctioned.
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