000			02082cam a2200229 4500500
005			20250121135508.0
041			_afre
042			_adc
100	1	0	_aPaquette, Lysane _eauthor
700	1	0	_a Kilpatrick, Kelley _eauthor
245	0	0	_aThe decision-making autonomy of intensive care nurses when weaning patients from mechanical ventilation: A concept analysis
260			_c2021.
500			_a91
520			_aNurses have a leading role in weaning patients from mechanical ventilation (WMV) given their constant presence and their continuous monitoring. To promote proper WMV, nurses must exercise autonomy and be involved in decision-making. However, in certain care contexts, there is little involvement of nurses. The purpose of this text is to establish the characteristics of the concept of autonomous decision-making applied to nursing during WMV. An analysis of this concept was carried out according to the evolutionary method of Rodgers. The identification of the attributes, antecedents, and consequences made it possible to note ambiguity in the definition of this concept. Nurses use autonomous decision-making for the execution of assigned tasks and when they make decisions according to a pre-prescribed decision-making algorithm. Significant foundations for the decision-making autonomy of critical care nurses during WMV emerged from this analysis: scope of practice, in-depth knowledge of the patient, and commitment to the success of WMV. Participation in interdependent decision-making allows nurses to bring the patient’s perspective into decisions. Avenues of reflection have also emerged, including decisions based on evidence to provide new avenues for autonomous decision-making.
690			_anursing ethics
690			_amental health tribunal
690			_abiopower
690			_aforensic psychiatry
690			_anursing
786	0		_nRecherche en soins infirmiers | o 143 | 4 | 2021-01-13 | p. 76-91 | 0297-2964
856	4	1	_uhttps://shs.cairn.info/journal-recherche-en-soins-infirmiers-2020-4-page-76?lang=en&redirect-ssocas=7080
999			_c578587 _d578587