Real‐World Data: Exploring Spontaneous Breathing Trials and Extubation

This study underscores the role of unit-level practices related to Table 2 SBTs and extubation. Qualitative data indicate that unit-based variations were influenced by team collaboration, staff experience and expertise and patient status. These findings highlight the need to balance adherence to weaning protocols with clinical judgement, patient factors and safety. By leveraging real-world data to examine the factors that influence SBT and extubation practices, critical care nurses can take an evidence-based approach to improve provider and unit practices, standardise and tailor patient care and mitigate provider distress regarding perceived inconsistencies in patient care. Using a data-driven strategy promotes effective resource allocation by optimising staffing, equipment and clinical interventions with patient needs and acuity.

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Publication Details

Journal
Nursing in Critical Care
Published
2026-02-15
DOI
https://doi.org/10.1111/nicc.70317
Primary Topic
Respiratory Support and Mechanisms
Type
article
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article

Real‐World Data: Exploring Spontaneous Breathing Trials and Extubation

Cheryl A. Smith‐Miller, Paloma Hauser, Nancy L Havill, Brittany Humbel et al.
Nursing in Critical Care
Respiratory Support and Mechanisms
article

Real‐World Data: Exploring Spontaneous Breathing Trials and Extubation

Cheryl A. Smith‐Miller, Paloma Hauser, Nancy L Havill, Brittany Humbel, Tamara Blakeney
article en

Abstract

This study underscores the role of unit-level practices related to Table 2 SBTs and extubation. Qualitative data indicate that unit-based variations were influenced by team collaboration, staff experience and expertise and patient status. These findings highlight the need to balance adherence to weaning protocols with clinical judgement, patient factors and safety. By leveraging real-world data to examine the factors that influence SBT and extubation practices, critical care nurses can take an evidence-based approach to improve provider and unit practices, standardise and tailor patient care and mitigate provider distress regarding perceived inconsistencies in patient care. Using a data-driven strategy promotes effective resource allocation by optimising staffing, equipment and clinical interventions with patient needs and acuity.

Nursing in Critical CareVol. 31(2)
University of North Carolina at Chapel Hill (US), Southern Illinois University Edwardsville (US)
Openalex Percentile: Top 55%
Respiratory Support and Mechanisms
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Real‐World Data: Exploring Spontaneous Breathing Trials and Extubation — Cheryl A. Smith‐Miller, Paloma Hauser, et al. · Nursing in Critical Care (2026) | TGRS Research Map | TGRS