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.
Authors
- Cheryl A. Smith‐Miller (ORCID: https://orcid.org/0000-0002-9927-8920)
- Paloma Hauser (ORCID: https://orcid.org/0000-0001-7115-6633)
- Nancy L Havill (ORCID: https://orcid.org/0000-0003-4593-5566)
- Brittany Humbel
- Tamara Blakeney
Institutions
- University of North Carolina at Chapel Hill (US)
- Southern Illinois University Edwardsville (US)
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
- Field-Weighted Citation Impact
- 0.00