Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-08T14:03:13 RDF description of End-tidal carbon dioxide as a measure of stress response to clustered nursing interventions in neurologic patients - http://repository.healthpartners.com/individual/document-rn19930 Prospective Studies American Journal of Critical Care Critical Care 3 Respiration, Artificial document-rn19930 <p>BACKGROUND: Guidelines recommend rest periods between nursing interventions for patients with a neurologic diagnosis but do not specify a safe number of interventions. OBJECTIVES: To examine the physiological stress response to clustered nursing interventions in neurologic patients receiving mechanical ventilation. METHODS: Prospective, comparative, descriptive design to examine effects of clustered interventions (>/=6 interventions in a single nursing interaction) versus nonclustered interventions on patients' stress. Stress response was defined as a 10% change in end-tidal carbon dioxide from before the interaction to (1) 5 and 10 minutes after the start of the interaction, (2) at the end of the interaction, and (3) 15 minutes after the interaction. RESULTS: The mean percent change in end-tidal carbon dioxide at 5 minutes differed significantly between patients with clustered interventions and patients with nonclustered interventions (6.7% vs -0.2%; P = .001). Patients with clustered interventions were significantly more likely than patients with low clustering to exhibit a stress response at 5 minutes (24.3% vs 0%; P = .01). CONCLUSIONS: Neurologic patients receiving mechanical ventilation who experienced 6 or more clustered nursing interventions showed a higher mean change in end-tidal carbon dioxide than did patients who received fewer than 6 clustered interventions. These findings suggest that providing fewer interventions during 1 nursing interaction may minimize induced stress in neurologic patients receiving mechanical ventilation.<p> 22 22786 Monitoring, Physiologic Brain public 14103 Nursing Stress 2022-02-21T22:48:57.408-06:00 10.4037/ajcc2013109 End-tidal carbon dioxide as a measure of stress response to clustered nursing interventions in neurologic patients