ATTITUDE Study v1
Research type
Research Study
Full title
ReAl-time daTa analyTIcs to improve mechanical venTilator wean-nUDging clinical bEhaviour - ATTITUDE Study
IRAS ID
287051
Contact name
Murali Shyamsundar
Contact email
Sponsor organisation
Queen's University Belfast
Duration of Study in the UK
1 years, 4 months, days
Research summary
Patients in intensive care units (ICU) are the most vulnerable of hospital patients and need close monitoring and delicate administration of complex therapy. Critical care therapies such as breathing support (mechanical ventilation) can save lives, but inappropriate use is associated with patient harm.
This project aims to understand the various factors that act as barriers or facilitators to managing ventilation appropriately in an adult ICU.To achieve the above aim, the study has two parts.
In the first phase, we will speak to nurses and doctors to understand what will help them improve the management of ventilation with a specific focus on how they reduce breathing support as the patient improves. We will also observe the actual working pattern and understand the behavioural and contextual factors influencing ventilation weaning in daily practice.The ATTITUDE Study will run concurrent with an independent and separate Quality improvement project (QIP) in RICU that will utilise an electronic quality improvement (eQI) device is designed to assist with decision-making and improve adherence to gold standard practice for weaning of invasive mechanical ventilation. The information gained from the ATTITUDE trial could be beneficial for all QIPs in critical that aim to improve critical care practices practices.
In the second phase, we will speak to nurses and doctors after the implementation of the separate quality improvement project for feedback and will help us identify potential behavioural changes in clinical practice as a result of the implementation of the eQI. This study is unique as it aims to understand the behavioural changes that occur with a QIP and will enable the identification of barriers and facilitators to accepting changes in critical care to improve safe and high standard care to patients.
REC name
HSC REC B
REC reference
21/NI/0044
Date of REC Opinion
16 Mar 2021
REC opinion
Favourable Opinion