TY - JOUR T1 - Practical wisdom: A qualitative study of the care and management of non-invasive ventilation patients by experienced intensive care nurses JF - European Respiratory Journal JO - Eur Respir J VL - 44 IS - Suppl 58 SP - 1411 AU - Dorthe Soerensen AU - Kirsten Frederiksen AU - Grøfte Thorbjørn AU - Kirsten Lomborg Y1 - 2014/09/01 UR - http://erj.ersjournals.com/content/44/Suppl_58/1411.abstract N2 - Introduction: Treatment success for patients on non-invasive ventilation remains challenging. Understanding the reasoning and actions of experienced nurses that care for patients with non-invasive ventilation can identify how nurses contribute to treatment success, and this information can be used to train less experienced nurses to provide excellent care.Design: Qualitative descriptive study. A secondary analysis on data of qualitative participant observations during non-invasive ventilation treatment and additional 6 interviews with experienced ICU nurses was carried out in 2012.Results: The experienced nurses exhibited 'practical wisdom'. Each could read yet stay alert to the patient's condition and respond to any changes. Conceptualisation of the complexities in nurses' reasoning and actions illustrated their tendency to separate problematic situations into three interrelated components: (1) achieving non-invasive adaptation, (2) ensuring effective ventilation, and (3) responding attentively to patients' perceptions of non-invasive ventilation. Each component comprises a set of nursing reasoning and actions that experienced nurses use to achieve treatment success.Conclusions: Understanding how experienced nurses think and act during non-invasive ventilation care may help optimize continuing professional development and help educate junior nurses. ER -