{"title":"Lessons From the Frontlines: Insights for Future Palliative Ventilator Withdrawal Algorithm Implementation","authors":"Al-Zada Aguilar, Olivia Nicastro","doi":"10.1016/j.nurpra.2025.105342","DOIUrl":null,"url":null,"abstract":"<div><div>End-of-life (EOL) care in critical settings poses ethical and logistical challenges, emphasizing the need for standardized processes to ensure patient comfort. This quality improvement (QI) project implemented and evaluated a palliative ventilator withdrawal algorithm, incorporating a validated and reliable objective tool to assess dyspnea. We used the Consolidated Framework for Implementation Research to examine facilitators, challenges, and lessons learned to inform future hospital-wide implementation.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 4","pages":"Article 105342"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal for Nurse Practitioners","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S155541552500025X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
End-of-life (EOL) care in critical settings poses ethical and logistical challenges, emphasizing the need for standardized processes to ensure patient comfort. This quality improvement (QI) project implemented and evaluated a palliative ventilator withdrawal algorithm, incorporating a validated and reliable objective tool to assess dyspnea. We used the Consolidated Framework for Implementation Research to examine facilitators, challenges, and lessons learned to inform future hospital-wide implementation.