Development and pilot testing of a needs assessment scale for awake patients with tracheal intubation.

Mengzhen Liu, Zewen Pan, Jianhua Tang, Zhongjun Cao, Mengting Yin, Hongling Zheng, Jiao Li, Xin Liu

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Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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8 authors.

Mengzhen Liu *Department of Critical Care Medicine, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, Sichuan, China.

Zewen Pan *Department of Critical Care Medicine, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, Sichuan, China.

Jianhua TangDepartment of Critical Care Medicine, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, Sichuan, China.

Zhongjun CaoDepartment of Critical Care Medicine, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, Sichuan, China.

Mengting YinDepartment of Critical Care Medicine, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, Sichuan, China.

Hongling ZhengDepartment of Critical Care Medicine, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, Sichuan, China.

Jiao LiDepartment of Critical Care Medicine, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, Sichuan, China.

Xin LiuDepartment of Critical Care Medicine, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, Sichuan, China. liuxin@scszlyy.org.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Awake intensive care unit (ICU) patients with endotracheal intubation are exposed to various physiological and psychological stressors due to their medical conditions. As they are unable to communicate verbally, these patients usually struggle to accurately express their needs, which can exacerbate their discomfort and hinder recovery. Our study aimed to develop a needs assessment tool specifically for patients who are awake while intubated to help identify unmet needs promptly. A preliminary needs assessment scale for awake and intubated patients was developed through a systematic literature review and panelist meetings. The scale was refined using two rounds of the Delphi method. A total of 17 and 16 experts participated in two rounds of expert consultation, respectively, during which we gathered their opinions and refined the indicators through a comprehensive literature review and expert panel meetings. This process culminated in developing a needs assessment scale comprising five primary dimensions and 37 secondary items. Subsequently, we conducted a pilot test involving 30 participants, and the results indicated that patients could accurately comprehend each item and independently complete the scale within approximately 10 min. The needs assessment scale developed in this study provides an accurate tool for assessing the needs of awake and intubated ICU patients, demonstrating strong scientific validity and feasibility, thereby providing healthcare professionals with guidance for implementing individualized interventions. Additional research is needed for multi-center, large-sample clinical validation.

Indexed as

Intubation, IntratrachealNeeds AssessmentWakefulnessAdultAgedDelphi TechniqueFemaleHumansIntensive Care UnitsMaleMiddle AgedPilot ProjectsAwakeDelphi methodEndotracheal intubationNeeds assessment

Identifiers

PMID41198800

DOI10.1038/s41598-025-22851-0

PMCPMC12592551

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.