Aim:The initiation of non-invasive mechanical ventilation (NIV) therapy, mask choice, device settings, and patient followup are carried out jointly by physicians and nurses. The physician and the nurses should have knowledge and experience. A checklist for the patient follow-up may increase identifying and preventing problems that may occur. Our study aims to share our data and experiences by documenting the NIV implementation success of our pulmonary intensive care unit (PICU) as an example of best practice. Material and Method: Patients with respiratory failure who had an indication for NIV therapy between 01.01.2021 and 15.09.2021 were included in the study. Patient data were obtained retrospectively. With the NIV therapy application checklist, what should be done in the preparations, initiation, and follow-up steps of the therapy are standardized. All checkpoints and the outcome of the checklist were recorded routinely.Results: One hundred one patients with the diagnosis of hypercapnic respiratory failure treated by NIV therapy in PICU were included in the study. There was a significant difference between NIV compliant and NIV noncompliant patients in terms of PaCO2 in arterial blood gas analysis (p=0.009). PaCO2 was significantly lower in patients who were noncompliant to treatment than those who were compliant with treatment (p<0.05). In all of the patients who were noncompliant with NIV treatment, the problem was detected, the training and the motivation were repeated, and the noncompliance was resolved in 52.6%. For the non-compliant patients who were not resolved, the need for restriction (21.1%) and/or the need for sedation (21.1%) were observed. Conclusion:Structured checklist is useful in common problems in the implementation and follow-up of the NIV therapy. Increased compliance with NIV therapy reduces the length of stay in the hospital and intensive care unit and decreases the rates of mortality and morbidity.

Amaç: Noninvaziv mekanik ventilasyon (NIMV), hastaya invaziv bir yöntem kullanmadan maske aracılığı ile pozitif basınçlı solunum desteği vermeyi sağlayan bir uygulamadır. Bir göğüs hastalıkları hastanesinde çalışan hemşirelerin NIMV hakkındaki bilgi düzeylerini belirlenmesi amaçlandı. Yöntem: Hemşirelerin bilgi düzeyini ölçmek için Tarhan ve arkadaşları tarafından 2015 yılında geliştirilen anket, hastanemiz göğüs hastalıkları yoğun bakım ünitesi, göğüs hastalıkları klinikleri ve acil servis de çalışıp katılımcı olmayı kabul eden 128 hemşireye uygulandı. Hemşirelerin demografik özelikleri ve NIMV bilgi düzeyleri ölçüldü. Bulgular: NIMV alınan toplam puan ortalaması 36,51 ± 4,56 idi. Katılımcıların %82,8’sı kadın, %54,7’si 30 yaş altındaydı. Ankete katılan hemşirelerin çalışılan klinik dağılımına göre bakıldığında, %63,3’ü göğüs hastalıkları servislerinde, %20,3’ü göğüs hastalıkları yoğun bakım kliniğinde, %16,4’ü acil servisde çalışmaktaydı. NIMV sorularından alınan puan ortalaması sadece çalışılan kliniğe göre istatistiksel olarak anlamlı farklı bulundu (p