Education on invasive mechanical ventilation involving intensive care nurses: a systematic review

Guilhermino, Michelle; Inder, Kerry; Sundin, Deborah

doi:10.1111/nicc.12346

Cited by 31 publications

(22 citation statements)

References 61 publications

(152 reference statements)

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“…In addition, while most clinical skills within ICUs are closely developed and assessed with education and mentorship (Guilhermino et al, 2018), the study findings demonstrated that PR application was often neglected. Participants reported they had not received formal education or training on PR despite its prevalent use which they equated to general workplace culture and attitudes.…”

Section: Understanding the Ways Of Learningmentioning

confidence: 91%

Understanding nurses’ perspectives of physical restraints during mechanical ventilation in intensive care: A qualitative study

Perez

Murphy

Wilkes

et al. 2021

Journal of Clinical Nursing

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Aims and objectives This study explored the experiences of nurses using physical restraints on mechanically ventilated patients in intensive care. Background Physical restraints are frequently used to prevent treatment interference and maintain patient safety in intensive care units worldwide. However, physical restraints are found to be ineffective in preventing treatment interference and cause negative outcomes for patients. The practices surrounding physical restraints are inconsistent due to a lack of education, training and protocols. Design This research was conducted as a qualitative study with a naturalistic inquiry framework adhering to the Consolidated Criteria for Reporting Qualitative Research guidelines. Methods Twelve in‐depth, semi‐structured conversations were conducted with registered nurses who have experience working in intensive care and have cared for patients who were physically restrained and mechanically ventilated. These conversations were audio‐recorded and transcribed. Thematic analysis was used to analyse the data. Results Three major themes emerged from the data. The themes were as follows: the ICU culture and its impacts on physical restraint practices; the consequences of physical restraints through a nursing lens; and understanding the ways of learning. Conclusion The insights into the ICU culture, the nurses’ understanding of the consequences of physical restraints and the ways in which nurses learn physical restraint practices have provided a greater depth of knowledge and understanding of the realities of current practice in ICU. This new information demonstrates nurses’ understanding of the potential harm caused by physical restraints and the way in which current practices are guided more‐so by workplace norms and expectations rather than on critical thinking and decision‐making. Relevance to clinical practice These insights provide valuable information to intensive care clinicians, educators and policymakers to guide future practice and improve patient outcomes by highlighting the importance of education on physical restraint practices and informing the development of policies and guidelines.

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Section: Understanding the Ways Of Learningmentioning

confidence: 91%

Understanding nurses’ perspectives of physical restraints during mechanical ventilation in intensive care: A qualitative study

Perez

Murphy

Wilkes

et al. 2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…The use of educational module along with the teaching sessions have always been the effective learning strategies to improve knowledge. Globally, several studies have been conducted, which reported that nurses lack adequate knowledge regarding ventilator mechanics (4,(15)(16); and educational modules and various teaching sessions can facilitate in increasing their knowledge and competency (16)(17)(18)(19). The significant difference in pre-test and post-test of the current study revealed that education can be a key to bring a change in the knowledge level.…”

Section: Discussionmentioning

confidence: 65%

“…The research findings in one of the pre-test and post-test studies conducted on 50 nurses in a teaching hospital at Nassiryah City were congruent with the current study findings and reported that nurses had weak knowledge regarding the complication prevention in association with the ventilator mechanics; however, the knowledge scores improved after the application of an educational program (16). Similarly, in a systematic review, 17 of 12 articles including quasi experimental and pre-and postintervention observational design revealed that educational programs for nurses about mechanical ventilation showed statistically significant improvement in patient outcomes including successful weaning trials, increased ventilation compliance, decreased length of intubation and hospital stay, and reduced incidences of VAP (17). Certain demographic variables including highest educational qualification, years of experience in intensive care unit, and designation may also have an effect on participants' knowledge.…”

Section: Discussionmentioning

confidence: 97%

Assessing Nurses' Knowledge regarding Ventilator Mechanics

Rafiq

Mughal

Valliani

2021

PJPH

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Background: Advanced ventilation technologies require critical nursing management to facilitate patientcare. The nursing workforce in the intensive care units (ICUs) should have basic knowledge and understanding of the ventilator and its mechanics to recognise adverse events and improve the care quality. Methods: A pre-experimental study using an educational intervention was conducted in the ICUs at a tertiary care hospital, was conducted to assess the baseline knowledge of nursing staff about ventilator mechanics and respiratory physiology, and to identify the effectiveness of the module and teaching sessions on their knowledge score. A self-administered and structured questionnaire was used to collect data. A self-developed educational module was used as an intervention. Descriptive analysis was reported for demographic characteristics; paired t-test was conducted to identify difference in mean scores before and after intervention; and stratified analysis was also performed. Results: The knowledge scores significantly increased at 95% CI (P-value = 0.00) after conducting the intervention. The mean post-test score was significantly higher with a difference of 7.77 (P-value < 0.05). Conclusion: Nursing knowledge regarding ventilator mechanics becomes important to ensure safe and quality nursing care. Continuous professional nursing education is important to improve nursing knowledge and quality patientcare.

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“…No se ha encontrado evidencia específica sobre la relación entre la capacitación en la aspiración de secreciones bronquiales en pacientes intubados y las tasas de NAVM. No obstante, la falta de conocimiento es una barrera en la implementación de las recomendaciones 16 , la literatura muestra que la mejora en la educación y formación de los profesionales en atención directa a pacientes en VM, consigue aumentar significativamente el cumplimiento de los bundles , asociándose a una reducción en la incidencia de la NAVM 17 , 18 , 19 , 20 , 21 , 22 .…”

Section: Medidas Funcionales ( Tabla 2 )unclassified

Actualización de las recomendaciones del proyecto Neumonía Zero

Arias-Rivera

Jam-Gatell²,

Nuvials-Casals³

et al. 2022

Enfermería Intensiva

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Education on invasive mechanical ventilation involving intensive care nurses: a systematic review

Abstract: Well-designed trials are required to confirm that comprehensive continuing education involving intensive care nurses about mechanical ventilation improves patient outcomes.

Cited by 31 publications

References 61 publications

Understanding nurses’ perspectives of physical restraints during mechanical ventilation in intensive care: A qualitative study

Understanding nurses’ perspectives of physical restraints during mechanical ventilation in intensive care: A qualitative study

Assessing Nurses' Knowledge regarding Ventilator Mechanics

Actualización de las recomendaciones del proyecto Neumonía Zero

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