Knowledge on non-invasive mechanical ventilation among healthcare professionals
A cross-sectional study
DOI:
https://doi.org/10.14528/snr.2022.56.1.3088Keywords:
emergency centre, crosssectional study, nurses, intensive care, artificial respiration, knowledgeAbstract
Introduction: Successful treatment with non-invasive mechanical ventilation poses a major challenge as noninvasive mechanical ventilation could be effectively managed if all team members are sufficiently trained. The purpose of the study was to assess the knowledge of healthcare professionals who encounter this type of treatment.
Methods: A quantitative cross-sectional observational study was performed. The study included 68 nurses employed in intensive care units and emergency departments of two hospitals in northeastern Slovenia. Data were collected using a questionnaire and were statistically processed using univariate and inferential statistics.
Results: We have found that 76.5% of the respondents believe that their knowledge of non-invasive mechanical ventilation is quite good. 85.3% of the respondents acquired knowledge on non-invasive mechanical ventilation from co-workers and 60.3% from doctors in the ward. The overall average score obtained with questions regarding the knowledge of using non-invasive mechanical ventilation was 23.13 (s = 4.35) from a total of 33. There are no statistically significant differences in the knowledge on non-invasive mechanical ventilation among workers employed in the emergency center and intensive care units (p = 0.456).
Discussion and conclusion: We have found that the respondents would need additional training in noninvasive mechanical ventilation. Training in this field should be organized at the state level or by individual hospitals, and all employees who encounter non-invasive mechanical ventilation should be invited to participate.
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Antonelli, M., Conti, G., Esquinas, A., Montini, L., Maggiore, S. M., Bello, G. ... Meduri, G. U. (2007). A multiple-center survey on the use in clinical practice of noninvasive ventilation as a first-line intervention for acute respiratory distress syndrome. Critical Care Medicine, 35(1), 18–25. https://doi.org/10.1097/01.CCM.0000251821.44259.F3 PMid:17133177
Arockiaseeli, M. A. I., Selva, T. C., Amalorpavamari, L., Grace, R., Sasikala, R. U., Shirley, A., & Vasanthi, R. (2017). Knowledge of nurses regarding Non Invasive Ventilation (NIV) therapy. International Journal of Science and Research, 6(5), 925–928.
Burns, K. E., Meade, M. O., Premji, A., & Adhikari, N. K. (2010). Noninvasive positive pressure ventilation as a weaning strategy for intubated adults with respiratory failure: A Cochrane systematic review. Canadian Medical Association journal, 86(3), E112–E122. https://doi.org/10.1503/cmaj.130974. PMid:24324020; PMCid:PMC3928231
Cabrini, L., Idone, C., Colombo, S., Monti, G., Bergonzi, P. C., Landoni, G. ... Torri, G. (2009). Medical emergency team and non-invasive ventilation outside ICU for acute respiratory failure. Intensive Care Medicine, 35(2), 339–343. https://doi.org/10.1007/s00134-008-1350-y. PMid:19018515
Chandra, D., Stamm, J. A., Taylor, B., Ramos, R. M., Satterwhite, L., Krishnan, J. A. ... Holguín, F. (2012). Outcomes of noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease in the United States, 1998-2008. American Journal of Respiratory and Critical Care Medicine, 185(2), 152–159. https://doi.org/10.1164/rccm.201106-1094OC PMid:22016446; PMCid:PMC3297087
Goel, N. N., Owyang, C., Ranginwala, S., Loo, G. T., Richardson, L. D., & Mathews, K. S. (2020). Noninvasive ventilation for critically ill subjects with acute respiratory failure in the emergency department. Respiratory Care, 65(1), 82–90. https://doi.org/10.1097/01.CCM.0000256725.73993.74 PMid:31575708; PMCid:PMC7119184
Gorjup, V., & Knafelj, R. (2013). Neinvazivno umetno predihavanje. In: P. Gradišek, Š. Grosek & M. Podbregar (Eds), Šola intenzivne medicine 1. letnik: učbenik (pp. 85–89.). Ljubljana: Slovensko združenje za intenzivno medicino; Medicinska fakulteta Univerze v Ljubljani, Katedra za anesteziologijo in reanimatologijo.
Hill, N. S. (2011). Troubleshooting non-invasive ventilation.In: M. Elliot, S. Nava & B. Schonhofer (Eds), Non-invasive ventilation and weaning: principles and practice (p. 47). London: Edward Arnold Publishers.
Jevšnik, A., & Podsedenšek, D. (2011). Neinvazivna ventilacija – timski pristop. In: D. Plank, & A. Vrenko (Eds), Z uvajanjem novosti do boljših rezultatov v zdravstveni negi. 12. strokovno srečanje medicinskih sester, babic in zdravstvenih tehnikov celjske regije, Celje, 13. 10. 2011 (pp. 55–60). Celje: Društvo medicinskih sester, babic in zdravstvenih tehnikov.
Justin, A. (2015). Obvladovanje akutne neinvazivne mehanske ventilacije za zagotavljanje varnosti pacienta v enoti intenzivne terapije: diplomsko delo. Fakulteta za zdravstvo Angele Boškin, Jesenice.
Karim, H. M. R., Burns, K. E., Ciobanu, L. D., El-Khatib, M., Nicolini, A., Vargas, N. ... Esquinas, A. M. (2019). Noninvasive ventilation: Education and training: A narrative analysis and an international consensus document. Advances in Respiratory Medicine, 87(1), 36–45. https://doi.org/10.5603/ARM.a2019.0006 PMid: 30830962
Keenan, S. P., Sinuff, T., Burns, K. E., Muscedere, J., Kutsogiannis, J., Mehta, S. ... Canadian Critical Care Trials Group/Canadian Critical Care Society Noninvasive Ventilation Guidelines Group. (2011). Clinical practice guidelines for the use of noninvasive positive-pressure ventilation and noninvasive continuous positive airway pressure in the acute care setting. Canadian Medical Association Journal, 183(3), E195–E214. https://doi.org/10.5603/ARM.a2019.0006 PMid:21324867; PMCid:PMC3042478
Knafelj, R. (2017). Neinvazivna mehanska ventilacija. In: P. Gradišek, M. Mežnar, & G. Mlakar (Eds), Šola intenzivne medicine 2017: 1. letnik: mehanska ventilacija in hemodinamska nestabilnost: učbenik (pp. 57–61). Ljubljana: Slovensko združenje za intenzivno medicino: Katedra za anesteziologijo in reanimatologijo, Medicinska fakulteta.
Kodeks etike v zdravstveni negi in oskrbi Slovenije in Kodeks etike za babice Slovenije. (2014). Ljubljana: Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.
Majid, A., & Hill, N. S. (2005). Noninvasive ventilation for acute respiratory failure. Current Opinion in Critical Care, 11(1), 77–81. https://doi.org/10.1097/00075198-200502000-00012 PMid:15659949
Nicolini, A., Stieglitz, S., Bou-Khalil, P., & Esquinas A. (2018). Cost-utility of non-invasive mechanical ventilation: Analysis and implications in acute respiratory failure: A brief narrative review. Respiratory Investigation, 56(3), 207–213. https://doi.org 10.1016/j.resinv.2017.12.011 PMid: 29773291
Perge, G. (2013). Neinvazivna mehanička ventilacija u prehospitalnim uslova. Naučni Časopis Urgentne Medicine, 19(2), 60–64.
Pisani, L., Carlucci, A., & Nava, S. (2012). Interfaces for noninvasive mechanical ventilation: Technical aspects and efficiency. Minerva Anestesiologica, 78(10), 1154–1161. PMid: 23059520
Polit, D. F., & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice. Philadelphia: Lippincott Williams & Wilkins.
Raurell-Torredà, M., Argilaga-Molero, E., Colomer-Plana, M., Ródenas-Fransico, A., Ruiz-Garcia, M. T., & Muntaña, J. U. (2017). Optimising non-invasive mechanical ventilation: Which unit should care for these patients: A cohort study. Australian Critical Care, 30(4), 225–233. https://doi.org/10.1016/j.aucc.2016.08.005 PMid: 27613253
Raurell-Torredà, M., Argilaga-Molero, E., Colomer-Plana, M., Ródenas-Francisco, A., & Garcia-Olm, M. (2019). Nurses' and physicians' knowledge and skills in non-invasive ventilation: Equipment and contextual influences. Enfermería Intensiva, 30(1), 21–32. https://doi.org/10.1016/j.enfi.2018.04.006 PMid: 29954679
Rochwerg, B., Brochard, L., Elliott, M. W., Hess, D., Hill, N. S., Nava, S. ... Raoof, S. (2017). Official ERS/ATS clinincal practice guidelines: Noninvasive ventilation for acute respiratory failure. European Respiratory Journal, 50(2), Article 1602426. https://doi.org/10.1183/13993003.02426-2016 PMid: 28860265
Scala, R., Windisch, W., Köhnlein, T., Cuvelier, A., Navalesi, P., & Pelosi, P. (2014). Targeting European respiratory society group activities: A survey of the noninvasive ventilatory support group. European Respiratory Review, 23(132), 258–260. https://doi.org/10.1183/09059180.00007213 PMid: 24881081
Singer, P., & Rattanachaiwong, S. (2018). To eat or to breathe: The answer is both: Nutritional management during noninvasive ventialtion. Critical Care, 22(1), Article 27. https://doi.org/10.1186/s13054-018-1947-7 PMid:29409542; PMCid:PMC5801680
Tarhan, M., Hançer, Ö., Polat, F., Gökduman, S. A., & Dalar, L. (2015). Noninvasive mechanical ventilation knowledge level of the nurses: A questionnaire survey in a tertiary care training and research hospital. Eurasian Journal of Pulmonology, 17(3), 163–170. https://doi.org/10.5152/ejp.2015.14633
Tavakol, M., & Dennick R. (2011). Making sense of Cronbach's alpha. International Journal of Medical Education, 2, 53–55. https://doi.org/10.5116/ijme.4dfb.8dfd
Ugurlu, A. O., Sidhom, S. S., Khodabandeh, A., Ieong, M., Mohr, C., Lin, D. Y. ... Hill, N. S. (2014). Use and outcomes of noninvasive positive pressure ventilation in acute care hospitals in Massachusetts. Chest, 145(5), 964–971. https://doi.org/10.1378/chest.13-1707 PMid: 24480997
World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053 PMid:24141714
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