An educational intervention impact in improving nurses' knowledge of noninvasive ventilation

Authors

  • Ricardo Gírio Escola Superior de Saúde de Leiria, Politécnico de Leiria; Centro Hospitalar e Universitário de Coimbra https://orcid.org/0009-0002-0763-0630
  • Joana Pereira Sousa Escola Superior de Saúde, Politécnico de Leiria; Center Care for Innovative Care and Health Technology - ciTechCarei https://orcid.org/0000-0001-5515-0696

DOI:

https://doi.org/10.37914/riis.v7i2.370

Keywords:

non-invasive ventilation, nurses, knowledge

Abstract

Background: non-invasive ventilation (NIV) has emerged as a potentially safe and relatively low-cost therapeutic approach for a wide range of respiratory conditions. However, recent evidence shows that the lack of up-to-date and recurrent training in this area is the main obstacle to providing quality care to people in need of NIV. Objective: to assess the impact of an Educational Intervention (EI) on the level of knowledge of nurses in a Post-Anesthesia Care Unit (PACU) in central Portugal. Methodology: quasi-experimental study, without a control group, with pre- and post-intervention evaluation. The EI followed the recommendations proposed by Karim et al. (2019) and included seven hours of theoretical and practical training. Nurses (N = 19) were assessed using a questionnaire previously developed by Palma (2018). Results: between the pre- and post-intervention periods, there was an improvement in performance in terms of knowledge about NIV (84.2%), especially in indications, contraindications, therapeutic goals, possible associated complications, BIPAP modality, interface selection and ventilatory parameters. Conclusion: the developed EI proved to be an effective and positive contribution to the nursing team in a PACU, enhancing evidence-based practice and more effective, timely, and safe nursing care in this field.

References

Bambi, S., Parente, E., Bardacci, Y., Baldassini Rodriguez, S., Forciniti, C., Ballerini, L., Caruso, C., El Aoufy, K., Poggianti, M., Bonacaro, A., Rona, R., Rasero, L., & Lucchini, A. (2022). The Effectiveness of NIV and CPAP Training on the Job in COVID-19 Acute Care Wards: A Nurses’ Self-Assessment of Skills. Nursing Reports, 13(1), 17–28. https://doi.org/10.3390/nursrep13010002 DOI: https://doi.org/10.3390/nursrep13010002

Borel, J., Palot, A., & Patout, M. (2019). Technological advances in home non‐invasive ventilation monitoring: Reliability of data and effect on patient outcomes. Respirology, 24(12), 1143–1151. https://doi.org/10.1111/resp.13497 DOI: https://doi.org/10.1111/resp.13497

Cammarota, G., Simonte, R., & De Robertis, E. (2022). Comfort During Non-invasive Ventilation. Frontiers in Medicine, 9, 874250. https://doi.org/10.3389/fmed.2022.874250 DOI: https://doi.org/10.3389/fmed.2022.874250

Davies, M., Allen, M., Bentley, A., Bourke, S. C., Creagh-Brown, B., D’Oliveiro, R., Glossop, A., Gray, A., Jacobs, P., Mahadeva, R., Moses, R., & Setchfield, I. (2018). British Thoracic Society Quality Standards for acute non-invasive ventilation in adults. BMJ Open Respiratory Research, 5(1), e000283. https://doi.org/10.1136/bmjresp-2018-000283 DOI: https://doi.org/10.1136/bmjresp-2018-000283

Erdelja, K., Hodzic, A., Barisic, I., Pauker, K., Rezic, S., Zovko, T., & Sajnic, A. (2020). Professional training on the application of non-invasive ventilation in nursing practice. Acute Noninvasive Ventilation, 33. https://doi.org/10.1183/23120541.RFMVC-2020.33 DOI: https://doi.org/10.1183/23120541.RFMVC-2020.33

Fernandes, A. F. F., & Branco, M. A. R. V. (2023). Intervenções interdependentes de enfermagem como indicadores sensíveis de qualidade—Cuidados em ventilação não invasiva. Millenium - Journal of Education, Technologies, e28233. https://doi.org/10.29352/MILL0220.28233

Fragoso, S. (2014). Perceção dos enfermeiros no cuidar do doente com ventilação não invasiva num serviço de internamento [Dissertação de Mestrado, Escola Superior de Enfermagem de Coimbra]. Repositório Científico da Escola Superior de Enfermagem de Coimbra. *http://repositorio.esenfc.pt/?url=hAMpI7KA

Gonçalves, G., Saeed, H., Abdelrahim, M., Harb, H., Madney, Y. M., Eng, K., Karim, H. M., El-Khatib, M., Mina, B., Skoczynski, S., Sarc, I., Caldeira, V., Cabral, S. M., Cabrita, B., Guia, M., Duan, J., Barjaktarevic, I., Fiorentino, G., Piervincenzi, E., … Esquinas, A. (2020). Non-Invasive Ventilation in Patients with an Altered Level of Consciousness. A Clinical Review and Practical Insights. Advances in Respiratory Medicine, 88(3), 233–244. https://doi.org/10.5603/ARM.2020.0110 DOI: https://doi.org/10.5603/ARM.2020.0110

Green, E., & Bernoth, M. (2020). The experiences of nurses using noninvasive ventilation: An integrative review of the literature. Australian Critical Care, 33(6), 560–566. https://doi.org/10.1016/j.aucc.2020.01.001 DOI: https://doi.org/10.1016/j.aucc.2020.01.001

Instituto Nacional de Estatística, I.P. (2023). Estatísticas da Saúde—2021. Instituto Nacional de Estatística, I.P.

Duarte, T., Pocinho, R., Pires, P., Antunes, L., & Baptista, I. (2019). Ventilação Não Invasiva: Como Identificar a Resposta Terapêutica? Medicina Interna, 113-119. https://doi.org/10.24950/RSPMI/O/17/19/2/2019 DOI: https://doi.org/10.24950/rspmi/O/17/19/2/2019

Jackson, P., Siddharthan, T., Cordoba Torres, I. T., Green, B. A., Policard, C. J.-P., Degraff, J., Padalkar, R., Logothetis, K. B., Gold, J. A., & Fort, A. C. (2022). Developing and Implementing Noninvasive Ventilator Training in Haiti during the COVID-19 Pandemic. ATS Scholar, 3(1), 112–124. https://doi.org/10.34197/ats-scholar.2021-0070OC DOI: https://doi.org/10.34197/ats-scholar.2021-0070OC

Karim, H., Burns, K., Ciobanu, L., El-Khatib, M., Nicolini, A., Vargas, N., Hernández-Gilsoul, T., Skoczynski, S., Falcone, V., Arnal, J.-M., Bach, J., De Santo, L., Lucchini, A., Steier, J., Purro, A., Petroianni, A., Sassoon, C., Bambi, S., Aguiar, M., … Esquinas, A. (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 DOI: https://doi.org/10.5603/ARM.a2019.0006

Kim, M.-S., Seo, M.-H., Jung, J.-Y., & Kim, J. (2021). The Effect of a Non-Invasive Positive Pressure Ventilation Simulation Program on General Ward Nurses’ Knowledge and Self-Efficacy. International Journal of Environmental Research and Public Health, 18(6), 2877. https://doi.org/10.3390/ijerph18062877 DOI: https://doi.org/10.3390/ijerph18062877

MacIntyre, N. R. (2019). Physiologic Effects of Noninvasive Ventilation. Respiratory Care, 64(6), 617–628. https://doi.org/10.4187/respcare.06635 DOI: https://doi.org/10.4187/respcare.06635

Palma, A. C. S. (2018). Efetividade da formação na aquisição de Conhecimentos sobre o cuidar do utente com Ventilação Não Invasiva. [Dissertação de Mestrado, Instituto Politécnico de Leiria]. Repositório Científico do Instituto Politécnico de Leiria. *http://hdl.handle.net/10400.8/3836

Pierucci, P., Portacci, A., Carpagnano, G. E., Banfi, P., Crimi, C., Misseri, G., & Gregoretti, C. (2022). The right interface for the right patient in noninvasive ventilation: A systematic review. Expert Review of Respiratory Medicine, 16(8), 931–944. https://doi.org/10.1080/17476348.2022.2121706 DOI: https://doi.org/10.1080/17476348.2022.2121706

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 (English Ed.), 30(1), 21–32. https://doi.org/10.1016/j.enfie.2018.04.004 DOI: https://doi.org/10.1016/j.enfie.2018.04.004

Tsimane, T. A., & Downing, C. (2020). A model to facilitate transformative learning in nursing education. International Journal of Nursing Sciences, 7(3), 269–276. https://doi.org/10.1016/j.ijnss.2020.04.006 DOI: https://doi.org/10.1016/j.ijnss.2020.04.006

Wu, Q., Xiang, G., Song, J., Xie, L., Wu, X., Hao, S., Wu, X., Liu, Z., & Li, S. (2020). Effects of non-invasive ventilation in subjects undergoing cardiac surgery on length of hospital stay and cardiac-pulmonary complications: A systematic review and meta-analysis. Journal of Thoracic Disease, 12(4), 1507–1519. https://doi.org/10.21037/jtd.2020.02.30 DOI: https://doi.org/10.21037/jtd.2020.02.30

Downloads

Published

01-05-2024

How to Cite

Gírio de Carvalho, R. A., & Sousa, J. S. (2024). An educational intervention impact in improving nurses’ knowledge of noninvasive ventilation. Journal of Health Research & Innovation, 7(2), 1–11. https://doi.org/10.37914/riis.v7i2.370