Knowledge of intensive care nurses about mechanical ventilation: a cross-sectional analysis in a Brazilian public hospital
DOI:
https://doi.org/10.17267/2317-3378rec.2025.e6414Keywords:
Artificial Respiration, Surveys and Questionnaires, Nursing Education, Continuing Education, Health Knowledge, Attitudes, PracticeAbstract
OBJECTIVE: To assess the knowledge of intensive care nurses regarding mechanical ventilation (MV). METHOD: This was a cross-sectional study involving bedside nurses working in intensive care units of a public hospital in Bahia, Brazil. A validated questionnaire with eleven questions about MV was used, addressing autonomy in MV management, ventilatory monitoring, equipment setup, care related to ventilator-associated pneumonia, and basic ventilatory modes. RESULTS: Eighty nurses participated in the study, most of whom were female (75%), with a median age of 39 years (interquartile range [IQR] 32–44) and a median of 9 (5–11) years since graduation. Among them, 43 (53.8%) reported having an average level of knowledge on the topic. Regarding MV knowledge, most participants (20%; n=16) answered only two questions correctly. The question with the highest number of correct answers concerned basic ventilatory modes (65%; n=52), while the one with the fewest correct answers addressed the MV triggering mechanism (12.5%; n=10). Notably, 70% of participants answered incorrectly regarding MV autonomy, stating it to be the exclusive responsibility of physicians or physiotherapists. CONCLUSION: There are significant gaps in the knowledge of intensive care nurses about MV, regardless of ICU experience, time since graduation, self-reported knowledge, or frequency of training.
Downloads
References
1. Hickey SM, Sankari A, Giwa AO. Mechanical Ventilation. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024. Cited: PMID: 30969564
2. Ferreira JC, Vianna AOA, Pinheiro BV, Maia IS, Baldisserotto SV, Isola AM, et al. Joint statement on evidence-based practices in mechanical ventilation: suggestions from two Brazilian medical societies. Critical Care Science. 2025;37:e20250242en. https://doi.org/10.62675/2965-2774.20250242-en
3. Society of Critical Care Medicine. Critical Care Statistics. [Internet]. 2024. Available from: https://sccm.org/communications/critical-care-statistics
4. Su L, Pan P, Liu D, Long Y. Mean airway pressure has the potential to become the core pressure indicator of mechanical ventilation: Raising to the front from behind the clinical scenes. J Intensive Med. 2021;1(2):96–8. https://doi.org/10.1016/j.jointm.2021.04.002
5. Kohbodi G, Rajasurya V, Noor A. Ventilator-Associated Pneumonia. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024. Cited: PMID: 29939533
6. Resolução COFEN nº 639, de 06 de maio de 2020 (Brazil). Dispõe sobre as competências do Enfermeiro no cuidado aos pacientes em ventilação mecânica no ambiente extra e intra-hospitalar. [Internet]. Diário Oficial da União. 2020. Available from: https://www.cofen.gov.br/resolucao-cofen-no-639-2020/
7. Resolução RDC nº 7, de 24 de fevereiro de 2010 (Brazil). Dispõe sobre os requisitos mínimos para funcionamento de Unidades de Terapia Intensiva e dá outras providências. [Internet]. Diário Oficial da União. 2010. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2010/res0007_24_02_2010.html
8. Bucci AF, Misko MD, Duran ECM, Boaventura AP. Conhecimento do enfermeiro de unidade de terapia intensiva sobre ventilação mecânica: estudo exploratório-descritivo. Revista Recien. 2021;11(35):287–96. https://doi.org/10.24276/rrecien2021.11.35.287-296
9. Santos TR, Carvalho JFO, Pereira MWM, Queiroz SS, Marques FS, Deus JC. Atuação do enfermeiro frente ao paciente submetido à ventilação mecânica na emergência. Nursing [Internet]. 2022:7340–51. Available from: https://www.revistanursing.com.br/index.php/revistanursing/article/view/2320
10. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbrouckef JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies. J Clin Epidemiol. 2007;61(4):867–72. https://doi.org/10.1016/j.jclinepi.2007.11.008
11. Menezes CS, Duarte HB, Nascimento MVA, Santana Júnior FA, Borges DVP, Brandão PC, et al. Validação de conteúdo por juízes sobre o conhecimento de enfermeiras(os) sobre ventilação mecânica. Rev Enf Contemp. 2024;13:e5710. https://doi.org/10.17267/2317-3378rec.2024.e5710
12. Demir S. Comparison of Normality Tests in Terms of Sample Sizes under Different Skewness and Kurtosis Coefficients. IJATE. 2022;9(2):397–409. https://doi.org/10.21449/ijate.1101295
13. Rodrigues YCSJ, Studart RMB, Andrade ÍRC, Citó MCO, Melo EM, Barbosa IV. Mechanic ventilation: evidence for nursing care. Esc. Anna Nery. 2012;16(4):789–95. https://doi.org/10.1590/S1414-81452012000400021
14. Saritas S, Kaya A, Dolanbay N. Knowledge and practices of intensive care nurses on mechanical ventilation. IJCS [Internet]. 2019;12(1):30–9. Available from: https://www.proquest.com/openview/29d26545b206fae4fea5d13fe869106d/1?pq-origsite=gscholar&cbl=1606338
15. Ramirez-Damilig J. Knowledge, Perceptions, and Attitudes of Critical Care Nurses Towards the Comprehensive Unit-Based Safety Program for Mechanically Ventilated Patients in Preventing Ventilator-Associated Events [dissertation] [Internet]. Arizona: The University of Arizona; 2017. Available from: https://repository.arizona.edu/bitstream/handle/10150/626315/azu_etd_15911_sip1_m.pdf?sequence=1&isAllowed=y
16. Colombage TD, Goonewardena CS. Knowledge and practices of nurses caring for patients with endotracheal tube admitted to intensive care units in National Hospital of Sri Lanka. Sri Lankan J Anaesthesiol. 2020;28(2):94–100. https://doi.org/10.4038/slja.v28i2.8541
17. Gomes MFS, Galindo Neto NM. Componente curricular de terapia intensiva nas matrizes curriculares das graduações de enfermagem no Brasil [undergraduate dissertation] [Internet]. Pesqueira (PE): Instituto Federal de Pernambuco; 2022. Available from: https://repositorio.ifpe.edu.br/xmlui/handle/123456789/809
18. Gerônimo CAO, Gomes MFS, Muniz MLC, Rocha LS, Santos MSTG, Galindo Neto NM. Especialização latu sensu de enfermagem em terapia intensiva no Brasil. Saúde Coletiva. 2021;11(68):7279–88. https://doi.org/10.36489/saudecoletiva.2021v11i68p7279-7288
19. Viana RAPP, Vargas MAO, Carmagnani MIS, Tanaka LH, Luz KR, Schmitt PH. Perfil do enfermeiro de terapia intensiva em diferentes regiões do Brasil. Texto Contexto Enferm. 2014;23(1):151–9. https://doi.org/10.1590/S0104-07072014000100018
20. Sade PMC, Peres AM, Zago DPL, Matsuda LM, Wolff LDG, Bernardino E. Avaliação dos efeitos da educação permanente para enfermagem em uma organização hospitalar. Acta Paul Enferm. 2020;33. http://dx.doi.org/10.37689/acta-ape/2020AO0023
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Camilla de Souza Menezes, Helder Brito Duarte, Waleska Náyra da Silva Reis, Rafael Lima Rodrigues de Carvalho, Paloma de Castro Brandão, Alyne Henri Motta Coifman, Mariana de Almeida Moraes

This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
