Nurses' knowledge, attitude, and perceived barriers toward protective lung strategies of pediatrics mechanically ventilated patients in a tertiary care hospital in Pakistan
Background Protective lung strategies (PLS) are guidelines about recent clinical advances that deliver an air volume compatible with the patient’s lung capacity and are used to treat acute respiratory distress syndrome. These mechanical ventilation guidelines are not implemented within intensive car...
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Korean Society of Critical Care Medicine
2025-02-01
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| Series: | Acute and Critical Care |
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| Online Access: | http://www.accjournal.org/upload/pdf/acc-004761.pdf |
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| author | Tasnim Zainib Salma Rattani Nimira Asif Hussain Maqbool Ahmed Khuwaja |
| author_facet | Tasnim Zainib Salma Rattani Nimira Asif Hussain Maqbool Ahmed Khuwaja |
| author_sort | Tasnim Zainib |
| collection | DOAJ |
| description | Background Protective lung strategies (PLS) are guidelines about recent clinical advances that deliver an air volume compatible with the patient’s lung capacity and are used to treat acute respiratory distress syndrome. These mechanical ventilation guidelines are not implemented within intensive care units (ICUs) despite strong evidence-based recommendations and a dedicated professional staff. Nurses’ familiarity with clinical guidelines can bridge the gap between actual and recommended practice. However, several barriers undermine this process. The objectives of this study were to identify those barriers and explore the knowledge, attitudes, and behavior of ICU nurses regarding the implementation of PLS. Methods This was a descriptive, cross-sectional study. The participants were nurses working in the six ICUs of a pediatric tertiary care hospital in Lahore, Pakistan. Using purposive sampling with random selection, the total sample size was 137 nurses. A summative rating scale was used to identify barriers to the implementation of PLS. Results Overall, the nurses’ barrier score was high, with a mean of 66.77±5.36. Across all the barriers subscales, attitude was a much more significant barrier (35.74±3.57) to PLS than behavior (6.53±1.96), perceived knowledge (17.42±2.54), and organizational barriers (7.08±1.39). Knowledge-related barriers were also significantly high. Conclusions This study identified important barriers to PLS implementation by nurses, including attitudes and knowledge deficits. Understanding those barriers and planning interventions to address them could help to increase adherence to low tidal volume ventilation and improve patient outcomes. Nurses’ involvement in mechanical ventilation management could help to safely deliver air volumes compatible with recommendations. |
| format | Article |
| id | doaj-art-e433f93f8f9e47c4af2fb39465cc3d8d |
| institution | DOAJ |
| issn | 2586-6052 2586-6060 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Korean Society of Critical Care Medicine |
| record_format | Article |
| series | Acute and Critical Care |
| spelling | doaj-art-e433f93f8f9e47c4af2fb39465cc3d8d2025-08-20T03:02:10ZengKorean Society of Critical Care MedicineAcute and Critical Care2586-60522586-60602025-02-0140112813510.4266/acc.0047611579Nurses' knowledge, attitude, and perceived barriers toward protective lung strategies of pediatrics mechanically ventilated patients in a tertiary care hospital in PakistanTasnim Zainib0Salma Rattani1Nimira Asif2Hussain Maqbool Ahmed Khuwaja3 School of Nursing and Midwifery, The Aga Khan University, Karachi, Pakistan School of Nursing and Midwifery, The Aga Khan University, Karachi, Pakistan School of Nursing and Midwifery, The Aga Khan University, Karachi, Pakistan School of Nursing and Midwifery, The Aga Khan University, Karachi, PakistanBackground Protective lung strategies (PLS) are guidelines about recent clinical advances that deliver an air volume compatible with the patient’s lung capacity and are used to treat acute respiratory distress syndrome. These mechanical ventilation guidelines are not implemented within intensive care units (ICUs) despite strong evidence-based recommendations and a dedicated professional staff. Nurses’ familiarity with clinical guidelines can bridge the gap between actual and recommended practice. However, several barriers undermine this process. The objectives of this study were to identify those barriers and explore the knowledge, attitudes, and behavior of ICU nurses regarding the implementation of PLS. Methods This was a descriptive, cross-sectional study. The participants were nurses working in the six ICUs of a pediatric tertiary care hospital in Lahore, Pakistan. Using purposive sampling with random selection, the total sample size was 137 nurses. A summative rating scale was used to identify barriers to the implementation of PLS. Results Overall, the nurses’ barrier score was high, with a mean of 66.77±5.36. Across all the barriers subscales, attitude was a much more significant barrier (35.74±3.57) to PLS than behavior (6.53±1.96), perceived knowledge (17.42±2.54), and organizational barriers (7.08±1.39). Knowledge-related barriers were also significantly high. Conclusions This study identified important barriers to PLS implementation by nurses, including attitudes and knowledge deficits. Understanding those barriers and planning interventions to address them could help to increase adherence to low tidal volume ventilation and improve patient outcomes. Nurses’ involvement in mechanical ventilation management could help to safely deliver air volumes compatible with recommendations.http://www.accjournal.org/upload/pdf/acc-004761.pdfacute respiratory distress syndromeimplementation scienceintensive care unitmechanical ventilationnursesventilator-induced lung injury |
| spellingShingle | Tasnim Zainib Salma Rattani Nimira Asif Hussain Maqbool Ahmed Khuwaja Nurses' knowledge, attitude, and perceived barriers toward protective lung strategies of pediatrics mechanically ventilated patients in a tertiary care hospital in Pakistan Acute and Critical Care acute respiratory distress syndrome implementation science intensive care unit mechanical ventilation nurses ventilator-induced lung injury |
| title | Nurses' knowledge, attitude, and perceived barriers toward protective lung strategies of pediatrics mechanically ventilated patients in a tertiary care hospital in Pakistan |
| title_full | Nurses' knowledge, attitude, and perceived barriers toward protective lung strategies of pediatrics mechanically ventilated patients in a tertiary care hospital in Pakistan |
| title_fullStr | Nurses' knowledge, attitude, and perceived barriers toward protective lung strategies of pediatrics mechanically ventilated patients in a tertiary care hospital in Pakistan |
| title_full_unstemmed | Nurses' knowledge, attitude, and perceived barriers toward protective lung strategies of pediatrics mechanically ventilated patients in a tertiary care hospital in Pakistan |
| title_short | Nurses' knowledge, attitude, and perceived barriers toward protective lung strategies of pediatrics mechanically ventilated patients in a tertiary care hospital in Pakistan |
| title_sort | nurses knowledge attitude and perceived barriers toward protective lung strategies of pediatrics mechanically ventilated patients in a tertiary care hospital in pakistan |
| topic | acute respiratory distress syndrome implementation science intensive care unit mechanical ventilation nurses ventilator-induced lung injury |
| url | http://www.accjournal.org/upload/pdf/acc-004761.pdf |
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