ArticleNursing in critical care2025
The Role of Neonatal Nurses in Mechanical Ventilation Management.
Article in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Lung ultrasound aeration score as a predictor of extubation failure in neonates: an updated systematic review with meta-analysis and meta-regression.European journal of pediatrics · 2026Pooled it
- How nurses contribute to medical treatment decision-making with physicians: a scoping review.BMJ open · 2026Article
- Neonatal Critical Care Nursing.Nursing in critical care · 2026Article
- The Role of Neonatal Nurses in Mechanical Ventilation Management.Nursing in critical care · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNurses have a critical role in managing mechanical ventilation (MV) in neonatal intensive care units (NICUs). Despite their critical role in day-to-day MV management, their role in key decisions, particularly extubating and weaning, remains limited.
aimTo describe the role of neonatal nurses in MV management in neonatal intensive care units. STUDY
designDescriptive survey design: Data were collected using the Survey of Mechanical Ventilation and Weaning Roles and Responsibilities questionnaire. Census sampling was used to select 108 nurses working in NICUs from two university-affiliated hospitals in Gauteng, South Africa. Descriptive and comparative statistics were applied to analyse the data.
resultsThis study achieved an 83.3% response rate, revealing that MV decisions were predominantly collaborative between nurses and doctors. While 90% of nurses were involved in patient evaluation and ventilator adjustments, their role in extubation decisions was limited (45.6%), with doctors making most extubation decisions (54.4%). Oxygen titration was the most frequently managed ventilator setting by neonatal nurses. Nurses' perceived autonomy and influence in MV decision-making had median scores of 6.0, with higher perceived nursing autonomy significantly linked to independent decision-making (OR = 1.55; 95% CI = 1.22-1.97; χ
conclusionThe study underscores the need for enhanced education, structured training and standardised protocols to strengthen nurses' competency, perceived autonomy and confidence in MV management. While nurses actively participate in ventilation-related decisions, their autonomy remains limited, particularly in extubation decisions. RELEVANCE TO CLINICAL PRACTICE: Optimising neonatal outcomes requires well-prepared nurses who can actively and confidently contribute to MV-related decisions. Enhancing nurses' autonomy through structured education and standardised protocols is crucial for improving neonatal outcomes and promoting safer, more effective care and strengthens collaboration in NICUs.
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