Effectiveness of nurses’ training about mechanical ventilation weaning on neonatal outcomes

Abstract Introduction Prematurity is a significant global health challenge. Premature infants frequently need invasive mechanical ventilation until their lungs are fully developed. Due to the possible complications of ventilation, nurses in the neonatal intensive care unit (NICU) must deliver specia...

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Main Authors: Mohammed F. Alharbi, Salwa A. Marzouk, Nojoud Alrashidi, Mohammed H. Abu-Alghayth, Eman A. Mater, Marwa A. Ibrahim, Huwida Hamdy Abdelmonem, Hanan A. Mohammed, Shadia A. Syan, Aml S. Abdelrahem, Ahlam D. Alshehri, Shimaa M. Moursy, Abeer A. Almowafy, Faransa A. Ahmed
Format: Article
Language:English
Published: BMC 2025-06-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-025-03257-9
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author Mohammed F. Alharbi
Salwa A. Marzouk
Nojoud Alrashidi
Mohammed H. Abu-Alghayth
Eman A. Mater
Marwa A. Ibrahim
Huwida Hamdy Abdelmonem
Hanan A. Mohammed
Shadia A. Syan
Aml S. Abdelrahem
Ahlam D. Alshehri
Shimaa M. Moursy
Abeer A. Almowafy
Faransa A. Ahmed
author_facet Mohammed F. Alharbi
Salwa A. Marzouk
Nojoud Alrashidi
Mohammed H. Abu-Alghayth
Eman A. Mater
Marwa A. Ibrahim
Huwida Hamdy Abdelmonem
Hanan A. Mohammed
Shadia A. Syan
Aml S. Abdelrahem
Ahlam D. Alshehri
Shimaa M. Moursy
Abeer A. Almowafy
Faransa A. Ahmed
author_sort Mohammed F. Alharbi
collection DOAJ
description Abstract Introduction Prematurity is a significant global health challenge. Premature infants frequently need invasive mechanical ventilation until their lungs are fully developed. Due to the possible complications of ventilation, nurses in the neonatal intensive care unit (NICU) must deliver specialized care to achieve the best outcomes for these infants. Objective This study aimed to explore the effectiveness of nurses’ training in mechanical ventilation weaning on neonatal outcomes. Method A quasi-experimental non-equivalent group design was used with purposive sampling of 70 nurses and 64 newborn infants on invasive mechanical ventilation. The infants were divided into two groups: 32 weaned by trained nurses (study group) and 32 weaned by standard methods (control group). Data was collected using a structured questionnaire about the nurses and neonates. A well-designed training program, including theoretical and practical components, was conducted for the nurses to ensure proper weaning of neonates from mechanical ventilation. Results The study group demonstrated a significant reduction in the use of surfactant replacement therapy post-extubation compared to the control group (p = 0.003). Additionally, infants in the study group experienced a statistically significant decrease in NICU hospitalization duration, total weaning time, and total ventilation period compared to the control group (p = 0.003, 0.0001, and 0.0001, respectively). Complications were markedly lower in the study group, with two-thirds of infants experiencing no complications, compared to 15.6% in the control group (p = 0.001). Moreover, re-intubation rates were significantly reduced in the study group compared to the control group (p = 0.1026). Conclusion These results highlight the effectiveness of the intervention in improving clinical outcomes for neonates, including reduced treatment needs, shorter hospital stays, and fewer complications. Clinical trial number Not applicable.
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spelling doaj-art-ba01cafd2bb6431b8df37ce7499320282025-08-20T03:47:13ZengBMCBMC Nursing1472-69552025-06-012411810.1186/s12912-025-03257-9Effectiveness of nurses’ training about mechanical ventilation weaning on neonatal outcomesMohammed F. Alharbi0Salwa A. Marzouk1Nojoud Alrashidi2Mohammed H. Abu-Alghayth3Eman A. Mater4Marwa A. Ibrahim5Huwida Hamdy Abdelmonem6Hanan A. Mohammed7Shadia A. Syan8Aml S. Abdelrahem9Ahlam D. Alshehri10Shimaa M. Moursy11Abeer A. Almowafy12Faransa A. Ahmed13Department of Nursing Management and Education, College of Nursing, Taif UniversityCollege of Nursing, University of HailCollege of Nursing, University of HailDepartment of Medical Laboratory Sciences, College of Applied Medical Sciences, University of BishaCollege of Nursing, Taibah UniversityFaculty of Nursing, Cairo UniversityFaculty of Nursing, Fayoum UniversityFaculty of Nursing, Fayoum UniversityFaculty of Nursing, Sohag UniversityCollege of Applied Medical Sciences, King Faisal UniversityCollege of Applied Medical Sciences in Alnamas, University of BishaFaculty of Nursing, Assiut UniversityInternational Islamic Institute for Population Studies and Research, Al-Azhar UniversityFaculty of Nursing, Assiut UniversityAbstract Introduction Prematurity is a significant global health challenge. Premature infants frequently need invasive mechanical ventilation until their lungs are fully developed. Due to the possible complications of ventilation, nurses in the neonatal intensive care unit (NICU) must deliver specialized care to achieve the best outcomes for these infants. Objective This study aimed to explore the effectiveness of nurses’ training in mechanical ventilation weaning on neonatal outcomes. Method A quasi-experimental non-equivalent group design was used with purposive sampling of 70 nurses and 64 newborn infants on invasive mechanical ventilation. The infants were divided into two groups: 32 weaned by trained nurses (study group) and 32 weaned by standard methods (control group). Data was collected using a structured questionnaire about the nurses and neonates. A well-designed training program, including theoretical and practical components, was conducted for the nurses to ensure proper weaning of neonates from mechanical ventilation. Results The study group demonstrated a significant reduction in the use of surfactant replacement therapy post-extubation compared to the control group (p = 0.003). Additionally, infants in the study group experienced a statistically significant decrease in NICU hospitalization duration, total weaning time, and total ventilation period compared to the control group (p = 0.003, 0.0001, and 0.0001, respectively). Complications were markedly lower in the study group, with two-thirds of infants experiencing no complications, compared to 15.6% in the control group (p = 0.001). Moreover, re-intubation rates were significantly reduced in the study group compared to the control group (p = 0.1026). Conclusion These results highlight the effectiveness of the intervention in improving clinical outcomes for neonates, including reduced treatment needs, shorter hospital stays, and fewer complications. Clinical trial number Not applicable.https://doi.org/10.1186/s12912-025-03257-9NursesTrainingNeonatesMechanical ventilation weaning
spellingShingle Mohammed F. Alharbi
Salwa A. Marzouk
Nojoud Alrashidi
Mohammed H. Abu-Alghayth
Eman A. Mater
Marwa A. Ibrahim
Huwida Hamdy Abdelmonem
Hanan A. Mohammed
Shadia A. Syan
Aml S. Abdelrahem
Ahlam D. Alshehri
Shimaa M. Moursy
Abeer A. Almowafy
Faransa A. Ahmed
Effectiveness of nurses’ training about mechanical ventilation weaning on neonatal outcomes
BMC Nursing
Nurses
Training
Neonates
Mechanical ventilation weaning
title Effectiveness of nurses’ training about mechanical ventilation weaning on neonatal outcomes
title_full Effectiveness of nurses’ training about mechanical ventilation weaning on neonatal outcomes
title_fullStr Effectiveness of nurses’ training about mechanical ventilation weaning on neonatal outcomes
title_full_unstemmed Effectiveness of nurses’ training about mechanical ventilation weaning on neonatal outcomes
title_short Effectiveness of nurses’ training about mechanical ventilation weaning on neonatal outcomes
title_sort effectiveness of nurses training about mechanical ventilation weaning on neonatal outcomes
topic Nurses
Training
Neonates
Mechanical ventilation weaning
url https://doi.org/10.1186/s12912-025-03257-9
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