Research Article
Volume 10 Issue 5 - 2021
Intensive Care Units Nurse’s Knowledge and Practice Regarding the Endotracheal Tube Suctioning
Rahma Alessa1, Mohammad AlBashtawy2*, Bayan AlBashtawy3, Abdullah Alkhawaldeh4, Sa’d Albashtawy5 and Jamal Qaddumi6
1RN, Master Student, Critical Care Nursing, Princess Salma Faculty of Nursing, AL al-Bayt University, Mafraq, Jordan
2Professor, Princess Salma Faculty of Nursing, AL al-Bayt University, Mafraq, Jordan
3Medical Intern, King Abdullah University Hospital and 7 Assistance Professor, Princess Salma Faculty of Nursing, AL al-Bayt University, Mafraq, Jordan
4Assistant Professor, Community and Mental Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Jordan
5Faculty of Medicine, Hashemite University, Zarqa, Jordan, Jordan
6Associate Professor, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
*Corresponding Author: Mohammed AlBashtawy, Professor, Princess Salma Faculty of Nursing, AL Al-Bayt University, Jordan.
Received: March 18, 2021; Published: April 22, 2021




Abstract

Endotracheal tube suction (ETS) is an invasive procedure which done by intensive care unit (ICU) nurses to keep airway clear from lung secretion, many complications may occur if these procedures done without sufficient knowledge and good practice according to evidence-based practice among ICU nurses. This review aimed to evaluate the level of the knowledge and practice regarding endotracheal tube suction among ICU nurses and explore the factors that affect the knowledge and practice. In most studies, ICU nurses have a good level of knowledge and fair level of practice regarding ETS and practices not in line with current recommendations of ETS the professional training that they received, the level of experience, type of ICU, support, and the level of education are factors affecting the knowledge and practice level regarding the ETS. Further studies are recommended with larger sample size, in different setting, and include developing countries.

Keywords: Endotracheal Tube Suctioning; Nursing Knowledge; Nursing Practice

References

  1. Sharma S., et al. “Effectiveness of endotracheal suctioning protocol, In terms of knowledge and practices of nursing personnel”. Nursing and Midwifery Research Journal 10 (2014): 47-60.
  2. Varghese ST and Moly K. “Exploratory study on the knowledge and skill of critical care nurses on endotracheal suctioning”. The Journal of National Accreditation Board for Hospitals and Healthcare Providers 3 (2016): 13.
  3. Al Kazaleh A., et al. “Effects of Deep Breathing Exercise on Patient with Chronic Obstructive Pulmonary Disease”. EC Pulmonology and Respiratory Medicine 9 (2020): 114-117.
  4. Maraş GB., et al. “Knowledge and practice of intensive care nurses for endotracheal suctioning in a teaching hospital in western Turkey”. Intensive and Critical Care Nursing 39 (2017): 45-54.
  5. Aloush SM., et al. “Compliance of Middle Eastern hospitals with the central line associated bloodstream infection prevention guidelines”. Applied Nursing Research 43 (2018): 56-60.
  6. Frutos-Vivar F., et al. “The epidemiology of mechanical ventilation Mechanical Ventilation” (2005): 11-28.
  7. Care AA. “Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010”. Respiratory Care 55 (2010): 758-764.
  8. Sulaiman M., et al. “Exploring Safety Culture in Jordanian Hospitals: A Baseline Study". Journal of Nursing Care Quality 32 (2017): E1-E7.
  9. Tan CS., et al. “Approaches and adjuncts used by physiotherapists when suctioning adult patients who are intubated and ventilated in intensive care units in Australia and New Zealand: A cross-sectional survey”. Australian Critical Care 30 (2017): 307-313.
  10. Frota OP., et al. “Knowledge about endotracheal suctioning on the part of intensive care nursing professionals: a descriptive study”. Online Brazilian Journal of Nursing 12 (2013): 546-554.
  11. Abdul-Monim B., et al. “Exploring the Competency of the Jordanian Intensive Care Nurses towards Endotracheal Tube and Oral Care Practices for Mechanically Ventilated Patients: An Observational Study”. Global Journal of Health Science 5 (2013): 203-213.
  12. Suliman M., et al. “Knowledge and practices of isolation precautions among nurses in Jordan”. American Journal of Infection Control (2017): 09-023.
  13. Zainib T., et al. “The Gap between Knowledge and Practices in Standard Endotracheal Suctioning of Intensive Care Unit Nurses in Lahore”. Saudi Journal of Medical and Pharmaceutical Sciences 3 (2017): 454-463.
  14. Al Omari O., et al. "A Review of the Short Form Health Survey–Version 2”. Journal of Nursing Measurement1 (2019): 77-86. ‏
  15. Abu Obead k., et al. “Impact of radiotherapy treatment on Jordanian cancer patients’ quality of life and fatigue”. International Journal of Advanced Nursing Studies1 (2013): 6-12.
  16. Batiha A., et al. "Quality of life and fatigue among Jordanian cancer patients”. Iranian Journal of Public Health12 (2015): 1704-1705.
  17. Alkhawaldeh A., et al. "Long-term conditions in older adults using primary care services”. Primary Health Care2 (2016). ‏
  18. Freij M., et al. "Awareness and knowledge of ovarian cancer symptoms and risk factors: A survey of Jordanian women”. Clinical Nursing Research7 (2018): 826-840. ‏
  19. Khatatbeh M., et al. "Factors Associated with Colorectal Cancer Among Jordanians: a Case-Control Study”. Asian Pacific Journal of Cancer Prevention: APJCP2 (2018): 577. ‏
  20. Al Saraireh FA., et al. "The effectiveness of cognitive behavioral therapy versus psychoeducation in the management of depression among patients undergoing haemodialysis”. Issues in Mental Health Nursing6 (2018): 514-518. ‏
  21. Al Qadire M., et al. "Lifestyle and Dietary Factors and Prostate Cancer Risk: A Multicentre Case-Control Study”. Clinical Nursing Research8 (2019): 992-1008. ‏
  22. Ghanem R., et al. “The Impact of Early Palliative Care for Cancer Patients: A Literature Review”. EC Psychology and Psychiatry4 (2021).
  23. Al Qadire M., et al. "Public Attitudes toward Cancer and Cancer Patients: A Jordanian National Online Survey”. Middle East Journal of Cancer (2020). ‏
  24. Mwakanyanga ET., et al. “Intensive care nurses’ knowledge and practice on endotracheal suctioning of the intubated patient: A quantitative cross-sectional observational study”. PLoS ONE 13 (2018): e0201743.
  25. Majeed HM. “Assessment of knowledge and practices of intensive care unit nurses about endotracheal suctioning for adult patients in Baghdad teaching hospitals, Iraq”. International Journal of Research in Medical Sciences 5 (2017): 1396-1404.
  26. Aloush S., et al. "Cardiopulmonary resuscitation training for undergraduates from nonmedical majors: Effectiveness of the three tiers model”. Nursing Forum4 (2018). ‏
  27. Khamaiseh and AL Bashtawy M. "Prevalence of obesity and physical inactivity behaviors among nursing students in Mutah University, Jordan”. World Journal of Medical Sciences2 (2015): 95-102.
  28. Batiha A and AL Bashtawy M. "Knowledge of Philadelphia University students regarding blood donation”. Transfusion Medicine3 (2013): 195-198.
  29. Batiha A and AL Bashtawy M. "Attitudes and practices of health science students regarding blood donation”. International Journal of Advanced Nursing Studies1 (2016): 81. ‏
  30. Alkhawaldeh A., et al. "Assessment of self-medication use among university students”. The International Journal of Nursing Studies 7 (2020): 1-7. ‏
  31. Negro A., et al. “Survey of Italian intensive care unit nurses’ knowledge about endotracheal suctioning guidelines”. Intensive and Critical Care Nursing 30 (2014): 339-345.
  32. Howeri N., et al. “Nurses’ Knowledge Regarding Care Provided to Patients with Angina”. EC Pulmonary and Respiratory Medicine 10 (2020): 01-04.

 

  1. Da Silva LA., et al. “Endotracheal aspiration: intensivist prfessional knowledge”. Journal of Nursing UFPE on line 8 (2014): 2676-2685.
  2. Aloush S., et al. “Compliance of Nurses and Hospitals with Ventilator Associated Pneumonia Prevention Guidelines: A Middle Eastern Survey”. Journal of Nursing Care Quality (2017).
  3. Jansson M., et al. “Evaluation of endotracheal-suctioning practices of critical-care nurses–An observational correlation study”. Journal of Nursing Education and Practice 3 (2013): 99.
  4. Tawalbeh L., et al. “The Relationship between Social Support and Adherence to Healthy Lifestyle among Patients with Coronary Artery Disease in the North of Jordan”. Clinical Nursing Research 24 (2015): 121-138.
  5. Batiha AM., et al. “The Relationship between Hypertension and Anthropometric Indices in a Jordanian Population”. Advanced Studies in Biology 7 (2015): 233-243.
  6. Al Kazaleh A and AL Bashtawy M. “Therapeutic Communication Skills in Nursing Education and Practice”. EC Psychology and Psychiatry 8 (2019): 01-04.
  7. Howeri N and ALBashtawy M. “Workplace Stress among Nurses in Intensive Care Units”. EC Psychology and Psychiatry 9 (2020): 01-03.
  8. Harjot K., et al. “Effectiveness of Teaching Intervention on Knowledge and Practices Regarding Endotracheal Tube Suctioning among Staff Nurses”. International Journal of Nursing Education 8 (2016): 8-11.
  9. Tawalbeh LI., et al. “The Most and the Least Performed Self-Care Behaviors Among Patients with Heart Failure in Jordan”. Clinical Nursing Research 29 (2020): 108-116.
  10. Haliq SAA., et al. "Automated External Defibrillator Issues and Challenges in Saudi Arabia: Knowledge Assessment among Laypersons; Public Safety Perspective”. (2019).‏
  11. Jansson MM., et al. “Longitudinal effects of single-dose simulation education with structured debriefing and verbal feedback on endotracheal suctioning knowledge and skills: A randomized controlled trial”. American Journal of Infection Control 45 (2017): 83-85.
  12. Parihar RR. “Effectiveness of planned teaching programmeon the knowledge of endotracheal suctioning among staff nurses working in ICU”. Baba Farid University Nursing Journal 8 (2015): 63-67.
  13. Khamaiseh A and AL Bashtawy M. "Oral health knowledge, attitudes, and practices among secondary school students”. British Journal of School Nursing4 (2013): 194-199. ‏
  14. ALBashtawy M., et al. "Self-medication among school students”. The Journal of School Nursing2 (2015): 110-116. ‏
  15. AlAzzam M., et al. "School Nurses’ Role in Helping Children with Attention-Deficit/Hyperactivity Disorders”. NASN School Nurse1 (2017): 36-38. ‏
  16. Qaddumi J., et al. "Prevalence of hypertension and pre-hypertension among secondary school students”. International Journal of Advanced Nursing Studies2 (2016): 240. ‏

 

  1. Alkhawaldeh A., et al. "Assessment of Northern Jordanian adolescents’ knowledge and attitudes towards asthma”. Nursing children and young people6 (2017). ‏
  2. ALBashtawy M., et al. "Assessment of headache among high school students in Jordan”. The Journal of School Nursing2 (2019): 88-95. ‏
  3. Aloush S., et al. "Effectiveness of Basic Life Support Training for Middle School Students”. The Journal of School Nursing4 (2019): 262-267. ‏
  4. Mansi K., et al. "Biochemical factors relevant to kidney functions among Jordanian children with beta-thalassemia major treated with deferoxamine”. International Journal of Medicine and Medical Sciences8 (2013): 374-379.
  5. Alazzam M., et al. "Pattern of interaction and relationships between family members”. International Journal of Health1 (2017): 45-47. ‏
  6. Hamadneh S., et al. "Sudden infant death syndrome in the middle east: an exploration of the literature on rates, risk factors, high risk groups and intervention programs”. Research Journal of Medical Sciences4 (2016): 199-204. ‏
  7. Alhalaiqa F., et al. "Adherence to Antipsychotic Drug Measured by an Arabic Version of Morisky Scale”. Issues in Mental Health Nursing12 (2016): 975-982. ‏
  8. ALBashtawy M., et al. "The Health Belief Model’s Impacts on the Use of Complemen-tary and Alternative Medicine by Parents or Guardians of Children with Cancer”. Iranian Journal of Public Health5 (2016): 708-709. ‏
  9. Al Saraireh FA., et al. "The effectiveness of cognitive behavioral therapy versus psychoeducation in the management of depression among patients undergoing haemodialysis”. Issues in Mental Health Nursing6 (2018): 514-518. ‏
  10. Gharaibeh H., et al. "Clinical burdens of β-thalassemia major in affected children”. Journal of Pediatric Hematology/Oncology3 (2018): 182-187. ‏
  11. Mansi K., et al. “Effect of chronic renal dialysis on the level of thyroid gland hormones among patients with chronic renal failure”. International Journal of Biology, Pharmacy and Allied Sciences4 (2019).
  12. Khraisat O., et al. "Shared governance: a children’s hospital journey to clinical nursing excellence”. Journal of Research in Nursing4 (2020): 347-358.
  13. Suliman M., et al. "The incidence of peripheral intravenous catheter phlebitis and risk factors among pediatric patients”. Journal of Pediatric Nursing 50 (2020): 89-93. ‏
  14. Haliq SAA., et al. "Automated External Defibrillator Issues and Challenges in Saudi Arabia: Knowledge Assessment among Laypersons; Public Safety Perspective (2019). ‏
  15. Alhamdoun A., et al. “Managing Preoperative Anxiety among Patients Undergoing General Surgery”. EC Psychology and Psychiatry6 (2020): 01-03.
  16. Al-zubi B., et al. “Barriers to Reporting Medication Errors among Nurses: A Review Paper”. EC Psychology and Psychiatry8 (2020): 01-03.
  17. AL-Rawashdeh N., et al. “Nurses Roles in Providing Care for Patient with COVID-19”. EC Emergency Medicine and Critical Care 1 (2020).
  18. Shudaifat Y., et al. “Managing Pain in Acute Myocardial Infarction Patients”. Journal of Pulmonary and Respiratory Medicine4 (4): 1-6.
Citation: Rahma Alessa., et al “Intensive Care Units Nurse’s Knowledge and Practice Regarding the Endotracheal Tube Suctioning”. EC Pulmonology and Respiratory Medicine 10.5 (2021): 29-35.

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