From theory to practice: implementing an education bundle for neurally adjusted ventilatory assist (NAVA) in the intensive care unit.

IF 2.3 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2026-08-10 DOI:10.1038/s41372-026-02854-z

Brianna K Brei, Abhineet Sharma, Kara Mickas, Chelsey Marion, Junghyae Lee, Kendra Christensen, Jeffrey Salomon

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引用次数: 0

Abstract

Objectives: Evaluate objective knowledge acquisition, subjective comfort, confidence, and barriers to NAVA implementation following a multimodal educational intervention. Demonstrate clinical use of NAVA post-education.

Study design: Prospective study of 59 intensive care providers in a standalone children's hospital undergoing a four-part NAVA education bundle from March to June 2022. Providers completed pre- and post-education surveys. Analysis performed with descriptive statistics, independent and paired t-tests.

Results: Prior to education, most providers had no clinical experience with NAVA (n = 44, 80%). The mean knowledge score of providers increased post-education by 3.48 points (4.40 (SD 1.65) vs. 7.88 (SD 1.76), p < 0.001). Perceived provider comfort and confidence increased, and barriers decreased, resulting in increased NAVA utilization.

Conclusions: A multimodal education intervention for ventilator technology can increase provider objective knowledge, comfort, and confidence while decreasing barriers to implementation.

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从理论到实践：在重症监护病房实施神经调节通气辅助（NAVA）的一揽子教育。

目的：评价多模式教育干预后的客观知识获取、主观舒适度、信心和实施NAVA的障碍。展示NAVA的临床应用。研究设计：对2022年3月至6月在一家独立儿童医院接受四部分NAVA教育捆绑的59名重症监护提供者进行前瞻性研究。提供者完成了教育前和教育后的调查。采用描述性统计、独立和配对t检验进行分析。结果：在接受教育之前，大多数医护人员没有NAVA的临床经验（n = 44,80%）。医护人员教育后的平均知识得分增加了3.48分(4.40分（SD 1.65） vs. 7.88分（SD 1.76）， p结论：呼吸机技术的多模式教育干预可以增加医护人员的客观知识、舒适度和信心，同时减少实施障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.