Strategy nursing in children with compromised ventilation: Umbrella review

Area of Science:

• Pediatric Nursing
• Respiratory Care
• Evidence-Based Practice

Background:

• Pediatric patients often require interventions to manage impaired ventilation.
• Nursing plays a crucial role in adapting management strategies to children's needs.

Purpose of the Study:

• To systematically review the evidence for nursing interventions aimed at optimizing ventilation in children.
• To assess the effectiveness of various interventions for pediatric impaired ventilation.

Main Methods:

• A systematic literature review was conducted across multiple databases.
• Nineteen articles published between 2012 and 2022, focusing on nursing interventions for impaired ventilation in children, were included.

Main Results:

• Respiratory exercises, BiPAP (Bilevel Positive Airway Pressure), and oxygen therapy showed efficacy in 13 studies.
• Respiratory muscle-strengthening exercises were effective in seven studies, and positioning in three.
• Respiratory exercises and muscle training were the most frequently studied interventions.

Conclusions:

• Nursing interventions to optimize ventilation in children are generally effective.
• The evidence supporting these interventions is of low to moderate quality due to small, heterogeneous pediatric populations.
• Further research with robust methodology and clear focus is needed to strengthen the evidence base.