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The lived experiences of paediatric intensive care unit nurses during the initiation of long-term ventilation

K Masterson1, M Connolly2, M Brenner2

  • 1School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland; Paediatric Intensive Care Unit, Murdoch Children's Research Institute, Parkville, Victoria, Australia.

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
|July 23, 2026
PubMed

Insights

Nurses

Area of Science:

  • Pediatric Critical Care Medicine
  • Nursing Research
  • Qualitative Health Research

Background:

  • Increasing survival of critically ill children necessitates technological support, including long-term ventilation (LTV).
  • Existing research on LTV initiation primarily reflects physician perspectives, overlooking crucial nursing insights.
  • Limited understanding exists regarding nursing roles and experiences during life-altering decisions in pediatric intensive care units (PICUs).

Purpose of the Study:

  • To explore the nursing perspective and voice during the initiation of long-term ventilation (LTV) for children in a pediatric intensive care unit (PICU).

Main Methods:

  • Hermeneutic phenomenology guided by van Manen's philosophy.
  • Semistructured interviews with 13 experienced nurses in Australian PICUs.
  • Analysis of nurses' lived experiences during LTV initiation for pediatric patients.

Main Results:

  • Identified three key themes: "Initiating Long-term Ventilation," "Complexity of Being a PICU Nurse," and "Information Provision."
  • Formal meetings and bedside care are interconnected, influencing information exchange during LTV discussions.
  • Nurses' voices are integral to bedside care and formal decision-making processes.

Conclusions:

  • Despite rising LTV incidence, the nurse's role in decision-making remains underexplored.
  • Nurses are not silenced, even when not formally speaking, and their insights are vital.
  • Recommendations include establishing platforms like prehuddles to enhance nurse involvement in LTV discussions and decisions.
Abstract

Keywords:
Critical careLong-term ventilationNursingPICU

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