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Nursing Responsibilities and Confidence in Managing Ventilation in Jordanian Emergency Departments
Introduction:
Nurses' management of ventilation in emergency departments is critical for successful patient outcomes. The purpose of this study was to determine emergency nurses' ventilator-related responsibilities, their confidence in managing invasive and noninvasive ventilation, the frequency of their exposure to ventilated patients, and the factors influencing their confidence levels.
Methods:
A cross-sectional design was used to study 124 emergency nurses working in hospitals across Jordan. Data were collected through an online survey that measured their professional characteristics, ventilation experience, work responsibilities, and confidence levels. Descriptive and regression analyses were conducted.
Results:
Emergency nurses were frequently exposed to patients requiring invasive and noninvasive ventilation. The majority reported limited involvement in ventilation setup, initiation, troubleshooting, and sedation titration. Low confidence levels in managing ventilation were reported. Male nurses reported significantly higher confidence than female nurses. Nurses with educational or managerial roles reported higher overall confidence in managing invasive ventilation than those with clinical roles (P = .03). Multiple linear regression showed that support from senior nursing colleagues was a negative predictor of overall confidence in managing invasive ventilation (β = -0.533, P = .002), with the model explaining 37.8% of the total variance (R2 = 0.378).
Discussion:
Despite frequent exposure to ventilated patients, Jordanian emergency nurses reported limited involvement in ventilation management and had modest overall confidence levels, with notable differences between sexes and across professional roles. Support from senior colleagues was unexpectedly associated with lower confidence. The findings reveal variability in responsibilities and confidence among emergency nurses, pointing to important gaps in training and practice that require further investigation. Addressing these gaps through targeted training programs and mentorship could enhance skill development and self-efficacy, which may positively contribute to overall emergency nursing care.
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