Nursing Perspective Research Articles

국내 말기 암환자 가족의 돌봄경험에 관한 질적 메타분석

In this study, a qualitative meta-analysis was conducted to comprehensively examine the experiences of family caregiving for terminally ill cancer patients in Korea. To this end, data were collected from papers published in Korea on the topic of family caregiving experiences for terminally ill cancer patients. A total of seven articles were selected according to selection and exclusion criteria and a qualitative meta-analysis was conducted. As a result, five themes in family caregiving were identified: (1) Difficulties in choosing and deciding, (2) coping with life-altering pain, (3) caregiving for the patient, (4) care received by the family caregiver, and (5) ambivalent change Based on the results of this study, the perspectives of nurses on the categories of “ Difficulties in choosing and deciding” and “coping with life-altering pain” were discussed as categories that require assistance for families experiencing difficulties.

Experiences Of Nurses Regarding Communication With Mechanically Ventilated Patients In The Intensive Care Units

Nurses’ communication with mechanically ventilated patients (MVPs) is very imposrtant assuring respect and dignity of the patients and dealing the patient like a human being rather than a body.
 OBJECTIVE: To explore the experiences and perspectives of nurses regarding communication with Mechanically ventilated patienst in the intensive care units of Islamabad Pakistan.
 STUDY METHODS The qualitative phenomenological study was conducted on ten participants, selected through purposive sampling technique for individual in-depth interviews.
 RESULTS: Six major themes of the study were recognition of communication experiences is essential for care, construction and interpretation of communication is situational, lack of speaking power led to feelings of powerless and frustration, nurses' responsibilities in the situation of critical care, impacts of verbal communication on the mechanically ventilated patient, and need for acceptance of knowledge and skills acquisition.
 CONCLUSION The current study highlighted experiences of nurses regarding communication with mechanically ventilated patients in the ICUs. The study findings further suggested the areas for improvement of nurses' communication with MVPs

Remote Work in Nursing: Facilitators and Barriers

The COVID-19 pandemic quickly accelerated the opportunity for those in many professions to work remotely. These virtual opportunities continue to be available to some nurses and other healthcare providers, but limited information exists in the literature about nurses’ perceptions of remote work. This article presents perspectives of nurses, most of whom worked remotely in some capacity, and who shared their perceptions on facilitators and barriers regarding remote work. These nurses also ranked both effectiveness of nurse’s remote work and of remote meeting participation for professional nursing governance, in their opinion. Top facilitators were organizational and technological support for both remote workers and those in the hospital setting required to interface with remote workers; time savings; and financial savings. The ability to work remotely contributed to work-life balance. Top barriers were a feeling of disconnectedness from the organization; ineffective technology; and lack of organizational support, including lack of leader presence. Opportunities exist for needs assessment of organizational support of remote workers, evidence to inform nurse types and tasks for remote and hybrid work, as well as remote leadership models.

Palliative care and death in hospitalized patients. A contribution from a nursing perspective

Introduction: in the hospital area the process of death is very common, that is why the palliative care provided by the nursing staff, is very important since it helps the patient to die in peace, as well as the family to face the grieving process. Methods: this research is qualitative, descriptive, with a phenomenological approach, with the participation of 9 nursing professionals who worked for at least 5 years in the hospital area, and who had the experience of working with a patient in the palliative phase. Data collection was carried out by means of a semi-structured interview. Results: through the 6 categories and 2 subcategories, it was shown that nursing professionals provide accurate care in terms of interventions and management of a palliative patient; however, during the research, a deficiency was found in their academic training regarding death, as well as the importance of involvement with the family. Conclusion: in palliative care nursing is a fundamental pillar, since they are the closest to the patients and one of the first to witness their death, for this reason it is recommended a mental preparation and not only knowledge from the beginning of their academic training

Known groups validity of the SPARK36: To guide nurse-led consultations for the early detection of child developmental and parenting problems.

Early detection of child developmental and parenting problems is important for timely prevention. The SPARK36 (Structured Problem Analysis of Raising Kids aged 36 months) is a novel broad-scope structured interview guide aimed at assessing parenting concerns and needs for support for child developmental and parenting problems, using the parental and professional's (Youth Health Care nurses) perspective. The applicability of the SPARK36 in practice was already demonstrated. Our aim was to evaluate its known groups validity. SPARK36 data were collected in a cross-sectional study in 2020-2021. The known groups validity was assessed by testing two hypotheses: the SPARK36 risk assessment shows a higher risk of parenting and child developmental problems in children (1) from parents with a lower socioeconomic status and (2) from families with ≥4 risk factors for child maltreatment. To test the hypotheses, Fisher's exact tests were applied. In total, 29 Youth Health Care nurses from four School Health Services performed SPARK36-led consultations with 599 parent-child pairs to assess the risk for child developmental and parenting problems. Both hypotheses were accepted at a significant p level. The results of the known groups validity support the hypothesis that the SPARK36 risk assessment for child developmental and parenting problems is carried out in a valid way. Future research is needed to assess other aspects of the validity and reliability of the SPARK36. This is a first step in validating the instrument for use during a nurse-led consultation with parents of 3-year-olds in Flemish School Health Services. Thereby, SPARK36 supports the nurses in accomplishing their assignment, making a risk assessment, and contributes to quality of care. This study aimed to evaluate the known groups validity of the SPARK36. Therefore, it was not conducted using input from the public or the patient population.

Perspectives of nurses regarding pain assessment and management during routine infant vaccination in Ghana.

To explore the perspectives of nurses regarding pain and its management during routine infant vaccination at the Child Welfare Clinics in Ghana. Qualitative descriptive design. Qualitative in depth, in-person interviews using a semistructured interview guide were conducted with 19 Registered Nurses who were were purposively sampled from three selected Child Welfare Clinics in hospitals in the Greater Accra Region of Ghana, The Tesch cotent analysis procedure was followed for the analysis of interview data. Nurses were aware that the injections they give infants are painful. They described how infants exhibit certain behaviours to express pain. Although nurses support infant pain management during vaccination, they rarely use evidenced-based pain interventions.

The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study

BackgroundThe unprecedented increase in the nurses’ workload is one of the issues affecting the quality and safety of patient care in the Intensive Care Units (ICUs). The electronic nursing handover can share sufficient, relevant, and necessary data about patients with greater efficiency and accuracy and prevent their information from being deleted. Therefore, this study aimed to determine and compare the effect of the Electronic Nursing Handover System (ENHS) on patient safety in General ICU and COVID-19 ICU.MethodThis is a quasi-experimental study conducted during an 8-month period from 22 to 2021 to 26 June 2022 using a test-retest design. A total of 29 nurses working in the General and COVID-19 ICUs participated in this study. Data were collected using a five-part questionnaire consisting of demographic information, handover quality, handover efficiency, error reduction, and handover time. Data analysis was conducted in IBM SPSS Statistics for Windows, version 26 (IBM Corp., Armonk, N.Y., USA) using the chi-squared test, paired t-test, and Analysis of Covariance (ANCOVA).ResultsThe results showed that the mean scores of handover quality and efficiency, reduction of clinical error, and handover time in the electronic handover were significantly higher than those obtained in the paper-based method. The results showed that the mean score of patient safety in the COVID-19 ICU was 177.40 ± 30.416 for the paper-based handover and 251.40 ± 29.049 for the electronic handover (p = .0001). Moreover, the mean score of patient safety in the general ICU was 209.21 ± 23.072 for the paper-based handover and 251.93 ± 23.381 for the electronic one (p = .0001).ConclusionThe use of ENHS significantly improved the quality and efficiency of shift handover, reduced the possibility of clinical error, saved handover time, and finally increased patient safety compared to the paper-based method. The results also showed the positive perspectives of ICU nurses toward the positive effect of ENHS on the patient safety improvement.

Investigating the Role of Clinical Decision Support Systems in Reducing Medical Errors

Introduction: This study aimed to investigate the role of clinical decision support systems in reducing medical errors from the perspective of physicians and nurses in the teaching and therapeutic hospitals . Method: This descriptive cross -sectional study was conducted in 2021 -2022 in two teaching and therapeutic hospitals in Ferdows City, Iran. Physicians and nurses have participated in the research. In this study, the census method was used, and the research community was considered the research sample. The questionnaire of Ariyai et al. was used as a data collection tool. After collecting the questionnaires, the data were analyzed using descriptive statistics methods . Results: 42 medical staff were included in the study. From a physician’s point of view, decision support systems can be helpful by reducing the risk of severe allergic reactions and drug interactions (60%), quick access to patient records (50%), and computerized order registries (30%). From nurses' point of view , eliminating problems related to doctors' handwriting (25%), avoiding disremember of repeating test s or imaging (18.8%), quick access to updated information during work (12.5%), and reducing the risk of embolism (9.4%) are the advantages of clinical decision support systems. Conclusion: due to the importance of developing a decision support system in hospitals and measuring the readiness of medical staff to adopt it, it is suggested that the necessary training s be provided .

Usefulness of a Digitally Assisted Person-Centered Care Intervention: Qualitative Study of Patients' and Nurses' Experiences in a Long-term Perspective.

Person-centered care responsive to individual preferences, needs, and values is recognized as an important aspect of high-quality health care, and patient empowerment is increasingly viewed as a central core value of person-centered care. Web-based interventions aimed at empowerment report a beneficial effect on patient empowerment and physical activity; however, there is limited information available on barriers, facilitators, and user experiences. A recent review of the effect of digital self-management support tools suggests a beneficial effect on the quality of life in patients with cancer. On the basis of an overall philosophy of empowerment, guided self-determination is a person-centered intervention that uses preparatory reflection sheets to help achieve focused communication between patients and nurses. The intervention was adapted into a digital version called digitally assisted guided self-determination (DA-GSD) hosted by the Sundhed DK website that can be delivered face-to-face, via video, or by the combination of the 2 methods. We aimed to investigate the experiences of nurses, nurse managers, and patients of using DA-GSD in 2 oncology departments and 1 gynecology department over a 5-year implementation period from 2018 to 2022. This qualitative study was inspired by action research comprising the responses of 17 patients to an open-ended question on their experience of specific aspects of DA-GSD in a web questionnaire, 14 qualitative semistructured interviews with nurses and patients who initially completed the web questionnaire, and transcripts of meetings held between the researchers and nurses during the implementation of the intervention. The thematic analysis of all data was done using NVivo (QSR International). The analysis generated 2 main themes and 7 subthemes that reflect conflicting perspectives and greater acceptability of the intervention among the nurses over time owing to better familiarity with the increasingly mature technology. The first theme was the different experiences and perspectives of nurses and patients concerning barriers to using DA-GSD and comprised 4 subthemes: conflicting perspectives on the ability of patients to engage with DA-GSD and how to provide it, conflicting perspectives on DA-GSD as a threat to the nurse-patient relationship, functionality of DA-GSD and available technical equipment, and data security. The other theme was what influenced the increased acceptability of DA-GSD among the nurses over time and comprised 3 subthemes: a re-evaluation of the nurse-patient relationship; improved functionality of DA-GSD; and supervision, experience, patient feedback, and a global pandemic. The nurses experienced more barriers to DA-GSD than the patients did. Acceptance of the intervention increased over time among the nurses in keeping with the intervention's improved functionality, additional guidance, and positive experiences, combined with patients finding it useful. Our findings emphasize the importance of supporting and training nurses if new technologies are to be implemented successfully.

Nurses' practices and their influencing factors in palliative care.

In 2017, the Chinese government launched a pilot project in palliative care, in which Shanghai was a pioneer. Nurses play a key role in palliative care services as they are the main providers improving the quality of services for patients and their families. However, little is known about practices and influencing factors in the field of palliative care from a nursing perspective in China. This is an original empirical study that has meticulously analyzed the interrelationship and intensity between practices and other factors among nurses in the initial stage of palliative care in primary healthcare institutions in Shanghai, China. A descriptive-correlational study design was used to sample 2,829 eligible palliative care nurses by purposive sampling survey in 225 healthcare institutions in Shanghai, China. Descriptive analyses were performed using IBM SPSS 24.0 software. Structural equation modeling was applied to analyze the data by AMOS 20.0. Data were collected using the well-designed Knowledge, Attitudes, and Practices of Hospice Care (KAPHC) scale. The final model showed a good model fit. Self-efficacy directly influenced practices (β = 0.506, P < 0.01) and indirectly influenced practices (β = 0.028, P < 0.01) through intention. Subjective norm directly influenced practices (β = 0.082, P < 0.01) and indirectly influenced practices (β = 0.030, P < 0.01) through intention. Intention (β = 0.152, P < 0.01) and knowledge (β = 0.068, P < 0.01) directly influenced practices. Perceived susceptibility (β = -0.027, P < 0.01), perceived benefits (β = -0.017, P < 0.01), and perceived barriers (β = -0.014, P < 0.01) indirectly influenced practices through intention. This study provided evidence of the associations of knowledge, perceived susceptibility, benefits, barriers, subjective norm, self-efficacy, intention, and practices among nurses concerning palliative care and interventions improving their actual work practices. Our findings revealed that self-efficacy, intention, and subjective norms greatly influenced practices. It is imperative to take interventions that focus precisely on self-efficacy, intention, and subjective norms to improve nurses' practices.

The four domains of the person-centred practice framework from the perspective of critical care nurses in intensive care units during a pandemic

ObjectivesThe aim was to describe the Person-Centred Practice Framework's four domains (prerequisites, care environment, person-centred processes, and person-centred outcomes) through the perspectives of critical care nurses working in intensive care units during the second year of the COVID-19 pandemic. Furthermore, the aim was to investigate the relationships between prerequisites, care environment, person-centred processes, and person-centred outcomes. Design/methodsA cross-sectional study involving questionnaires. Prerequisites were measured using person-related conditions, the care environment by using the Person-Centred Climate Questionnaire–Staff version, the person-centred processes by using the Person-Centred Care Assessment Tool and person-centred outcomes were measured with one question about present health and well-being and by using Self-rated Exhaustion Disorder. Descriptive and analytic statistics were used. Data was collected from July 2021 to November 2021. SettingCritical care nurses (n = 217) working in 15 Swedish adult intensive care units. ResultsParticipants’ average length of experience in intensive care units was 14 years, and most participants experienced increased nursing care responsibilities. They perceived the climate as safe but had limitations in terms of its everydayness and community. Participants perceived the organisations both supported and hindered personalized care. Most participants experienced a variety of exhaustion symptoms, and their health had positive relationship with community. ConclusionBy showing how prerequisites, care environment, person-centred process influences critical care nurses’ health and well-being, organisations might identify aspects in the work environment that require targeted interventions to reach healthy workplaces. Implications for clinical practiceTo preserve the health and well-being of critical care nurses and to flourish as humans in their professional roles, they need to interact with and form relationships with their colleagues, patients, and relatives. Organisations should have a person-centred approach for every individual in the workforce to harness each critical care nurses’ knowledge and skills for individuals to growth in their roles.

Demystifying Work Flexibility: A Cross Comparison of the Frontline Nurse and Nursing Leader Perspective and Insights

The concept of work flexibility for nursing has exploded over the last 3 years from the disruption of the pandemic exhibited by the travel nursing boom. Health systems compete to offer the latest and greatest flexible work offerings from internal travel programs, virtual nursing, and robotic support personnel. These innovative programs are needed, but are they hitting the mark for what the frontline nurse desires? A 2-part analysis was conducted to answer this question: a survey of frontline nurses and 12 qualitative interviews with health care leaders to identify work flexibility themes for the nursing workforce.

Domesticating Social Alarm Systems in Nursing Homes: Qualitative Study of Differences in the Perspectives of Assistant Nurses

New social alarm solutions are viewed as a promising approach to alleviate the global challenge of an aging population and a shortage of care staff. However, the uptake of social alarm systems in nursing homes has proven both complex and difficult. Current studies have recognized the benefits of involving actors such as assistant nurses in advancing these implementations, but the dynamics by which implementations are created and shaped in their daily practices and relations have received less attention. Based on domestication theory, this paper aims to identify the differences in the perspectives of assistant nurses when integrating a social alarm system into daily practices. We interviewed assistant nurses (n=23) working in nursing homes to understand their perceptions and practices during the uptake of social alarm systems. During the four domestication phases, assistant nurses were facing different challenges including (1) system conceptualization; (2) spatial employment of social alarm devices; (3) treatment of unexpected issues; and (4) evaluation of inconsistent competence in technology use. Our findings elaborate on how assistant nurses have distinct goals, focus on different facets, and developed diverse coping strategies to facilitate the system domestication in different phases. Our findings reveal a divide among assistant nurses in terms of domesticating social alarm systems and stress the potential of learning from each other to facilitate the whole process. Further studies could focus on the role of collective practices during different domestication phases to enhance the understanding of technology implementation in the contexts of complex interactions within a group.

The Critical Care Resource Intensivist Model: An Essential Component to Critical Care Nursing.

At a large academic level 1 trauma center, an additional resource was added at night, the Critical Care Resource Intensivist (CCRI), which is a multi-disciplinary group of fellowship trained intensivists. Prior to implementation of this additional resource, concurrent to implementation and one-year post implementation, critical care (CC) nurses that provide care in the surgical, neurologic, medical, and cardiac intensive care units (ICU) were anonymously surveyed to evaluate the CCRI model from a nursing perspective. Survey results were aggregated via an electronic cloud-based survey tool. Our goal was to obtain qualitative data to inform hypothesis generation and quality improvement questions. As such, we collected free-text answers to the questions, "Do you ever have concerns about availability of faculty in the ICU?" and, "Do you have any suggestions or comments after implementation of CCRI?" Answers were categorized into pre- and postCCRI strata. When coding the data, the investigators found a total of 9 themes that connected all the free-text survey. The themes included faculty accessibility, nurse safety, satisfaction, continuum of care and patient safety, to name a few. CCRI was uniformly and unanimously felt to improve patient care and decrease provider stress, because of improved availability and responsiveness of cc-faculty. The need to expand the CCRI model across institutional campuses was also stated clearly within their responses. These surveys demonstrate the strong support for the CCRI model by CC nurse providers. Further studies should investigate the effects of CCRI on nurse provider burnout and turnover, especially given recent crises in nursing.

Defining Neonatal Serious Illness: Perspectives of Nurses and Social Workers.

Objectives: To explore (1) how neonatal nurses (NN) and social workers (SW) define serious illness and (2) how physician, nurse, and SW perceptions of serious illness differ. Design: Prospective survey study. Setting/Subjects: Members of the National Association of Neonatal Nurses or the National Association of Perinatal Social Workers. Measurements: We circulated a modified version of a previously developed survey. Participants were given a list of definition components and asked to rank components by importance and to suggest modifications. Results: Eighty-eight percent of participants agreed with our definition of neonatal serious illness. NN and SW differ in important ways in their views of neonatal serious illness when compared with physicians and parents. Conclusions: Our definition of neonatal serious illness has broad acceptability and may be useful for clinical care and research. Future work should prospectively identify patients with neonatal serious illness and establish the usefulness of our definition in real time.

Need for personalized monitoring of Parkinson's disease: the perspectives of patients and specialized healthcare providers.

Digital tools such as wearable sensors may help to monitor Parkinson's disease (PD) in daily life. To optimally achieve the expected benefits, such as personized care and improved self-management, it is essential to understand the perspective of both patients and the healthcare providers. We identified the motivations for and barriers against monitoring PD symptoms among PD patients and healthcare providers. We also investigated which aspects of PD were considered most important to monitor in daily life, and which benefits and limitations of wearable sensors were expected. Online questionnaires were completed by 434 PD patients and 166 healthcare providers who were specialized in PD care (86 physiotherapists, 55 nurses, and 25 neurologists). To gain further understanding in the main findings, we subsequently conducted homogeneous focus groups with patients (n = 14), physiotherapists (n = 5), and nurses (n = 6), as well as individual interviews with neurologists (n = 5). One third of the patients had monitored their PD symptoms in the past year, most commonly using a paper diary. Key motivations were: (1) discuss findings with healthcare providers, (2) obtain insight in the effect of medication and other treatments, and (3) follow the progression of the disease. Key barriers were: (1) not wanting to focus too much on having PD, (2) symptoms being relatively stable, and (3) lacking an easy-to-use tool. Prioritized symptoms of interest differed between patients and healthcare providers; patients gave a higher priority to fatigue, problems with fine motor movements and tremor, whereas professionals more frequently prioritized balance, freezing and hallucinations. Although both patients and healthcare providers were generally positive about the potential of wearable sensors for monitoring PD symptoms, the expected benefits and limitations varied considerably between groups and within the patient group. This study provides detailed information about the perspectives of patients, physiotherapists, nurses and neurologists on the merits of monitoring PD in daily life. The identified priorities differed considerably between patients and professionals, and this information is critical when defining the development and research agenda for the coming years. We also noted considerable differences in priorities between individual patients, highlighting the need for personalized disease monitoring.

Meaning of hygiene care for patients as perceived by clinical nurses through an interactive care process: A grounded theory approach.

This study aimed to explore the meaning of hygiene care for patients from the perspective of nurses, who provide them with care through an interactive process. Sixteen registered nurses working in general wards for over 5 years were selected through purposive and snowball sampling. Individual semi-structured interviews were conducted between May and August 2021. Data were analyzed using a grounded theory approach, and the Consolidated Criteria for Reporting Qualitative Research was used to ensure quality and transparency. The participants recognized the core category "realizing oneself alive here," where hygiene care energized patients and promoted their realization of "feeling alive." Hygiene care created "time of relief, temporarily forgetting the illness," and "restoring a sense of oneself." A situation of care also created an "opportunity to treat each other as unique individuals," "opportunity to face self," and "encouraging the recovery and disease-fighting process." This study highlights the value of hygiene care provided by nurses to patients. The meaning of hygiene care conceptualized in this study should help build a conceptual framework for understanding the patient's experience and reaffirming the value of hygiene care.

Management of Suicidal Behavior: Training Proposal for Nurses

Abstract Suicide represents a significant public health concern, and nurses working in primary healthcare (PHC) settings play a crucial role in preventing and addressing this phenomenon. This study aims to propose a training program titled "Management of Suicidal Behavior" from the perspective of PHC nurses. The research design is descriptive and exploratory, employing a mixed-methods approach. The study involves the completion and descriptive analysis of sociodemographic variables, as well as the Suicide Behavior Attitude Questionnaire (SBAQ). Qualitative data were analyzed using Bardin's content analysis method. The development of the training program involved 22 PHC nurses in the municipality of Serra (Espírito Santo, Brazil), who participated in discussion workshops to evaluate and modify the proposed training proposal based on their perspectives and input. The results revealed negative attitudes among the nurses, as indicated by the SBAQ scores, which were further supported by the qualitative analysis. The study highlighted the need for improved structures not only for the reception of individuals but also for their family members and the professionals involved in their care. To address these issues, a course on suicide prevention was designed, considering the reality, needs, attitudes, and experiences of the participating nurses, with the aim of promoting positive changes and improvements in the areas identified. Descriptors: Suicide Primary Health Care; Education Nursing; Care and Service Management.

Differences between Registered Nurses and nurse assistants around missed nursing care-An observational, comparative study.

From a nursing perspective, tasks that are not carried out, and the consequences of this, have been studied for over a decade. The difference between Registered Nurses (RNs) and nurse assistants (NAs) regarding qualifications and work tasks, and the profound knowledge around RN-to-patient ratios, warrants investigating missed nursing care (MNC) for each group rather than as one (nursing staff). To describe and compare RNs and NAs ratings of and reasons for MNC at in-hospital wards. A cross-sectional study with a comparative approach. RNs and NAs at in-hospital medical and surgical wards for adults were invited to answer the MISSCARE Survey-Swedish version, including questions on patient safety and quality of care. A total of 205 RNs and 219 NAs answered the questionnaire. Quality of care and patient safety was rated as good by both RNs and NAs. Compared to NAs, RNs reported more MNC, for example, in the item 'Turning patient every 2 h' (p < 0.001), 'Ambulation three times per day or as ordered' (p = 0.018), and 'Mouth care' (p < 0.001). NAs reported more MNC in the items 'Medications administered within 30 min before or after scheduled time' (p = 0.005), and 'Patient medication requests acted on within 15 min' (p < 0.001). No significant differences were found between the samples concerning reasons for MNC. This study demonstrated that RNs' and NAs' ratings of MNC to a large extent differed between the groups. RNs and NAs should be viewed as separate groups based on their different knowledge levels and roles when caring for patients. Thus, viewing all nursing staff as a homogenous group in MNC research may mask important differences between the groups. These differences are important to address when taking actions to reduce MNC in the clinical setting.

Nursing Needs and Peculiarities of Patients With Apllied Artificial Ventilation of Lungs in Intensive Care Unit From the Perspective of Nurses

Atificial pulmonary ventilation is prescribed in acute respiratory failure to help the patient ensure optimal blood circulation. Artificial lung ventilation is divided into invasive and non-invasive ventilation, and nurses must be able to ensure and maintain patients‘ vital functions.&#x0D; Research aim – analyze the nursing need of intensive care unit patients undergoing mechanical ventilation from the perspective of nurses.&#x0D; Research methods: analysis of scientific information sources, semi-structured interview, qualitative content analysis.&#x0D; Most important results and conclusions. After summarizing the answers received by the subjects, it was found that in order to secure the respiratory system in patients, it is necessary pump secretions from the intubation or tracheostomy tube, monitor the cuff pressure, as well as minitor the risk of leakage of the air stream of non-invasive masks, properly perform the hygiene of the central venous catheter, the hygiene of the eyes and whole body, to prevent bedsores, using auxiliary means.&#x0D; During study revealed that the specifics of nursing care are that patients with critical conditions are treated in the intensive care unit, requiring constant monitoring to minitor vital signs. Also has to perform a variety of nursing manipulations related to patient care, such as administering medications, regulating temperature, and meeting the needs of patients to eat and drink. The subjects distinguished that they must be able to prepare in time and quickly for complex procedures and to assist to the doctor.