Assessment of knowledge and practices of intensive care unit nurses about endotracheal suctioning for adult patients in Baghdad teaching hospitals, Iraq


  • Haider Mohammed Majeed Assistant instructor, Fundamentals of Nursing Department, College of Nursing-University of Baghdad, Iraq



Endotracheal tube suction, Intensive care unit nurses, Knowledge, Practice


Background: Mechanical ventilation is a vital, life-saving therapy for clients with dangerous illness and ‎respiratory disorder. Objective of the study was to assess knowledge and practices of ICU nurses about endotracheal suctioning for adult patients and to determine the relationship between demographic characteristic data with nurse's knowledge and practices.

Methods: A cross-sectional design study was conducted in the period of 1st June 2016 to 15th November 2016. On purposive of (50) nurses who were working at intensive care unit in Baghdad, these hospitals were: Baghdad teaching hospital, Surgical Specialties Hospital /Medical City Directorate descriptive and Al- Kidney Teaching Hospital/Al Rusafa health.

Results: The majority of nurses’ ages were (20-29) years old that were accounted for (60%), Most of them (70%) were male, the level of education represented that most of them (54%) were from nursing college, (34%) for less than one years were employee in the intensive care unit, Majority of them (58) were employee (1-5) years were employment in nursing, (58%) of them have training session in the intensive care unit.

Conclusions: Nurses have best practical level than knowledge level and their no significant relationship significant nurse’s demographic characteristics and levels of knowledge and practice.


American Association of Respiratory Care. AARC clinical practice guideline: endotracheal suctioning of mechanically ventilated patients with artificial airways Respir Care. 2010;55(6):758-64.

Pedersen CM, Rosendahl-Nielsen M, Hjermind J, Egerod I. Endotracheal suctioning of the adult intubated patient what is the evidence. Intensive Crit Care Nurs. 2009;25(1):21-30.

Seckel MA. Does the use of a closed suction system help to prevent ventilator-associated pneumonia? Crit Care Nurse. 2008;28(1):65-6.

Frota OP, Ferreira AM, Loureiro MD, Cheade MF, Reis MG. Ousode equipamen to de proteção individual por profissionais de enfermagemna aspiração endotraqueal. Rev. enferm UERJ. 2012;20(1):530-62.

Pagotto IM, Oliveira LR, Araújo FC, Carvalho NA, Chiavone P. Validation of sedation scores in mechanically ventilated children admitted to a tertiary pediatric intensive care unit. Rev. braster intensive. 2008;20(4):325-30.

Carsten MP, Mette RH, IngridE. Endotracheal suctioning of the adult intubated patients Intensive and critical care nursing. 2009;25(1):30-21.

Akram A, Akram MA, Mohsen AH, Mohammadreza A. The gap between knowledge and practice in standard endo-tracheal suctioning of ICU nurses, Shahid Beheshti Hospital. Iran J Crit Care Nurs. 2012;5(2):76-1.

Oleci PF, Marisa DRL, Driano MF. Knowledge about endotracheal suctioning on the part of intensive care nursing professionals: a descriptive study. Online braz j nurs. 2013;12(2):546-54.

Hossein R, Sedighe I, Sakine S. Comparison of the endotracheal tube suctioning with and without normal saline solution on heart rate and oxygen saturation. Iranian Journal of Critical Care Nursing. 2011;4(3):120-17.

Savita S, Jyoti S, Gurneet KB. Effectiveness of “endotracheal suctioning Protocol in terms of knowledge and practices of nursing personnel. Nursing Midwifery Res J. 2014;10(2):47-60.

Nishamol YNA. Assess the knowledge and practice of endotracheal suctioning among neuro nurses sctimst (thesis). 2011:33-20.

Raghda E, Await O, Mugahed A. Knowledge and practice of ICU nurses regarding endotracheal suctioning for mechanically ventilated patients in Khartoum Teaching Hospital. American Journal of Clinical Neurology and Neurosurgery. 2015;1(2):92-8.

Özden D, Görgülü RS. Development of standard practice guidelines for open and closed system suctioning. J Clin Nurs. 2012;21(10):1327-38.

Day T. Farnell S, Hayness S, Wainwright S, WilsonJ. Tracheal suctioning: an exploration of knowledge and high dependency ward areas. J Adv Nurs. 2001;39(1):35-45.

Jansson M, Ala-Kokko T, Ylipalosaari P, Kyngäs H. Evaluation of endotracheal-suctioning practices of critical-care nurses – An observational correlation study. Journal of Nursing Education and Practice; 2013;3(7):99-105.

World Health Organization (WHO). WHO Guidelines on Hand Hygiene in Health Care. First Global Patient Safety Challenge Clean Care is Safer Care. WHO. 2009.

Freire IL, Farias GM, Ramos CS. Prevenindo pneumonia nosocomial: cuidados da equipe de saúde ao paciente em ventilação mecânica invasiva. Revista Eletrônica Enfermagem. 2006;8(3):377-97.

Farias GM, Freitas MC, Rocha KM, CostaI K, Pacientes, ventilação mecânica.cuidados prestados durante a aspiração endotraqueal. InterScience Place [periódico na internet]. 2012;2(9):18.

Oleic PF, Marisa DR, Adriano MF. Open system endotracheal suctioning: practices of intensive care nursing professionals. Esc Anna Nery. 2014;18(2):296-302.

Mary P. Effectiveness of endotracheal suctioning technique. Nursing journal of India. 2005;28(6):5-7.




How to Cite

Majeed, H. M. (2017). Assessment of knowledge and practices of intensive care unit nurses about endotracheal suctioning for adult patients in Baghdad teaching hospitals, Iraq. International Journal of Research in Medical Sciences, 5(4), 1396–1404.



Original Research Articles