{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T20:54:38Z","timestamp":1790888078566,"version":"4.1.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To evaluate the perceived competence, clinical experience and training needs of Italian nurses involved in ECMO patient care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted in 12 accredited ECMO centers across Italy, targeting ICU nurses with at least 6 months of ECMO experience. The questionnaire assessed perceived competence, procedural exposure, emergency preparedness, nontechnical skills, and training background.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 162 respondents, most reported adequate perceived competence regarding ECMO indications and monitoring. However, practical experience with procedures such as cannulation, circuit change, and interhospital transfer was limited. Confidence in managing emergencies without immediate perfusionist support was low. Preferred training modalities included simulation and on-the-job coaching. Nontechnical skills such as teamwork and critical thinking were widely recognized as essential.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The study reveals a substantial gap between perceived theoretical competence and practical readiness among ECMO nurses in Italy. Training variability and lack of formal curricular structures contribute to limited preparedness, especially for emergency management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Clinical Practice:<\/jats:title>\n                    <jats:p>Standardized, simulation-based training programs should be implemented nationally to improve ECMO nursing competence, focusing on emergency scenarios and nontechnical skills. Establishing certification pathways may enhance professional recognition and safety in ECMO care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/dcc.0000000000000792","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T20:01:04Z","timestamp":1790884864000},"page":"316-321","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Perceived Competence and Educational Gaps in ECMO Nursing"],"prefix":"10.1097","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5346-2708","authenticated-orcid":false,"given":"Giovanni","family":"Gazzeri","sequence":"first","affiliation":[{"name":"Intensive Care Unit and ECMO Center, Careggi Teaching Hospital, Florence"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo C.","family":"Piccione","sequence":"additional","affiliation":[{"name":"Department of Emergency, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Gentini","sequence":"additional","affiliation":[{"name":"Intensive Care Unit and ECMO Center, Careggi Teaching Hospital, Florence"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Cianchi","sequence":"additional","affiliation":[{"name":"Intensive Care Unit and ECMO Center, Careggi Teaching Hospital, Florence"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Bonizzoli","sequence":"additional","affiliation":[{"name":"Intensive Care Unit and ECMO Center, Careggi Teaching Hospital, Florence"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"issue":"12","key":"R2-20261001","doi-asserted-by":"crossref","first-page":"1809","DOI":"10.1097\/CCM.0000000000005673","article-title":"Complications associated with venovenous extracorporeal membrane oxygenation-what can go wrong?","volume":"50","author":"Teijeiro-Paradis","year":"2022","journal-title":"Crit Care Med"},{"key":"R3-20261001","doi-asserted-by":"crossref","first-page":"103695","DOI":"10.1016\/j.iccn.2024.103695","article-title":"The challenge of being an \u201cECMO nurse\"","volume":"83","author":"Lucchini","year":"2024","journal-title":"Intensive Crit Care Nurs"},{"issue":"5","key":"R4-20261001","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1111\/nicc.12265","article-title":"An international survey: the role of specialist nurses in adult respiratory extracorporeal membrane oxygenation","volume":"22","author":"Daly","year":"2017","journal-title":"Nurs Crit Care"},{"issue":"3","key":"R5-20261001","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1097\/CCM.0000000000004158","article-title":"Position paper on global extracorporeal membrane oxygenation education and educational agenda for the future: a statement from the Extracorporeal Life Support Organization (ECMO) Education Task Force","volume":"48","author":"Zakhary","year":"2020","journal-title":"Crit Care Med"},{"issue":"1","key":"R6-20261001","doi-asserted-by":"crossref","first-page":"71","DOI":"10.34197\/ats-scholar.2022-0132OC","article-title":"An international survey of extracorporeal membrane oxygenation education and credentialing practices","volume":"5","author":"Patel","year":"2024","journal-title":"ATS Scholar"},{"issue":"1","key":"R7-20261001","first-page":"1","article-title":"Nurses\u2019 knowledge regarding extracorporeal membrane oxygenation: a cross-sectional study","volume":"1","author":"Al-Murshedi","year":"2025","journal-title":"Int J Educ Prof Dev Nurs Sci"},{"issue":"1","key":"R8-20261001","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1177\/0267659118789824","article-title":"Impact of education and training course for ECMO patients based on high-fidelity simulation: a pilot study dedicated to ICU nurses","volume":"34","author":"Fouilloux","year":"2019","journal-title":"Perfusion"},{"issue":"2","key":"R9-20261001","doi-asserted-by":"crossref","first-page":"185","DOI":"10.4103\/0971-9784.154472","article-title":"Simulation training for extracorporeal membrane oxygenation","volume":"18","author":"Brum","year":"2015","journal-title":"Ann Card Anaesth"},{"issue":"1","key":"R10-20261001","doi-asserted-by":"crossref","first-page":"1293","DOI":"10.1186\/s12912-025-03931-y","article-title":"Development of ECMO training program for ICU nurses: knowledge gain and self-efficacy outcomes assessment: quasi-experimental evaluation","volume":"24","author":"Sava\u015f","year":"2025","journal-title":"BMC Nurs"},{"issue":"10","key":"R11-20261001","doi-asserted-by":"crossref","first-page":"4389","DOI":"10.1111\/jocn.17701","article-title":"Investigation of the current status of core competencies of ECMO nurses in ICUs and analysis of influencing factors: a multicentre survey","volume":"34","author":"Xu","year":"2025","journal-title":"J Clin Nurs"},{"issue":"3","key":"R12-20261001","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/DCC.0000000000000522","article-title":"Development of a comprehensive extracorporeal membrane oxygenation program in a cardiac transplant intensive care unit: a quality improvement initiative","volume":"41","author":"Galos","year":"2022","journal-title":"Dimens Crit Care Nurs"},{"issue":"2","key":"R13-20261001","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1051\/ject\/202052096","article-title":"Development of the adult ECMO specialist certification examination","volume":"52","author":"Riley","year":"2020","journal-title":"J Extra Corpor Technol"},{"issue":"11","key":"R14-20261001","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/01.NAJ.0001081100.87718.df","article-title":"Nursing roles in extracorporeal membrane oxygenation","volume":"124","author":"Parrett","year":"2024","journal-title":"Am J Nurs"},{"issue":"2","key":"R17-20261001","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1111\/nicc.12538","article-title":"Nurses\u2019 perception of their role in extracorporeal membrane oxygenation care: a qualitative assessment","volume":"27","author":"Alshammari","year":"2022","journal-title":"Nurs Crit Care"}],"container-title":["Dimensions of Critical Care Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/DCC.0000000000000792","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T20:01:07Z","timestamp":1790884867000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/DCC.0000000000000792"}},"subtitle":["A Multicenter Cross-Sectional Survey in Italy"],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/dcc.0000000000000792","relation":{},"ISSN":["0730-4625","1538-8646"],"issn-type":[{"value":"0730-4625","type":"print"},{"value":"1538-8646","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]},"assertion":[{"value":"2025-07-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}