{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:58:52Z","timestamp":1785499132675,"version":"3.56.0"},"reference-count":45,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Extracorporeal membrane oxygenation (ECMO) is a complex, high\u2010risk therapy requiring interdisciplinary expertise and structured education to optimise patient outcomes. International experts recommend standardised, structured ECMO education, incorporating simulation, to support competency across clinician groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate changes in intensive care unit (ICU) clinicians' self\u2010reported ECMO knowledge, confidence and skills after participation in a 1\u2010day ECMO interdisciplinary simulation workshop.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>\n                      A retrospective study of pre\u2010 and post\u2010survey evaluation data from ECMO simulation workshops delivered at a metropolitan quaternary adult hospital (2014\u20132019). Participants (registered nurses, medical officers, perfusionists and physiotherapists) self\u2010rated their knowledge of veno\u2010venous (VV) and veno\u2010arterial (VA) ECMO, confidence in providing regular care and emergency management of ECMO in the ICU, and ECMO circuit problem\u2010solving skills on Likert\u2010type scales [1\u2009=\u2009lowest (worst possible\/most negative), 9\u2009=\u2009highest (best possible\/most positive)]. Paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests compared pre\u2010 and post\u2010scores and were stratified by clinician group. Free\u2010text response data were thematically analysed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Matched pre\u2010 and post\u2010workshop evaluations were analysed (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009275) across 20 ECMO simulation workshops (99% response rate). Most participants (65%) were self\u2010rated novices at baseline. Significant improvements across all individual domains (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) were measured: Clinicians' self\u2010rated knowledge of VV\u2010ECMO (3.63\u20136.59; mean change 2.95, 95% CI, 2.78\u20133.12) and VA\u2010ECMO (3.44\u20136.41; mean change 2.97, 95% CI, 2.80\u20133.14) as well as confidence in routine ECMO management (3.24\u20136.31; mean change 3.07, 95% CI, 2.88\u20133.25) and emergency management (2.42\u20136.09; mean change 3.68, 95% CI, 3.49\u20133.87) plus ECMO circuit skills (2.41\u20136.10; mean change 3.69, 95% CI, 3.50\u20133.89). Registered nurses demonstrated the greatest improvements in most domains. Themes corroborated workshop effectiveness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings support incorporating interdisciplinary, simulation\u2010based ECMO education into credentialing and continuing education frameworks, particularly for nurses. Future research should examine how workshop participation translates into sustained learning retention, meaningful changes in clinical practice and improved patient\u2010centred outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>The findings indicate that the single\u2010day, simulation\u2010based ECMO workshop improved ICU clinicians' self\u2010reported ECMO knowledge, confidence and skill, particularly in managing emergencies and circuit\u2010related complications. All workshop domains were considered appropriate for nurses' ECMO learning. The workshop's interdisciplinary format supports its inclusion in local ECMO credentialing pathways, alongside supervised clinical practice and ongoing education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70578","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T14:36:46Z","timestamp":1784039806000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinicians' Knowledge, Confidence and Skills: A Retrospective Evaluation of an Interdisciplinary Extracorporeal Membrane Oxygenation Simulation Workshop"],"prefix":"10.1111","volume":"31","author":[{"given":"Susan","family":"Whittam","sequence":"first","affiliation":[{"name":"Department of Intensive Care Medicine St. Vincent's Hospital  Darlinghurst New South Wales 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