{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:54:31Z","timestamp":1792151671311,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"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":[[2026,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Extracorporeal membrane oxygenation (ECMO) requires coordinated multidisciplinary care. Although registered nurses (RNs) play a critical role, evidence on factors associated with the frequency of ECMO\u2010related nursing activities in paediatric settings remains limited.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n To examine associations between perceived ECMO knowledge, interprofessional collaboration, nursing autonomy and the frequency of ECMO\u2010related nursing activities.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n A multicentre cross\u2010sectional study was conducted. RNs completed questionnaires assessing perceived ECMO knowledge, autonomy, interprofessional collaboration and ECMO\u2010related nursing activities. Data were analysed using bivariate correlations and multivariable linear regression models.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A convenience sample of 83 RNs from four Israeli paediatric intensive care units (median age 36\u2009years (IQR 31\u201343), 84% female) participated in the study. In bivariate analyses, nursing autonomy was positively correlated with total ECMO nursing activities (Spearman's\n r<\/jats:italic>\n s<\/jats:sub>\n \u2009=\u20090.34,\n p<\/jats:italic>\n \u2009<\u20090.01), while interprofessional collaboration was also positively associated (\n r<\/jats:italic>\n s<\/jats:sub>\n \u2009=\u20090.32,\n p<\/jats:italic>\n \u2009<\u20090.01). In multivariable analyses, nursing autonomy was associated with greater involvement in administering medication and blood products through the ECMO circuit (\n B<\/jats:italic>\n \u2009=\u20090.50, 95% CI [0.21, 0.80],\n p<\/jats:italic>\n \u2009<\u20090.001), while perceived ECMO knowledge was associated with greater involvement in device calibration and monitoring (\n B<\/jats:italic>\n \u2009=\u20090.39, 95% CI [0.13, 0.64],\n p<\/jats:italic>\n \u2009=\u20090.004). RN\u2013perfusionist teamwork was negatively associated with medication and blood administration through the ECMO circuit (\n B<\/jats:italic>\n \u2009=\u2009\u22120.29, 95% CI [\u22120.50, \u22120.08],\n p<\/jats:italic>\n \u2009=\u20090.008).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The frequency of nursing activities in paediatric ECMO care is associated with both individual\u2010level factors (knowledge and autonomy) and interprofessional dynamics. Targeted education and training aimed at enhancing ECMO\u2010related knowledge, nursing autonomy and interprofessional collaboration may support RNs' participation in ECMO\u2010related nursing activities.<\/jats:p>\n <\/jats:sec>\n \n Relevance to Clinical Practice<\/jats:title>\n ECMO\u2010specific education, clear role delineation and effective interprofessional collaboration may enhance RNs' participation in paediatric ECMO care.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/nicc.70726","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:21:29Z","timestamp":1792149689000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations Between Perceived Knowledge, Interprofessional Collaboration, Autonomy and the Frequency of Nursing Activities in Paediatric Extracorporeal Membrane Oxygenation: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2545-8435","authenticated-orcid":false,"given":"Semyon","family":"Melnikov","sequence":"first","affiliation":[{"name":"Department of Nursing Sciences, Steyer School of Health Professions Gray Faculty of Medical and Health Sciences, Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reem","family":"Abed Elhai","sequence":"additional","affiliation":[{"name":"Nursing Management, Schneider Children's Medical Centre Petach Tikvah Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nashaat","family":"Hijazi","sequence":"additional","affiliation":[{"name":"PICU Rambam Health Care Campus Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nagah","family":"Zaid","sequence":"additional","affiliation":[{"name":"PICU Sheba Medical Centre Tel HaShomer Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6365-3736","authenticated-orcid":false,"given":"Alex","family":"Furmanov","sequence":"additional","affiliation":[{"name":"Nursing Management, Hadassah Hebrew University Medical Centre Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1016\/B978-0-323-69415-5.00082-5","volume-title":"Principles of Neonatology","author":"Etchill E. 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