Dr Michelle Guilhermino
School of Nursing and Midwifery
- Phone:(02) 4921 2091
Continuing education for nurses
From the Intensive Care Unit to the classroom, Dr Michelle Guilhermino’s work is empowering nurses with high-quality education and creating healthier outcomes for critically ill patients and families.
Dr Michelle Guilhermino worked as a nurse for close to two decades—in both Australia and Brazil—before pursuing her love of research and teaching with the University of Newcastle.
It’s therefore no surprise that Michelle’s research into respiratory health and nursing education is creating practical solutions for some of the profession’s key challenges. Her work is helping to identify gaps in nursing education, equipping and honouring the role of nurses, and improving outcomes for patients and their families.
“My research focuses on continuing education for nurses, with a focus on ensuring that patients in ICU receive high-quality, evidence-based respiratory care.
“The goal is to improve patient outcomes and safety, which includes reducing ventilation complications, length of stay in ICU, length of intubation and, of course, in-hospital mortality.”
A breath of fresh air
For her PhD research, Michelle investigated the provision and quality of continuing education programs in the area of mechanical ventilation for nurses working in intensive care.
“One of the main reasons that patients are admitted to the ICU is for respiratory support and management.
“As one of the most common practices in ICUs delivered by nurses and doctors, there is clear value in prioritising mechanical ventilation research and continuing education for nurses in this area.
“Supporting nurses’ education helps them to maintain competent practice, increase their skills and knowledge, and promote safe quality of care.”
Collaborating with peers
Michelle’s knowledge and experience make her an invaluable ally for peers working in the area of respiratory health research.
Over the years, Michelle has collaborated with researchers on several projects aimed at improving patient care and outcomes. This includes partnering with the Hunter Medical Research Institute (HMRI), the Centre of Excellence in Severe Asthma and the Priority Research Centre for Healthy Lungs.
“In collaboration with these groups, I’ve undertaken projects and systematic reviews on issues such as the long-term use of azithromycin to reduce asthma exacerbations.”
In research and practice, Michelle advocates the benefits of cross-disciplinary partnerships. As the old saying goes, two heads are better than one—especially when it comes to solving life-threatening health challenges.
“Creating multi-disciplinary research teams is a challenging process, but extremely worthwhile. It’s critical that we encourage networking between clinicians to bridge the distance between doctors, nurses and allied health professionals.”
Equipping nursing students
As a lecturer, Michelle revels in helping University of Newcastle nursing students prepare for rewarding and successful health careers.
“I am passionate about supporting students to become work-ready and safe practitioners. We want to provide students with the best opportunity and chance to learn, to feel confident and safe when they finish their degree.”
Michelle’s research also plays a key role in strengthening undergraduate student learning.
“My research provides insights into the kind of assistance students expect, how to facilitate their learning, and how their learning will translate into professional practice.
“I have been involved in a number of research projects to enhance teaching and learning strategies. One example was to analyse the effect of a patient communication simulator on the development of empathy in undergraduate nursing students.”
University education is crucial to producing competent and confident nursing graduates—but Michelle stresses that education doesn’t stop at graduation.
“While university equips nursing students with the knowledge and expertise necessary to launch their careers, continuing education is critical for enhancing practice, implementing research and improving patient outcomes.”
From the Intensive Care Unit to the classroom, Dr Michelle Guilhermino’s work is empowering nurses with high-quality education and creating healthier outcomes for critically ill patients and families.Dr Michelle Guilhermino worked as a nurse for close to two decades—in both…
I’ve completed my Bachelor of Nursing in 1997 at the Federal University of São Paulo, Brazil. A Bachelor’s degree of Nursing in Brazil includes 4 years of full-time studies and during the 2nd year, students start their clinical placement at the university hospital. By the fourth year of their studies, students spend most of the year at the hospital, rotating through a variety of wards and having contact with several specialties.
After graduation, I worked for 5 years at different hospitals in Brazil in areas including neurology, neurosurgery and oncology wards, and intensive care units (ICU). After that, I worked for almost 11 years at the John Hunter Hospital ICU, in Newcastle. I’ve completed two graduate certificates: one in Surgical Nursing (1999) and one in Critical Care Nursing (2008). In 2009, I started my PhD at the University of Newcastle, studying part-time while working at the John Hunter Hospital. Also in 2009, I became a clinical nurse specialist (CNS). In 2016, I got the position of Associate Lecturer with the School of Nursing and Midwifery, and in 2017, after the submission of my PhD, I became a Lecturer.
I have been involved with education and teaching throughout my career as a clinical preceptor for undergraduate and post-graduate students. Continuing education for ICU nurses on mechanical ventilation is the core topic of my PhD thesis, which aimed at:
- providing an overview of the continuing education program available at a major tertiary referral hospital in Australia, which employs approximately 160 ICU nurses;
- to explore nurses' perceptions of this education and their views about the nursing scope of practice managing ventilated patients;
- to identify barriers and motivations to participate in this education, and finally;
- to investigate ICU nurses' recommendations for improvement and changes to the program.
- Doctor of Philosophy, University of Newcastle
- Bachelor of Nursing, Federal University of Sao Paulo, Brazil
- Graduate Certificate in Surgical Nursing, Federal University of Sao Paulo, Brazil
- Graduate Certificate in Critical Care Nursing, The College of Nursing - Sydney
- Continuing education
- Intensive care
- Mechanical ventilation
- Mixed methods research
- Portuguese (Mother)
- English (Fluent)
- Spanish (Working)
Fields of Research
|111003||Clinical Nursing: Secondary (Acute Care)||100|
|Title||Organisation / Department|
|Lecturer||University of Newcastle
School of Nursing and Midwifery
|Dates||Title||Organisation / Department|
|10/8/2005 - 30/9/2016||Clinical Nurse Specialist||Intensive Care Unit, John Hunter Hospital
Clinical Practice 2A
The University of Newcastle
|Marker||27/2/2017 - 30/6/2017|
Foundations of Professional Practice 3A
The University of Newcastle
|Tutor||27/2/2017 - 30/6/2017|
For publications that are currently unpublished or in-press, details are shown in italics.
Journal article (5 outputs)
Alshammari M, Duff J, Guilhermino M, 'Barriers to nurse-patient communication in Saudi Arabia: An integrative review', BMC Nursing, 18 (2019) [C1]
Hiles SA, McDonald VM, Guilhermino M, Brusselle GG, Gibson PG, 'Does maintenance azithromycin reduce asthma exacerbations? An individual participant data meta-analysis.', The European respiratory journal, 54 (2019) [C1]
Guilhermino MC, Inder KJ, Sundin D, 'Education on invasive mechanical ventilation involving intensive care nurses: a systematic review.', Nursing in critical care, 23 245-255 (2018) [C1]
Guilhermino MC, Inder KJ, Sundin D, Kuzmiuk L, 'Nurses' perceptions of education on invasive mechanical ventilation', Journal of Continuing Education in Nursing, 45 225-232 (2014) [C1]
Background: Intensive care units (ICUs) encompass advanced clinical management and technology, mandating continuing education for nurses to maintain competency. This study examine... [more]
Background: Intensive care units (ICUs) encompass advanced clinical management and technology, mandating continuing education for nurses to maintain competency. This study examined nurses' perceptions of current education on invasive mechanical ventilation in an Australian ICU. Methods: Qualitative data were obtained from fi ve optional open-ended questions as part of a larger 30- item cross-sectional survey of 160 ICU nurses. Content analysis was used to code the data, developing concepts and themes. Results: Fifty nurses (31%) completed at least one open-ended question. Content analysis identifi ed fi ve major themes: advanced knowledge, in-service education, practical structured education, interactive bedside teaching, and practicing safe care. Respondents' perceived continuing education on invasive mechanical ventilation to be more focused on novice than experienced ICU nurses and recommended practical, structured bedside teaching as the preferred method of education. Conclusion: Respondents recognized the need for interactive, practical, bedside education sessions to transfer learning into the everyday work environment. © SLACK Incorporated.
Guilhermino MC, Inder KJ, Sundin D, Kuzmiuk L, 'Education of ICU nurses regarding invasive mechanical ventilation: Findings from a cross-sectional survey', Australian Critical Care, 27 126-132 (2014) [C1]
© 2013 Australian College of Critical Care Nurses Ltd. Background: Continuing education for intensive care unit nurses on invasive mechanical ventilation is fundamental to the acq... [more]
© 2013 Australian College of Critical Care Nurses Ltd. Background: Continuing education for intensive care unit nurses on invasive mechanical ventilation is fundamental to the acquisition and maintenance of knowledge and skills to optimise patient outcomes. Purpose: We aimed to determine how intensive care unit nurses perceived current education provided on mechanical ventilation, including a self-directed learning package and a competency programme; identify other important topics and forms of education; and determine factors associated with the completion of educational programmes on invasive mechanical ventilation. Methods: A cross-sectional, 30-item, self-administered and semi-structured survey on invasive mechanical ventilation education was distributed to 160 intensive care nurses. Analysis included descriptive statistics and logistic regression was used to determine factors associated with current education completion, reported as adjusted odds ratios (AOR) and 95% confidence intervals (CIs). Findings: Eighty three intensive care unit nurses responded and the majority (63%) reported not receiving education about mechanical ventilation prior to working in intensive care. Using a Likert rating scale the self-directed learning package and competency programme were perceived as valuable and beneficial. Hands-on-practice was perceived as the most important form of education and ventilator settings as the most important topic. Multivariate analysis determined that older age was independently associated with not completing the self-directed learning package (AOR 0.20, 95% CI 0.04, 0.93). For the competency programme, 4-6 years intensive care experience was independently associated with completion (AOR 17, 95% CI 1.7, 165) and part-time employment was associated with non-completion (AOR 0.23, 95% CI 0.08, 0.68). Conclusion: Registered nurses are commencing their ICU experience with limited knowledge of invasive MV therefore the education provided within the ICU workplace becomes fundamental to safe and effective practice. The perception of continuing education by ICU nurses from this research is positive regardless of level of ICU experience and may influence the type of continuing education on invasive MV provided to ICU nurses in the future, not only in the ICU involved in this study, but other units throughout Australia.
|Show 2 more journal articles|
Conference (6 outputs)
Hiles S, Mcdonald V, Guilhermino M, Brusselle G, Gibson P, 'Does long-term macrolide treatment reduce asthma exacerbations? An individual patient data meta-analysis', EUROPEAN RESPIRATORY JOURNAL, Madrid, SPAIN (2019)
Guilhermino M, Bowen L, Irwin P, Arthur C, Lethbridge L, Sara G, et al., 'Patient communication simulators and the development of empathy in undergraduate nursing students', Newcastle Exhibition and Convention Centre, Newcastle, NSW (2019)
Guilhermino MC, Sundin D, Inder K, 'ICU nurses' perceptions about mechanical ventilation continuing education - should we innovate?', Newcastle Exhibition and Convention Centre, Newcastle, NSW (2017)
Guilhermino M, Inder KJ, Sundin DJ, Kuzmiuk L, 'Current education on invasive mechanical ventilation for nurses at John Hunter Hospital ICU NSW', ACCCN Critical Care Nursing Continuing Education 12th Annual Meeting ICE 2011 Proceedings Book, Perth, WA (2011) [E3]
|Show 3 more conferences|
Grants and Funding
|Number of grants||1|
Click on a grant title below to expand the full details for that specific grant.
20181 grants / $6,000
Supporting the development of empathy in undergraduate nursing students using a patient communication simulator (PCS) known as ALEX.$6,000
Funding body: Faculty of Health and Medicine Research and Teaching Pilot Grant
|Funding body||Faculty of Health and Medicine Research and Teaching Pilot Grant|
|Scheme||Faculty of Health and Medicine Research and Teaching Pilot Grant|
|Type Of Funding||Internal|
Number of supervisions
|Commenced||Level of Study||Research Title||Program||Supervisor Type|
|2020||PhD||The Relationship Between Poor Health Literacy and Diabetic Foot||PhD (Nursing), Faculty of Health and Medicine, The University of Newcastle||Principal Supervisor|
|2019||PhD||Understanding the Relationship Between Acute Pain and Sleep Among Hospitalised Patients in Saudi Arabia: The Patients' Experience and The Nurse's Perspective||PhD (Nursing), Faculty of Health and Medicine, The University of Newcastle||Co-Supervisor|
|2018||PhD||Nurse-Patient Communication: A Mixed Methods Approach to Measure the Influence of Patient-Centered Communication on Patient Satisfaction in Saudi Arabia||PhD (Nursing), Faculty of Health and Medicine, The University of Newcastle||Co-Supervisor|
Dr Michelle Guilhermino
School of Nursing and Midwifery
Faculty of Health and Medicine