ASSESSING CRITICAL CARE NURSES’ KNOWLEDGE ON OXYGEN THERAPY IN COVID-19 PATIENT CARE IN TURKEY; A MULTICENTER STUDY

Yıl 2022, Cilt: 5 Sayı: 3, 153 - 159, 16.11.2022

Yasemin Uslu , Meltem Altay

https://doi.org/10.26650/JARHS2022-1122168

Öz

Objective: Oxygen therapy for individuals with COVID-19 includes best
practices for supportive management of acute respiratory syndrome. The
aim of this study was to determine critical care nurses’ levels of knowledge
on oxygen therapy during the COVID-19.
Method: This was a descriptive study. The study was conducted with
COVID-19 critical care nurses (N=446) in a total of 16 hospitals affiliated
with a healthcare group in Turkey. A total of 322 nurses were included in
the study. The data were collected via the Oxygen Therapy Information
Form prepared based on the literature through Google survey.
Results: According to the oxygen therapy subscales, the mean score of the
nurses varied from 40.77 to 86.21, and their total mean score was 72.99
(fairly). The nurses’ knowledge on oxygen therapy was strongly correlated
with their educational level and manner of work (p<0.05).
Conclusions: It can be asserted that in oxygen therapy, their knowledge on
nursing interventions was adequate; however, their knowledge on oxygen
therapy definitions and concepts was inadequate. In order to develop
patient safety concerning oxygen therapy in COVID-19 patients, it is
recommended that training programs be planned and competencies of
nurses be assessed. In order to qualify legal competence about the safe
oxygen therapy, clear protocols and professional guidelines are
recommended.

Anahtar Kelimeler

Critical Care Nurses, COVID-19, Intensive Care Unit, Patient Safety, Oxygen Therapy

Destekleyen Kurum

BULUNMAMAKTADIR

Proje Numarası

BULUNMAMAKTADIR

Teşekkür

-

TÜRKİYE’DE COVID-19 TANILI HASTALARA BAKIM VEREN YOĞUN BAKIM HEMŞİRELERİNİN OKSİJEN TEDAVİSİNE İLİŞKİN BİLGİ DÜZEYLERİ: ÇOK MERKEZLİ BİR ÇALIŞMA

Öz

Amaç: COVID-19 tanılı hastaların tedavi yönetiminde
oksijen tedavisinin
önemli bir yeri vardır. Bu araştırma COVID-19 tanılı hastalara bakım veren
yoğun bakım hemşirelerinin oksijen tedavisine ilişkin bilgi düzeylerinin
belirlenmesi amacıyla planlandı.
Yöntem: Tanımlayıcı çalışma, Türkiye’de özel bir sağlık grubuna bağlı toplam
16 hastanede COVID-19 yoğun bakım hemşiresi (N=446) ile gerçekleştirildi.
Araştırmaya toplamda 322 hemşire dahil edildi. Veriler, Google
anket aracılığıyla literatür kapsamında hazırlanan Oksijen Tedavisi Bilgi
Formu ile toplandı.
Bulgular: Hemşirelerin oksijen tedavisi alt boyutlarından aldıkları puanlar
ortalama 40,77 ile 86,21 arasında değişmekte olup toplam puan ortalamaları
72,99’dır. Hemşirelerin eğitim düzeyleri ve çalışma şekillerinin oksijen
tedavisi bilgi düzeylerini etkilediği belirlendi (p<0,05).
Sonuç: Hemşirelerin, oksijen tedavisinde hemşirelik girişimlerine yönelik
bilgilerinin yeterli; ancak oksijen tedavisi tanım ve kavramlarına ilişkin bilgilerinin
yetersiz olduğu söylenebilir. COVID-19 hastalarında oksijen tedavisi
ile ilgili hasta güvenliğinin geliştirilmesi için eğitim programlarının
planlanması ve hemşirelerin yetkinliklerinin değerlendirilmesi önerilmektedir.
Güvenli oksijen tedavisi konusunda yasal yetkinliği sağlamak için
rehber ve kılavuzların geliştirilmesi önemlidir. 

Anahtar Kelimeler

Yoğun Bakım Hemşireliği, COVID-19, Yoğun Bakım Ünitesi, Hasta Güvenliği, Oksijen Tedavisi

Proje Numarası

BULUNMAMAKTADIR

Kaynakça

• 1. Desalu OO, Aladesanmi AO, Ojuawo OB, Opeyemi CM, Oloyede T, Sanya EO, et al. Development and validation of a questionnaire to assess the doctors and nurses knowledge of acute oxygen therapy. PLoS One 2019;14(2):e0211198. doi:10.1371/journal. pone.0211198. google scholar
• 2. Aloushan AF, Almoaiqel FA, Alghamdi RN, Alnahari FI, Aldosari AF, Masud N, et al. Assessment of knowledge, attitude and practice regarding oxygen therapy at emergency departments in Riyadh in 2017: A cross-sectional study. World J Emerg Med 2019;10(2):88-93. google scholar
• 3. Bunkenborg G, Bundgaard K. A mixed methods exploration of intensive care unit nurses’ perception of handling oxygen therapy to critically ill patients. Intensive Crit Care Nurs 2019;52:42-50. google scholar
• 4. Duan J, Chen B, Liu X, Shu W, Zhao W, Li J, et al. Use of high-flow nasal cannula and noninvasive ventilation in patients with COVID-19: A multicenter observational study. Am J Emerg Med 2021;46:276-81. google scholar
• 5. Pfortmueller CA, Spinetti T, Urman RD, Luedi MM, Schefold JC. COVID-19-associated acute respiratory distress syndrome (CARDS): current knowledge on pathophysiology and ICU treatment-a narrative review. Best Pract Res Clin Anaesthesiol 2021;35(3):351-68. google scholar
• 6. Guan W, Ni Z, Hu Y, Liang W, Ou C, He J, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020;382:1708-20 google scholar
• 7. Cao Y, Liu X, Xiong L, Cai K. Imaging and clinical features of patients with 2019 novel coronavirus SARS-CoV-2: A systematic review and meta-analysis. J Med Virol 2020;92(9):1449-59. google scholar
• 8. Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med 2020;8(5):475-81. google scholar
• 9. Al N, Aydin AI, Atak M, Akca D, Ozyazicioglu N, Alkan T. Determination of the Knowledge Levels of Nursing Students on Oxygen Administration in Newborn Intensive Care Units. International Journal of Caring Sciences 2019;12(1):280-5. google scholar
• 10. Adipa FE, Aziato L, Zakariah AN. Qualitative exploration of nurses’ perspectives on clinical oxygen administration in Ghana. Int J Afr Nurs Sci 2015;2:42-6. google scholar
• 11. Gunathilake R, Lowe D, Wills J, Knight A, Braude P. Implementation of a multicomponent intervention to optimise patient safety through improved oxygen prescription in a rural hospital. Aust J Rural Health 2014;22(6):328-33. google scholar
• 12. Liu X, Liu X, Xu Y, Xu Z, Huang Y, Chen S, et al. Ventilatory ratio in hypercapnic mechanically ventilated patients with COVID-19-associated acute respiratory distress syndrome. Am J Respir Crit Care Med 2020;201(10):1297-9. google scholar
• 13. Cousins JL, Wark PAB, McDonald VM. Acute oxygen therapy: a review of prescribing and delivery practices. Int J Chron Obstruct Pulmon Dis 2016;2016(1):1067-75. google scholar
• 14. Demirel H, Erek Kazan E. Knowledge Levels of Nurses About Oxygen Therapy in Turkey Int J of Health Serv Res and Policy 2020;5(1):1-14. google scholar
• 15. Zeleke S, Kefale D. Nurses’ Supplemental Oxygen Therapy Knowledge and Practice in Debre Tabor General Hospital: A Cross-Sectional Study. Open Access Emerg Med 2021;12(13):51-6. google scholar
• 16. Eastwood GM, O’Connell B, Considine J. Low-flow oxygen therapy in intensive care: An observational study. Aust Crit Care 2011;24(4):269-78. google scholar
• 17. O’Driscoll BR, Howard LS, Earis J, Mak V. British Thoracic Society Guideline for oxygen use in adults in healthcare and emergency settings. BMJ Open Respir Res 2017;15;4(1):e000170. doi:10.1136/ bmjresp-2016-000170. google scholar
• 18. McDonald CF, Jenkins S, Serginson J, Frith P, Whyte K. Clinical Practice Guideline on Adult Domiciliary Oxygen Therapy: Executive summary from the Thoracic Society of Australia and New Zealand. Respirology 2016;21(1):76-8. google scholar
• 19. World Health Organization (WHO). Living guidance for clinical management of COVID-19. Living guidance 23 November 2021. WHO reference number: WHO/2019-nCoV/clinical/2021.2 google scholar
• 20. Rolfe S, Paul F. Oxygen therapy in adult patients. Part 2: Promoting safe and effective practice in patients’ care and management. Br J Nurs 2018;27(17):988-95. google scholar
• 21. Goharani R, Miri MM, Kouchek M, Sistanizad M. Familiarity of physicians and nurses with different aspects of oxygen therapy; a brief report. Emerg (Tehran) 2017;5(1):e39. google scholar
• 22. McLeod M, Franklin BD, Barber N. Facilitators and barriers to safe medication administration to hospital inpatients: A mixed methods study of nurses’ medication administration processes and systems (the MAPS study). PLoS One 2015;10(6):e0128958. doi:10.1371/ journal.pone.0128958.. google scholar
• 23. Considine J, Botti M, Thomas S. The effects of specific educational preparation on emergency nurses’ clinical decisions regarding supplemental oxygen administration. Nurs Health Sci 2006;8(2):73-80. google scholar
• 24. Ali RA, Obeisat SM, Tarawneh LH. Improving nursing knowledge and care for neonates with respiratory distress in Jordan. Int Nurs Rev 2019;66(3):338-45. google scholar
• 25. Mahmoud AHO, Fadl Alseed HAH, Abdallah Awad HMA, Ahmed HA, Elhussein GEMO. Assessment of knowledge and practice of nurses regarding oxygen therapy in Elmak Nimir University Hospital. ejpmr 2016;3(4):30-5. google scholar
• 26. Ganeshan A, Quen Hon L, Soonawalla ZF. Oxygen: Can we prescribe it correctly? Eur J InternMed 2006;17(5):355-9. google scholar
• 27. Mayhob M. Nurses’ knowledge, practices and barriers affecting a safe administration of oxygen therapy. J Nurs Health Sci 2017;7(3):42-51. google scholar
• 28. Eastwood GM, Reade MC, Peck L, Baldwin I, Considine J, Bellomo R. Critical care nurses’ opinion and self-reported practice of oxygen therapy: A survey. Aust Crit Care 2012;25(1):23-30. google scholar
• 29. Brokalaki H, Matziou V, Zyga S, Kapella M, Tsaras K, Brokalaki E, et al. Omissions and errors during oxygen therapy of hospitalized patients in a large city of Greece. Intensive Crit Care Nurs 2004;20(6):352-7. google scholar
• 30. Georgiou E, Papathanassoglou EDE, Pavlakis A. Nurse-physician collaboration and associations with perceived autonomy in Cypriot critical care nurses. Nurs Crit Care 2017;22(1):29-39. google scholar