Effectiveness of Standardized Protocol for Oxygen Therapy on Improving Nurses’ Performance and Patients’ Health Outcome

Abstract

Aims: assess nurses’ knowledge and performance-related safe administration of oxygen (O2) therapy; apply an intervention program for nurses about standardized protocol for oxygen; and evaluate the effectiveness of standardized protocol for oxygen in improving nurses’ performance and patients’ health outcomes. Design: a quasi-experimental study was used. Setting: the current study was conducted at three hospitals in Sakaka City with totally different medical aid units (ICUs), CCUs, emergency care departments (ED), medical and surgical wards, pediatric care units (PICUs), neonatal intensive care units (NICUs), pediatric emergency care departments (PED) and pediatric inpatient\outpatient departments. Subjects: a convenience sample of 105 nurses and 105 patients was divided into 55 patients in the control group who received routine care and 50 patients in the study group who received intervention. Findings: 34.3% of studied nurses had poor knowledge pre-intervention compared with 17% post-intervention. Moreover, 33.3% of them had satisfactory knowledge pre-intervention versus 21% post-intervention. Only 5.7% of them had excellent knowledge pre-intervention, compared with 34.4% post-intervention. Concerning the complications of oxygen therapy, only 10.5% did not have complications in the control group versus 62.9% in the study group, 33.3% of the control group had cyanotic lips and fingernails pre-intervention, versus 7.6% in the study group; 10.5% had oxygen toxicity in the control group, versus 7.6% in the study group, with a highly statistically significant difference at p 0.001 for all. Conclusion: the current results of this study concluded that there was improvement in nurses’ knowledge and practice related to oxygen therapy post-intervention. Moreover, when the standard protocol for safe oxygen therapy was used in a positive way, it led to better health for patients and fewer problems with oxygen therapy.

Assessment of knowledge, attitude and practice for oxygen therapy among medical staff at the Colonial War Memorial Hospital in Fiji

“…In order to maintain and improve the good KAP scores measured in the present study, the development of national OT guidelines for Fiji is recommended. Evidence from other LMICs supports the positive role of formal guidelines on OT administration 24,40,41 Monitoring and evaluation of national OT guidelines.…”

“…Regular updates and training workshops were recommendations expressed by all of the studies from LMICs following their KAP assessments. Oxygen saturation for patients with acute exacerbation of asthma 36 (41) Oxygen saturation for patients with acute myocardial infarction 32 (37) OT contraindications 14 (16) OT, oxygen therapy. OT, oxygen therapy.…”

“…Evidence from other LMICs supports the positive role of formal guidelines on OT administration. 24,40,41 3 Monitoring and evaluation of national OT guidelines. Continuous quality improvement should be included in the implementation plan of national OT guidelines.…”

Knowledge of Oxygen Therapy among Nurses in a Tertiary Hospital in Kenya: Implications for Patient Care and Training Needs

“…Factors associated with knowledge levels of oxygen therapy among nurses include age, gender, awareness of oxygen therapy guidelines, year of practice, level of education and continuous medical education on oxygen therapy (Adeniyi et al, 2021;Aiken et al, 2018;Bizuneh et al, 2022;Diab et al, 2022;Hassanzad et al, 2022;Nabwire et al, 2018;Thabet et al, 2020). How these factors interplay in low-resource settings has been inadequately explored.…”

Development and evaluation of an e-learning course in oxygen therapy

“…It is also worth mentioning that in some diseases such as stroke, heart attack, gastrointestinal bleeding, seizures, respiratory disorders, anesthesia, head trauma, and loss of blood and body fluids, the tissues of the body do not receive adequate oxygen and this may cause dangerous consequences such as hypoxemia, bruising, and respiratory failure [6][7][8]. On the other hand, improper use of oxygen can lead to irreparable damages to patients, and in some cases may cause death in addition to wasting valuable oxygen resources [2,9,10].…”