Comparison Between Nurses, Paramedics, and Doctors to Benefit from an Educational Intervention Related to Oxygen Therapy
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Keywords
emergency, oxygen therapy, educational training, healthcare providers
Abstract
Introduction: The administration of oxygen is a crucial aspect of patient care that requires accurate assessment, adequate knowledge, and proper skills. Nurses, paramedics, and doctors all play important roles in the delivery of oxygen therapy, but few studies have investigated the benefits of educational interventions on their knowledge and practice of oxygen therapy. Therefore, this paper aims to compare the knowledge, attitudes, and skills of nurses, paramedics, and doctors regarding oxygen therapy and to assess the effectiveness of an educational intervention in improving their performance.
Methodology: Overall, 495 candidates from September 2022 to October 2022 were included in our study. The mean test score and the significance of each question before and after the educational program were noted for doctors, nurses, lady health workers, and technicians.
Results: Overall, 495 candidates were included in our study, of which 266 (53.7%) were doctors, 160 (32.3%) were nurses, 30 (6.1%) were lady health workers, 19 (3.8%) dispensers and 20 (4.0%) were technicians. There were 206 (41.6%) male and 289 (58.4%) female participants. The mean test score and the significance of each question before and after the educational program for doctors, nurses, lady health workers, and technicians were statistically significant (p<0.001).
Conclusion: The study highlights the importance of continuous education to optimize patient outcomes and the need for interprofessional collaboration in providing optimal care.
References
2. Ayuk AC, Nwosu NI: Oxygen delivery systems and training needs in pediatric and adult settings–A call to action beyond COVID-19 era. J Pan Afr Thorac Soc. 2021, 2:119-121. 10.25259/JPATS_13_2021
3. O'Driscoll BR, Howard LS, Earis J, et al.: Guidelines for emergency oxygen use in adults: on behalf of the British Thoracic Society Emergency Oxygen Guidelines Development Group. BMJ. 2017, 4:e000170. 10.1136/bmjresp-2016-000170
4. Kim SO, Choi YJ: Nursing competency and educational needs for clinical practice of Korean nurses. Nurse Edu Practice. 2019, 34:43-7. 10.1016/j.nepr.2018.11.002
5. Graham H, Bakare AA, Fashanu C, et al.: Oxygen therapy for children: a key tool in reducing deaths from pneumonia. Pediatr Pulmonol. 2020, 55:S61-S64. 10.1002/ppul.24656
6. Lee W, Kim M, Kang Y, et al.: Nursing and medical students’ perceptions of an interprofessional simulation-based education: a qualitative descriptive study. Korean J Med Edu. 2020, 32:317-327. 10.3946/kjme.2020.179
7. Desalu OO, Ojuawo OB, Adeoti AO, et al.: Doctors’ and Nurses’ Knowledge and Perceived Barriers Regarding Acute Oxygen Therapy in a Tertiary Care Hospital in Nigeria. Advances Med Edu Practice. 2022, 14:1535-1545. 10.2147/AMEP.S378533
8. Joosten SA, Koh MS, Bu X, et al.: The effects of oxygen therapy in patients presenting to an emergency department with exacerbation of chronic obstructive pulmonary disease. Med J Aust. 2007, 186:235–238. 10.5694/j.1326-5377.2007.tb00879.x
9. Austin MA, Willis KE, Blizzard L, et al.: Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting: randomised controlled trial. BMJ. 2010, 341:c5462. 10.1136/bmj.c5462
10. Singh A, Salhotra R, Bajaj M, et al.: Retention of Knowledge and Efficacy of a Hands-on Training Session in Oxygen Therapy for COVID-19 among Healthcare Workers. Indian J Crit Care Med. 2023, 27:127-131. 10.5005/jp-journals-10071-24327
11. Adeniyi BO, Akinwalere OO, Ekwughe FC, et al.: Assessment of knowledge and practice of oxygen therapy among doctors and nurses: A survey from Ondo State, Southwest Nigeria. J Pan African Thoracic Society. 2021 Oct 1;2(3):161-6. 10.25259/JPATS_4_2021
12. Eastwood GM, Peck L, Young H, et al.: Oxygen administration and monitoring for ward adult patients in a teaching hospital. Int Med J. 2011, 41:784–788. 10.1111/j.1445-5994.2010.02286.x
13. Calverley PMA: Supplementary oxygen therapy in COPD: is it really useful? Thorax. 2000, 55:537–538. 10.1136/thorax.55.7.537
14. Kim Y, Kim HI, Park JY, et al.: Korean physician prescription patterns for home oxygen therapy in chronic obstructive pulmonary disease patients. The Korean J Intern Med. 2022, 37:119. 10.3904/kjim.2020.470
15. Aubier M, Murciano D, Milic-Emili J, et al.: Effects of the administration of O2 on ventilation and blood gases in patients with chronic obstructive pulmonary disease during acute respiratory failure 1– 3. Am Rev Respir Dis. 1980, 122:747–754. 10.1164/arrd.1980.122.5.747
16. Cousins JL, Wark PA, McDonald VM: Acute oxygen therapy: A review of prescribing and delivery practices. Int J Chron Obstruct Pulmon Dis. 2016, 11:1067-75. 10.2147/COPD.S103607
17. Henrichs KA, Makic MB: A Quality Improvement Project to Increase Oxygen Therapy Adherence in Patients Newly Prescribed Oxygen at Discharge. Med Surg Nursing. 2021, 30:35-40. https://www.proquest.com/openview/c4af02349b054e303e4e48032459d1c4/1?pq-origsite=gscholar&cbl=30764
18. Eastwood G, Reade M, Peck L, et al.: Critical care nurses’ opinion and self-reported practice of oxygen therapy: a survey. Australian Crit Care. 2012, 25:23-30. 10.1016/j.aucc.2011.05.001 19. Rochester H: seventh report of joint national committee on prevention, detection, evaluation. Treatment Health Care J, 2017, 42:1206-1252. 10.1161/01.HYP.0000107251.49515.c2
20. Ginsburg AS, Van Cleve WC, Thompson MI, English M: Oxygen and pulse oximetry in childhood pneumonia: A survey of healthcare providers in resource-limited settings. J Trop Pediatr. 2012, 58:389-93. 10.1093/tropej/fmr103
21. Chen Y, Niu M, Zhang X, et al.: Effects of home‐based lower limb resistance training on muscle strength and functional status in stable Chronic obstructive pulmonary disease patients. J Clin Nursing, 2018, 27:e1022-e1037. 10.1111/jocn.14131
22. Markocic S, Humphries M, Tarne K, et al.: What are the risks and knowledge deficits for prescribing and administering opioids in the ward environment? A quality project on assessing and improving knowledge. Nurse Edu Practice, 2016, 17:182-187. 10.1016/j.nepr.2015.10.011
23. Urden LD, Lough ME, Kathleen MS, et al.: Priorities in critical care nursing. Dimensions of Critical Care Nursing. 1996, 15:333.
https://journals.lww.com/dccnjournal/Citation/1996/11000/Priorities_in_Critical_Care_Nursing,_2nd_Edition.8.aspx
24. Stringer E, McParland C, Hernandez P: Physician practices for prescribing supplemental oxygen in the palliative care setting. 2004, 20:303–307. 10.1177/082585970402000406
25. Considine J, Botti M, Thomas S: Effect of a self-directed learning package on emergency nurses’ knowledge of assessment of oxygenation and use of supplemental oxygen. Nurs Health Sci. 2005, 7:199–208. 10.1111/j.1442-2018.2005.00236.x
26. Wang T, Tan JY, Xiao LD, et al.: Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: an updated systematic review and meta-analysis. Patient Edu Counseling. 2017, 100:1432-46. 10.1016/j.pec.2017.02.026
27. Vargas F, Saint-Leger M, Boyer A, et al.: Physiologic effects of high-flow nasal cannula oxygen in critical care subjects. Respiratory care. 2015, 60:1369-76. 10.4187/respcare.03814
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