Do We Know How to Use Oxygen Properly in Emergeny Department?

Abstract

Özet AmaçAcil serviste görev yapan hekim ve hemşirelerinin oksijen tedavisi ile ilgili bilgi düzeylerini belirlemektir. Gereç ve YöntemlerOksijen tedavisi bilgi düzeylerini değerlendirebilmek amacıyla 7 sorulu bir anket geliştirilerek uygulandı. Çalışmaya 2 üniversite hastanesi acil servisinde görev yapan 20 hemşire, 30 asistan ve 50 intern doktor toplam 100 kişi dahil edildi. Bulgular Katılımcıların ankete cevap oranı %100'dü. Oksijen tedavisi ile ilgili soruların tamamına doğru cevap veren katılımcı sadece %9 olarak tespit edildi. Sonuç Çalışmamız acil serviste görev yapan doktor ve hemşirelerin doğru oksijen tedavisi ile ilgili bilgi düzeylerinde önemli eksiklikler olduğunu göstermiştir. Oksijen tedavisi konusundaki bilgi eksikliğinin hastaların tedavi sonuçlarını olumsuz yönde etkileyeceği göz önüne alındığında, acil servis hekim ve hemşirelerinin bu konuda eğitim almasını ve fakülte eğitim müfredatlarında bu konuya dikkat edilmesini tavsiye ediyoruz. Anahtar KelimelerOksijen, Tedavi, Acil, Bilgi Düzeyi, Maske. Abstract AimThe aim of this study was to determine emergency department doctors' and nurses' knowledge regarding oxygen therapy. Material and MethodsA 7-item questionnaire survey was developed and applied to assess knowledge of oxygen therapy. The questionnaire was administered to a total of 100 (20 nurses, 30 resident physicians and 50 intern doctors (last-year medical students) staff from two university teaching hospital in Ankara, Turkey. Results A response rate of 100 % was achieved from participants in the study. Only 9 % of the participants answered all the questions correctly on oxygen therapy. Conclusions Our study shows that emergency medical staffs have significant gaps in their knowledge on appropriate oxygen therapy. Since deficiencies in emergency medicine staffs knowledge on treatment with oxygen deficits influence patient's outcome, we recommend that emergency medicine staff should be trained regarding oxygen therapy and medical schools should pay much more attention to this issue in their curricula.

Knowledge Levels of Nurses About Oxygen Therapy in Turkey

“…In our study, the nurses also displayed the least success in correctly matching the nonrebreathing mask, face tent and venturi mask among the questions regarding matching the masks with images. Similar results were obtained in certain other studies conducted on the same subject matter [14,22,23]. These results obtained from our study indicate an insufficient level of knowledge of the nurses for the masks.…”

“…Oxygen therapy should not be implemented without the order of the physician in situations other than emergencies [1,14,19]. However, the nurses predominantly gave the wrong answer to this preposition in our study.…”

“…Oxygen should be regarded as a drug and oxygen therapy should be performed by the nurses upon the written order of the physician [19,25,26]. The nurse should check the implicit order of the physician [14,22,23] and perform oxygen therapy as per six correct principles [19]. It has been found out in our study that a significant portion of the nurses did not receive the order of the physician to initiate oxygen therapy and most of the nurses receive only oral order or alternately oral and written order.…”

“…These are nasal cannula, face mask, venturi mask, partial rebreather mask, nonrebreather mask, oxygen tent, oxygen hood, face tent, transtracheal catheter, and nasal catheter [2,8,9]. In some studies [7,[13][14][15][16], the level of knowledge of the nurses regarding oxygen applications was assessed and their knowledge scores were identified to be low. However, there were only a few studies regarding the level of knowledge of Turkish nurses regarding oxygen therapy [13,14].…”