Assessment of Nurses Knowledge, Attitude and Practice About Oxygen Therapy at Emergency Departments of One Federal and Three Regional Hospitals in Addis Ababa, Ethiopia
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Date
2015-06
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Addis Ababa University
Abstract
Background - Oxygen should be regarded as a drug. It is prescribed to prevent or treat
hypoxemia. The concentration of oxygen prescribed aims to bring oxygen saturation (SpO2) to
normal or near normal oxygen saturation.
Objective - To assess knowledge, attitude and practices of nurses and factors associated with
poor KAP about oxygen therapy at Tikur Anbessa Specialized Hospital, Yekatit 12 Hospital
Medical College, Minillik II Referral Hospital and Zewditu Memorial Referral Hospital from
February to May 2015.
Method – A cross-sectional descriptive study design was used. The target population was all
nurses and midwives working in the emergency department/units of the above hospitals. Sample
size determination formula was not applied since all nurses and midwives in EDs of the selected
hospitals expected to respond a self administered questionnaire. Data was collected using
structured questioners that measured nurses’ knowledge, attitude and practice about oxygen
therapy including associated factors in comparison with the widely used oxygen therapy
guidelines in nursing standards. Data were coded and entered into a data base using SPSS
version 20 and cleaned as well as edited before analysis.
Results - Among 152 nurses included in the study, 38.2% were males. The median age was
found in the age category ranged from 26-30 years. The mean score on knowledge, attitude and
practice were 3.03(SD= 1.6665), 13.76(SD= 2.102) and 3.0921(SD= 1.76183) respectively.
Level of knowledge, attitude and practice on oxygen therapy was poor and good in 97(63.8%)
and 55(36.2%) for knowledge; 71(46.7%) and 81(53.3%) for attitude; 86(56.6%) and 66(43.4%)
for practice respectively.
Factors associated with poor knowledge, attitude and practice on oxygen therapy were training
Yes in 50(32.9%), No in 102(67.1%); availability of oxygen therapy guideline Yes in 36(23.7%),
No in 91(59.9%), I do not know in 25(16.4%); adequate supply of oxygen and delivery devices
Yes in 79(52.0%), No in 57(37.5%), I do not know in 16(10.5%); work load affects oxygen
therapy Yes in 99(65.1%), No in 37(24.3%) and Unknown in 16(10.5%)
Conclusion and recommendation – This study showed that there is a clear knowledge, attitude
and practice gap among nurses who were working in ED. The possible associated factors were
also identified which includes lack of oxygen therapy training and guideline, work load,
inadequate supply of oxygen and delivery devices. It is recommended that ED nurses must be given training on oxygen therapy and be updated. National oxygen therapy guideline or Hospital protocol must be developed. Oxygen supply and delivery devices should always be adequate and
be used properly
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Nurses Knowledge