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Mustafa G. Effect of an Educational Program on Nurses' Knowledge and Practice of Oxygen Therapy. Cureus 2023; 15:e39248. [PMID: 37342739 PMCID: PMC10277655 DOI: 10.7759/cureus.39248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/19/2023] [Indexed: 06/23/2023] Open
Abstract
INTRODUCTION Past studies have shown that healthcare professionals may lack awareness and knowledge regarding oxygen therapy, and its implementation often has several obstacles. This study was carried out to investigate the effect of an educational program about oxygen therapy on nurses' knowledge and practices. METHODS This cross-sectional, quasi-experimental study was conducted in 2022 at the pediatric department of Nishtar Hospital, Multan, where 160 nurses from primary and secondary health centers attended an educational program delivered in the pediatric department. The pre-test-post-test approach was used to evaluate the effectiveness of the structured educational program. The independent variable was the educational program, and the dependent variable was the nurses' knowledge and practice about oxygen toxicity. Data analysis was performed using SPSS version 23 (IBM Corp., New York, USA). The data were tabulated as means and standard deviations for numerical values and frequency percentages for categorical values. The student's t-test and the chi-square test were applied to investigate any associations among variables. RESULTS The average test scores before and after the implementation of the educational program were 10.75±2.65 and 17.52±2.04, respectively. The average post-test score was greater than that of the pre-test, and the difference was statistically significant (p<0.001). CONCLUSION The study found that after the implementation of the educational program, the knowledge and practices of nurses regarding oxygen therapy improved significantly, with the majority showing a positive attitude toward the program.
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Affiliation(s)
- Ghulam Mustafa
- Pediatric Medicine, College of Medicine-Shaqra University, Shaqra, SAU
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Diab SSEM, Ali SAA, Abed SN, Elasrag GAEA, Ramadan OME. Effectiveness of Standardized Protocol for Oxygen Therapy on Improving Nurses' Performance and Patients' Health Outcome. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19105817. [PMID: 35627352 PMCID: PMC9140638 DOI: 10.3390/ijerph19105817] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 04/23/2022] [Accepted: 04/25/2022] [Indexed: 11/16/2022]
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.
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Affiliation(s)
- Samar Salah Eldin Mohamed Diab
- Department of Nursing, College of Applied Medical Science, Jouf University, Sakaka 2014, Saudi Arabia; (S.A.A.A.); (S.N.A.); (G.A.E.A.E.); (O.M.E.R.)
- Pediatric Nursing Department, Faculty of Nursing, Menoufia University, Shebin El-Kom 32511, Egypt
- Correspondence: ; Tel.: +966-5-5736-5869 or +20-10-6180-6910
| | - Shaimaa Ahmed Awad Ali
- Department of Nursing, College of Applied Medical Science, Jouf University, Sakaka 2014, Saudi Arabia; (S.A.A.A.); (S.N.A.); (G.A.E.A.E.); (O.M.E.R.)
- Critical Care and Emergency, Faculty of Nursing, Mansoura University, Mansoura 35516, Egypt
| | - Shaymaa Najm Abed
- Department of Nursing, College of Applied Medical Science, Jouf University, Sakaka 2014, Saudi Arabia; (S.A.A.A.); (S.N.A.); (G.A.E.A.E.); (O.M.E.R.)
| | - Gehan Abd Elfattah Atia Elasrag
- Department of Nursing, College of Applied Medical Science, Jouf University, Sakaka 2014, Saudi Arabia; (S.A.A.A.); (S.N.A.); (G.A.E.A.E.); (O.M.E.R.)
- Adult Health Nursing (Medical-Surgical Nursing), Menoufia University, Shebin El-Kom 32511, Egypt
| | - Osama Mohamed Elsayed Ramadan
- Department of Nursing, College of Applied Medical Science, Jouf University, Sakaka 2014, Saudi Arabia; (S.A.A.A.); (S.N.A.); (G.A.E.A.E.); (O.M.E.R.)
- Pediatric Nursing Department, Faculty of Nursing, Cairo University, Cairo 11562, Egypt
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Kamm AM, Liu JB, Demitroulas K, Devanagondi S, Acevedo J, Heitschmidt MG, Staffileno BA, Fogg L, Vondracek H. An interdisciplinary approach to safe opioid prescribing and administration for surgical patients at an academic medical center. J Clin Nurs 2020; 31:454-463. [PMID: 33179360 DOI: 10.1111/jocn.15561] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 08/30/2020] [Accepted: 10/23/2020] [Indexed: 02/04/2023]
Abstract
AIM AND OBJECTIVES To explore and understand the current practice, perceptions, and knowledge of general surgery trainees, advanced practice providers, and surgical nurses regarding opioid prescribing and administration. To this end, a novel opioid education and training was introduced to educate these practitioners on safe opioid practices in surgical patients. BACKGROUND National awareness of the opioid epidemic has increased significantly in the last several years. However, there remain a disturbingly high number of opioid prescriptions written in the US indicating a need for improved provider and nurse education. This involves increasing awareness and understanding of national guidelines as well as implementing multi-modal therapy to treat pain. DESIGN Pre-post-intervention quality improvement project. METHODS An opioid education and training involving a morphine equivalent daily dosing calculator in the electronic medical record was provided to 26 surgical trainees, eight advanced practice providers and 97 surgical nurses in November 2019. Perceptions, current practice and knowledge were measured using a pre- and post-intervention survey (SQUIRE checklist). RESULTS The survey results showed a positive clinical change in perception of opioid use in surgical patients following the intervention and a modest decrease in the average morphine equivalent daily dosing at discharge in general and transplant surgery patients. CONCLUSIONS Effective pain management for surgical patients must be individualised. Safe opioid prescribing should involve an interdisciplinary approach with all members of the team undergoing assessment of their opioid knowledge and prescribing habits, easily accessible training tools and opioid calculators in the electronic medical record. RELEVANCE TO CLINICAL PRACTICE Our initiative may provide useful information to settings that replicate use of a morphine equivalent daily dosing calculator in the electronic medical record. Utilisation of safe opioid prescribing tools in the electronic medical record and continuing education for providers and nurses can help ensure the safety of surgical patients.
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Affiliation(s)
- Alaine M Kamm
- Department of Surgery, University of Chicago Medicine, Chicago, Illinois, USA
| | - Jason B Liu
- Department of Surgery, University of Chicago Medicine, Chicago, Illinois, USA
| | - Kristin Demitroulas
- Department of Nursing, University of Chicago Medicine, Chicago, Illinois, USA
| | - Shwetha Devanagondi
- Manager, Data and Analytics, University of Chicago Medicine, Chicago, Illinois, USA
| | - Julissa Acevedo
- Department for Research Informatics, University of Chicago Medicine, Chicago, Illinois, USA
| | - Mary G Heitschmidt
- College of Nursing, Rush University Medical Center, Chicago, Illinois, USA
| | - Beth A Staffileno
- College of Nursing, Rush University Medical Center, Chicago, Illinois, USA
| | - Louis Fogg
- College of Nursing, Rush University Medical Center, Chicago, Illinois, USA
| | - Hugh Vondracek
- College of Nursing, Rush University Medical Center, Chicago, Illinois, USA
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Bouri F, El Ansari W, Mahmoud S, Elhessy A, Al-Ansari A, Al-Dosari MAA. Orthopedic Professionals' Recognition and Knowledge of Pain and Perceived Barriers to Optimal Pain Management at Five Hospitals. Healthcare (Basel) 2018; 6:E98. [PMID: 30104518 PMCID: PMC6165346 DOI: 10.3390/healthcare6030098] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2018] [Revised: 08/06/2018] [Accepted: 08/09/2018] [Indexed: 12/17/2022] Open
Abstract
Pain is a challenge for orthopedic healthcare professionals (OHCP). However, pain studies examined the competencies of a single OHCP category, did not consider various pain management domains or barriers to optimal pain service, and are deficient across the Arabic Eastern Mediterranean region. We surveyed OHCP's recognition and knowledge of pain and perceived barriers to optimal pain service (361 OHCP, five hospitals). Chi square compared doctors' (n = 63) vs. nurses/physiotherapists' (n = 187) views. In terms of pain recognition, more nurses had pain management training, confidently assessed pediatric/elderly pain, were aware of their departments' pain protocols, and felt that their patients receive proper pain management. More doctors comfortably prescribed opiate medications and agreed that some nationalities were more sensitive to pain. For pain knowledge, more nurses felt patients are accurate in assessing their pain, vital signs are accurate in assessing children's pain, children feel less pain because of nervous system immaturity, narcotics are not preferred due respiratory depression, and knew pre-emptive analgesia. As for barriers to optimal pain service, less nurses agreed about the lack of local policies/guidelines, knowledge, and skills; time to pre-medicate patients; knowledge about medications; complexity of the clinical environment; and physicians being not comfortable prescribing pain medication. We conclude that doctors required confidence in pain, especially pediatric and geriatric pain, using vital signs in assessing pain and narcotics use. Their most perceived barriers were lack of local policies/guidelines and skills. Nurses required more confidence in medications, caring for patients on narcotics, expressed fewer barriers than doctors, and the complexity of the clinical environment was their highest barrier. Educational programs with clinical application could improve OHCPs' pain competencies/clinical practices in pain assessment and administration of analgesics.
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Affiliation(s)
- Fadi Bouri
- Department of Orthopedic Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar.
| | - Walid El Ansari
- Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar.
- College of Medicine, Qatar University, Doha 2713, Qatar.
| | - Shady Mahmoud
- Department of Orthopedic Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar.
| | - Ahmed Elhessy
- Department of Orthopedic Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar.
| | - Abdulla Al-Ansari
- Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar.
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Jukiewicz DA, Alhofaian A, Thompson Z, Gary FA. Reviewing opioid use, monitoring, and legislature: Nursing perspectives. Int J Nurs Sci 2017; 4:430-436. [PMID: 31406787 PMCID: PMC6626213 DOI: 10.1016/j.ijnss.2017.09.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2017] [Revised: 08/17/2017] [Accepted: 09/04/2017] [Indexed: 11/30/2022] Open
Abstract
The phenomena of prescription opioid misuse and abuse have a complicated history of contributing factors including policies, practices, and prescribing leading to contemporary phenomena. Some factors implicated in the opioid drug abuse problem include inefficient prescribing and improper use, lack of knowledge related to interpretation and assessment of pain levels, and decreased oversight and regulation from government and policy agents. Nurses, often frontline providers, need to be knowledgeable and embrace the guidelines, and necessary implications associated with both prescribing and administration of opioids. Additionally, all providers including physicians, physician assistants, nurse practitioners, and bedside nurses must have a firm understanding of the improper use and abuse of opioids. The examination and review of opioid policies at the state and federal level has revealed inconsistency with regulations, policies, and guidelines that have lead to the current situation. The use of an interdisciplinary team with nurses and various other practitioners is a good strategy to help reduce this problem.
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Affiliation(s)
- Deniece A Jukiewicz
- Case Western Reserve University, Frances Payne Bolton School of Nursing, 10900 Euclid Ave., Cleveland, OH 44106, USA
| | - Aisha Alhofaian
- Case Western Reserve University, Frances Payne Bolton School of Nursing, 10900 Euclid Ave., Cleveland, OH 44106, USA
| | - Zenora Thompson
- Case Western Reserve University, Frances Payne Bolton School of Nursing, 10900 Euclid Ave., Cleveland, OH 44106, USA
| | - Faye A Gary
- Case Western Reserve University, Frances Payne Bolton School of Nursing, 10900 Euclid Ave., Cleveland, OH 44106, USA
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