Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11298
Title: Critical care nurses' opinion and self-reported practice of oxygen therapy: a survey.
Authors: Eastwood, Glenn M;Reade, Michael C;Peck, Leah;Baldwin, Ian;Considine, Julie;Bellomo, Rinaldo
Affiliation: Intensive Care Unit, Austin Hospital, Heidelberg,Victoria, Australia. gmeastwood@yahoo.com
Issue Date: 28-Jun-2011
Citation: Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses 2011; 25(1): 23-30
Abstract: Critical care nurses frequently and independently manage oxygen therapy. Despite the importance of oxygen therapy, there is limited evidence to inform or support critical care nurses' oxygen therapy practices.To establish if there is variability in oxygen therapy practices of critical care nurses and examine the degree of variability.On-line questionnaire of ACCCN members between April and June 2010.The response rate was 36% (542/1523 critical care nurses). Overall, 378 (70%) respondents practiced in metropolitan critical care units; 278 (51%) had ≥14 years of specialty practice. In response to falling SpO(2), 8.9% of nurses would never escalate oxygen therapy without a doctor's request, and 51% of nurses would not routinely escalate oxygen therapy in the absence of medical orders. Only 56% of nurses reported always increasing FiO(2) prior to endotracheal suctioning. In mechanically ventilated patients, 33% of nurses believed oxygen toxicity was a greater threat to lung injury than barotrauma. More than >60% of respondents reported a tolerance for a stable SpO(2) of 90%. Nurses in rural critical care units were less likely to independently titrate oxygen to their own target SpO(2), but more likely to independently treat a falling SpO(2) with higher FiO(2).Critical care nurses varied in their self-reported oxygen therapy practices justifying observational and interventional studies aimed at improving oxygen therapy for critically ill patients.
Internal ID Number: 21715182
URI: http://ahro.austin.org.au/austinjspui/handle/1/11298
DOI: 10.1016/j.aucc.2011.05.001
URL: http://www.ncbi.nlm.nih.gov/pubmed/21715182
Type: Journal Article
Subjects: Australia
Health Care Surveys
Health Knowledge, Attitudes, Practice
Humans
Intensive Care Units
New Zealand
Nurse's Practice Patterns
Oxygen Inhalation Therapy.adverse effects.instrumentation.nursing
Appears in Collections:Journal articles

Files in This Item:
There are no files associated with this item.


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.