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Barriers affecting safe practice of oxygen administration to critical ill children
Rasha Mohamed Abohadida1, Salam Bani Hani2, Haitham Mokhtar Mohamed Abdallah3
1Faculty of Nursing, Alexandria University, Egypt; Nursing Department, Irbid National University, Irbid, Jordan.
Insights
Pediatric nurses face barriers to safe oxygen therapy administration, with many exhibiting unsatisfactory practices. Improving training and clinical guidelines is crucial for critically ill children.
Area of Science:
- Pediatric critical care nursing
- Cardiopulmonary medicine
- Patient safety
Background:
- Oxygen therapy is vital for critically ill children with cardiopulmonary conditions.
- Pediatric nurses encounter challenges in administering oxygen therapy safely.
- This study investigates barriers to safe oxygen administration practices in pediatric intensive care.
Purpose of the Study:
- To assess barriers affecting safe oxygen administration in critically ill children.
- To identify factors hindering optimal nursing practices in oxygen therapy.
Main Methods:
- A descriptive study was conducted in a Pediatric Intensive Care Unit (PICU).
- Sixty PICU nurses participated in the study.
- Data were collected using an observational checklist and an assessment tool for obstacles.
Main Results:
- Approximately two-thirds of nurses demonstrated unsatisfactory practices in oxygen administration.
- One-third of nurses showed fair practices.
- All nurses identified a lack of clinical guidelines and training as significant barriers.
Conclusions:
- A notable gap exists in nurses' safe practices for oxygen administration.
- Barriers such as the absence of guidelines and inadequate training impede safe oxygen therapy.
- Regular training and established clinical guidelines are recommended to enhance safe practices.
Background:
Oxygen therapy is life-saving and part of first-line treatment for critically ill children with cardiopulmonary diseases. However, pediatric nurses face several barriers when administering oxygen therapy to pediatric patients. This study aims to assess the barriers that affect the safe practice of oxygen administration in critically ill children.
Methods:
A descriptive design was used in the Pediatric Intensive Care Unit (PICU) at Alexandria University Children's Hospital at El-Shatby and Smouha. The study recruited 60 nurses working in the PICU. Two tools were utilized to collect the necessary data: the Nurses' Safe Practices Regarding Oxygen Administration for Critically Ill Children Observational Checklist and the Nurses' Obstacles Regarding Safe Oxygen Administration for Critically Ill Children Assessment Tool.
Results:
It was found that about two-thirds of nurses had unsatisfactory practices, while one-third of them had fair practices. In addition, all of the nurses reported that the unavailability of clinical guidelines for oxygen administration and the lack of training courses about oxygen therapy guidelines are among the barriers related to oxygen administration for critically ill children.
Conclusion:
The current study concluded that there was a gap in the nurses' safe practices of oxygen administration. Nurses face many barriers that interfere with the safe administration of oxygen therapy.
Recommendation:
Regular practical training sessions about safe practices of oxygen therapy are recommended to increase the level of practice among nurses. Besides, establishing standard policies and procedures for clinical guidelines for safe practices of oxygen administration.
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