Patients and nurses' perspective on oxygen therapy : a qualitative study

Eastwood, Glenn M, O'Connell, Bev, Gardner, Anne and Considine, Julie 2009, Patients and nurses' perspective on oxygen therapy : a qualitative study, Journal of advanced nursing, vol. 65, no. 3, pp. 634-641, doi: 10.1111/j.1365-2648.2008.04933.x.

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Title Patients and nurses' perspective on oxygen therapy : a qualitative study
Author(s) Eastwood, Glenn M
O'Connell, Bev
Gardner, Anne
Considine, JulieORCID iD for Considine, Julie
Journal name Journal of advanced nursing
Volume number 65
Issue number 3
Start page 634
End page 641
Total pages 8
Publisher Wiley-Blackwell Publishing
Place of publication Oxford, England
Publication date 2009
ISSN 0309-2402
Keyword(s) interviews
qualitative research
patient perspective
oxygen therapy
nurse perspective
Summary Aim. This paper is a report of a study to describe patients' and nurses' perspectives on oxygen therapy.
Background. Failure to correct significant hypoxaemia may result in cardiac arrest, need for mechanical ventilation or death. Nurses frequently make clinical decisions about the selection and management of low-flow oxygen therapy devices. Better understanding of patients' and nurses' experiences of oxygen therapy could inform clinical decisions about oxygen administration using low-flow devices.
Methods. Face-to-face interviews with a convenience sample of 37 adult patients (17 cardio-thoracic: 20 medical surgical) and 25 intensive care unit nurses were conducted from February 2007 to September 2007. Interviews were audio-taped, transcribed verbatim and then analysed using a thematic analysis approach.
Findings. The patients identified three key factors that underpinned their compliance with oxygen therapy: (i) device comfort; (ii) ability to maintain activities of daily living; and (iii) therapeutic effect. The nurses identified factors, such as: (i) therapeutic effect, (ii) issues associated with compliance, (iii) strategies to optimize compliance, (iv) familiarity with device, (v) triggers for changing oxygen therapy devices, as being key to the effective management of oxygen therapy.
Conclusion. Differences between the patients' and nurses' perspective of oxygen therapy illustrate the variety of factors that impact on effective oxygen administration. Further research should seek to provide a further in-depth understanding of the current oxygen administration practices of nurses and the patient factors that enhance or hinder effectiveness of oxygen therapy. Detailed information about nurse and patient factors that influence oxygen therapy will inform a sound evidence base for nurses' oxygen administration decisions.
Language eng
DOI 10.1111/j.1365-2648.2008.04933.x
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, Wiley-Blackwell
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