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Critical care nurses' opinion and self-reported practice of oxygen therapy: a survey

Eastwood, Glenn M., Reade, Michael C., Peck, Leah, Baldwin, Ian, Considine, Julie and Bellomo, Rinaldo 2012, Critical care nurses' opinion and self-reported practice of oxygen therapy: a survey, Australian critical care, vol. 25, no. 1, pp. 23-30, doi: 10.1016/j.aucc.2011.05.001.

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Title Critical care nurses' opinion and self-reported practice of oxygen therapy: a survey
Author(s) Eastwood, Glenn M.
Reade, Michael C.
Peck, Leah
Baldwin, Ian
Considine, JulieORCID iD for Considine, Julie
Bellomo, Rinaldo
Journal name Australian critical care
Volume number 25
Issue number 1
Start page 23
End page 30
Total pages 8
Publisher Elsevier
Place of publication Philadelphia, Pa.
Publication date 2012-02
ISSN 1036-7314
Keyword(s) nurses
on-line survey
intensive care
oxygen administration
Health Care Surveys
Health Knowledge, Attitudes, Practice
Intensive Care Units
New Zealand
Oxygen Inhalation Therapy
Practice Patterns, Nurses'
Summary BACKGROUND: 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.

AIM: To establish if there is variability in oxygen therapy practices of critical care nurses and examine the degree of variability.

METHOD: On-line questionnaire of ACCCN members between April and June 2010.

RESULTS: 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 SpO2, 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 FiO2 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 SpO2 of 90%. Nurses in rural critical care units were less likely to independently titrate oxygen to their own target SpO2, but more likely to independently treat a falling SpO2 with higher FiO2.

CONCLUSION: 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.
Language eng
DOI 10.1016/j.aucc.2011.05.001
Field of Research 111099 Nursing not elsewhere classified
1110 Nursing
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2011, Australian College of Critical Care Nurses
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Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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