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Pulse Oximetry Understanding and Application: A Survey on Nursing Staff

机译:脉搏血氧算术理解与应用:护理人员的调查

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Pulse Oximetry (PO) is widely used for the noninvasive detection of hypoxemia, particularly in the perioperative setting. Research regarding the perioperative assessment of nursing knowledge of PO continues to evolve. Prior evaluations have identified relative knowledge deficits among nurses regarding physiologic principles, data interpretation, and clinical application. Such deficits need identification and targeted education to prevent perioperative patient mismanagement.Aim: To assess nursing knowledge of PO in perioperative and critical care settings of a single center in the United States and to analyse identified knowledge deficits.Materials and Methods: A cross-sectional questionnaire study was conducted in Post Anaesthesia Care Unit (PACU) and Medical Respiratory ICU (MRICU) among 150 participants. The validated questionnaire on surveying PO principle consisted of 21 true/false and 3 open-ended questions. Univariate analysis of nursing Total Knowledge Score (TKS), years of clinical experience, and current practice settings was performed. Significance was set at p<0.05.Results: A total of 51 questionnaires were completed, with a 34% response rate. The mean TKS for the true/false questionnaire was 16.4?±2.0. There was no significant difference in TKS between PACU and MRICU nurses (16.5±1.7 vs. 16.2±2.5, respectively, p=0.27). Ninety-eight percent of all nurses scored >50% correct while 13.7% scored >90% (p=0.19 and p=0.74, respectively). The lowest percentages of correct responses (<50%) were seen in questions 3 and 16, which pertained to physiologic principles of PO. There was no significant difference in scoring percentiles between MRICU and PACU nurses, nor was there significant difference in TKS based on clinical experience.Conclusion: The mean TKS of nurses in the study was higher than the mean TKS of nurses in reference studies. There was no significant difference in TKS between PACU and MRICU nurses. Furthermore, clinical experience did not correlate with TKS scores. The authors believe analysing these knowledge deficits may offer educational opportunities in initial and continuing nursing education as well as routine postgraduate assessments.
机译:脉搏血氧乙测定(PO)广泛用于缺氧血症的非侵入性检测,特别是在围手术期地区。关于PO的护理知识的围手术期评估的研究继续发展。先前的评估已经确定了有关生理原则,数据解释和临床应用的护士之间的相对知识缺陷。这些缺陷需要鉴定和有针对性的教育,以防止围手术期患者管理不善。目的:评估美国单一中心的围手术期和关键护理环境中PO的护理知识,并分析已确定的知识缺陷。材料和材料方法:在150名参与者中,在麻醉后护理单位(PACU)和医疗呼吸ICU(Mricu)中进行了横截面问卷研究。调查PO原则的经过验证的问卷由21个真/假和3个公开问题组成。单一的养护理人员知识分数(TKS),临床经验多年,以及当前的实践环境进行了分析。在P <0.05设定意义。结果:共完成51名问卷,响应率为34%。真正/假调查问卷的平均特色为16.4±2.0。 PACU和Mricu护士之间的TKS没有显着差异(分别为16.5±1.7与16.2±2.5,P = 0.27)。所有护士的九十八百分之八分均厘定> 50%正确,而分别获得13.7%> 90%(P = 0.19和P = 0.74)。在问题3和16中看到了正确响应的最低百分比(<50%),其与PO的生理原则有关。 Marryu和Pacu护士之间评分百分比没有显着差异,基于临床经验,TKS的特色有统计学意义。结论:研究中护士的平均特征高于参考研究中护士的平均特征。 PACU与Mricu护士之间的TKS没有显着差异。此外,临床经验与TKS分数无关。作者认为,分析这些知识赤字可以在初始和持续的护理教育以及常规研究生评估中提供教育机会。

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