Effect of care protocol regarding oxygen therapy for patients after cardiac and thoracic surgery on nurses' knowledge

Document Type : Original Article

Author

Medical surgical nursing faculty of nursing port-said university Egypt

Abstract

Background: Oxygen is necessary for life to exist particularly for patients who are undergoing cardio- thoracic surgery; the cardiac surgery is impossible without a continuous oxygen therapy in order to improvement of all the treatment stages Aim: The study aimed to explore the effect of protocol of care regarding oxygen therapy for patients after cardiac and thoracic surgery on nurse's knowledge. Subjects and method: Research design: a quasi-experimental study design was used. Setting: The investigation was conducted at the critical care units of three hospitals in Port-Said, Egypt—Al-Shifa Medical Complex, Alsalam Hospital, and Alzohor Hospital—all of which are part of the Egypt Health Care Authority. Sample: 50 nurses who worked in postoperative cardiac and thoracic surgery units and intensive care units, Tools of data collection: the Nurses' Knowledge Questionnaire. Results: The present research found that prior putting the care protocol into place, the studied nurses' understanding levels regarding oxygen therapy for patients following heart and thoracic surgery were low. While, there was also an enhancement in the overall scores of the studied nurses' understanding and expertise regarding oxygen therapy for patients following cardiac and thoracic surgery after implementation of the protocol of. Conclusion: The care regimen was successful in improving the nurses' understanding of oxygen therapy for patients following heart and thoracic surgery. Recommendations: ongoing education and training sessions to ensure the safe delivery of oxygen therapy and the provision of high-quality medical care to patients on oxygen therapy.

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Adipa, F., Aziato, L., & Zakariah, A., (2018): Qualitative exploration of nurses’ perspectives on clinical oxygen administration in Ghana. International Journal of Africa Nursing Sciences, 2, 42-46.
Al-Wily, M. A. S., & Aziz, A. R. (2020). Effectiveness of instructional program for nurses' knowledge regarding oxygen administration methods at pediatric teaching hospitals in mosul city. Med. Leg. Update, 20(3), 1519-1525.‏
Cosgrove, D., MacMahon, J., Bourbeau, J., Bradley, J. M., & O’Neill, B. (2013). Facilitating education in pulmonary rehabilitation using the living well with COPD programme for pulmonary rehabilitation: a process evaluation. BMC pulmonary medicine, 13, 1-10.‏
Diab, S. S. E. M., Ali, S. A. A., Abed, S. N., Elasrag, G. A. E. A., & Ramadan, O. M. E. (2022). Effectiveness of standardized protocol for oxygen therapy on improving nurses’ performance and patients’ health outcome. International Journal of Environmental Research and Public Health, 19(10), 5817.‏
Earwaker, M., Villar, S., Fox-Rushby, J., Duckworth, M., Dawson, S., Steele, J., ... & Klein, A. (2022). Effect of high-flow nasal therapy on patient-centred outcomes in patients at high risk of postoperative pulmonary complications after cardiac surgery: a study protocol for a multicentre adaptive randomised controlled trial. Trials, 23(1), 232.
Getahun, Y. A., Bizuneh, Y. B., Melesse, D. Y., & Chekol, W. B. (2022). Assessment of practice and barriers of oxygen therapy in critically ill patients among nurses: A survey from University of Gondar Comprehensive Specialized Hospital Northwest, Ethiopia, 2021. Annals of Medicine and Surgery, 76, 103481.
Grensemann, J., Fuhrmann, V., & Kluge, S. (2018). Oxygen treatment in intensive care and emergency medicine. Deutsches Ärzteblatt International, 115(27-28), 455.‏
Jang, J., Kim, H. J., Kim, H. J., & Park, W. K. (2023). Transcatheter Ventilation with a Modified Rapid-O2 Oxygen Insufflation Device.‏
Kopanczyk, R., Kumar, N., & Bhatt, A. M. (2022). A brief history of cardiothoracic surgical critical care medicine in the United States. Medicina, 58(12), 1856.
Krylov, V. V., & Kolchina, E. Y. (2022). Possibilities of using hyperbaric oxygen therapy at different stages of cardiac surgery. Journal of Clinical Practice, 13(2), 88-97.‏
Lott, C., Truhlář, A., Alfonzo, A., Barelli, A., González-Salvado, V., Hinkelbein, J., ... & Schmitz, J. (2021). European Resuscitation Council Guidelines 2021: cardiac arrest in special circumstances. Resuscitation, 161, 152-219.‏
Lynn, P., (2018), Skill Checklists for Taylor’s Clinical Nursing Skills  A NURSING PROCESS APPROACH,4th edi, wolters Kluwer, china, p(297&301:303).
Mostafa, A. H., Mehany, M. M., & Ahmed, M. A. E. (2019). Effect of educational program on nurses' knowledge and practice about oxygen therapy. Assiut Scientific Nursing Journal, 7(18), 95-104.‏
Mustafa, G. (2023). Effect of an Educational Program on Nurses' Knowledge and Practice of Oxygen Therapy. Cureus, 15(5).‏
Panel, E. C., Hartwig, M., van Berkel, V., Bharat, A., Cypel, M., Date, H., ... & Van Raemdonck, D. (2023). The American Association for Thoracic Surgery (AATS) 2022 Expert Consensus Document: The use of mechanical circulatory support in lung transplantation. The Journal of Thoracic and Cardiovascular Surgery, 165(1), 301-326.‏
Patel, R., & Nixon, A. M. (2023). Cardiothoracic Surgery and Nutrition. Nutritional Management of the Surgical Patient, 97-109.
Taylor, C., & Noë, A. (2021). The explanation of behaviour. Routledge.‏
Wang, T., Tan, J. Y., Xiao, L. D., & Deng, R. (2017). Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: an updated systematic review and meta-analysis. Patient education and counseling, 100(8), 1432-1446.‏
Wang, Y., Huang, D., Ni, Y., & Liang, Z. (2020). High-flow nasal cannula vs conventional oxygen therapy for postcardiothoracic surgery. Respiratory Care, 65(11), 1730-1737.‏