Evidence map›Paper›PMID 36568879›Full record

ArticleAdvances in medical education and practice2022

Doctors' and Nurses' Knowledge and Perceived Barriers Regarding Acute Oxygen Therapy in a Tertiary Care Hospital in Nigeria.

Olufemi O Desalu, Olutobi B Ojuawo, Adekunle O Adeoti, Olanrewaju O Oyedepo, Adeniyi O Aladesanmi, Oluwafemi J Afolayan, Rasheedah M Ibraheem, Zakari A Suleiman, Christopher Muyiwa Opeyemi

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Article in Advances in medical education and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Appraisal of Clinical Application of Oxygen Prescription and Administration in Nigeria.Nigerian medical journal : journal of the Nigeria Medical Association
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Olufemi O DesaluDepartment of Medicine, University of Ilorin Teaching Hospital, Ilorin, Nigeria.ORCID 0000-0003-2956-1664
Olutobi B OjuawoDepartment of Medicine, University of Ilorin Teaching Hospital, Ilorin, Nigeria.ORCID 0000-0001-7371-8492
Adekunle O AdeotiDepartment of Medicine, Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria.ORCID 0000-0001-9616-3223
Olanrewaju O OyedepoDepartment of Anesthesiology, University of Ilorin, Ilorin, Nigeria.
Adeniyi O AladesanmiDepartment of Medicine, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Oluwafemi J AfolayanDepartment of Medicine, Goulburn Valley Health, Shepparton, Victoria, Australia.
Rasheedah M IbraheemDepartment of Child Health, University of Ilorin Teaching Hospital, Ilorin, Nigeria.ORCID 0000-0002-3960-9740
Zakari A SuleimanDepartment of Anesthesiology, University of Ilorin, Ilorin, Nigeria.
Christopher Muyiwa OpeyemiDepartment of Medicine, University of Ilorin Teaching Hospital, Ilorin, Nigeria.ORCID 0000-0002-5483-2879

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Oxygen may cause serious consequences when administered wrongly. This study aimed to assess doctors' and nurses' knowledge of acute oxygen therapy and perceived delivery barriers. Participants and Methods: We conducted a cross sectional study among 202 healthcare providers (134 doctors and 68 nurses) in a Nigerian hospital. The validated Acute Oxygen Therapy Questionnaire (AOTQ), which consisted of 21 knowledge assessment questions, was self administered by participants. Provider's knowledge was classified as good if the score was≥80% and poor if < 60%. Results: Overall, 26.7% (37.3% doctors and 5.9% nurses) had good knowledge of acute oxygen therapy (AOT), 35.9% were aware, and 19.3% used the AOT guidelines. The commonest source of knowledge on oxygen therapy was medical /nursing school (75.2%). The participants' mean knowledge score was 14.75 ± 2.83(possible score of 0-21). Doctors in postgraduate (PG) training obtained the highest score (15.96±2.48) among the participants (F=12.45, df=4, p<0.001). Most doctors (62%) and 23.5% of nurses considered oxygen as a drug. More doctors (52.2%) than nurses (14.7%) believed that a doctor's order was mandatory before oxygen administration, contrary to guidelines recommendations. Most nurses did not know that breathlessness does not always signify hypoxemia and that asymptomatic anemia was not an indication for oxygen. Concerning oxygen prescription, 39.7% of nurses and 64.2% of doctors knew that it should be prescribed to achieve a target saturation range rather than a fixed dose. In acute oxygen delivery in COPD, doctors and nurses exhibited poor knowledge of the appropriate device and flow rate. The reported barriers to oxygen delivery were: a shortage of oxygen supply, inadequate delivery devices, power outages and out of pocket costs. Conclusion: A significant proportion of doctors and nurses had poor knowledge of acute oxygen therapy, poor awareness and infrequently used AOT guidelines, and reported pertinent delivery barriers that warrant educational and administrative interventions.

Indexed as

barriershealthcare professionalsknowledgeoxygen therapytraining needs

Identifiers

PMID36568879
PMCPMC9783829

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.