Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019;10(2):88-93.
doi: 10.5847/wjem.j.1920-8642.2019.02.004.

Assessment of knowledge, attitude and practice regarding oxygen therapy at emergency departments in Riyadh in 2017: A cross-sectional study

Affiliations

Assessment of knowledge, attitude and practice regarding oxygen therapy at emergency departments in Riyadh in 2017: A cross-sectional study

Amairah Fahad Aloushan et al. World J Emerg Med. 2019.

Abstract

Background: Administering oxygen therapy (OT) has an essential role in preventing/managing hypoxemia in both acute and chronic conditions. It should be adjusted to achieve the normal oxygen saturation of 94%-98% in most cases. This study aims to evaluate knowledge, attitude and practice (KAP) of nurses, paramedics, emergency medical technicians (EMTs) and Emergency Medical Services (EMS) physicians working at emergency departments (ED) in Riyadh, Saudi Arabia.

Methods: In this cross-sectional study, a structured questionnaire was used to assess KAP related to OT of nurses, paramedics, EMTs and EMS physicians currently working at an ED of a tertiary care hospital. Knowledge and attitude were assessed using a Likert scale from 1-5, whereas practice was assessed as a yes/no categorical variable.

Results: A total of 444 emergency health-care workers (EHCWs) participated, of which 225 (50.7%) were male, with the majority (77%) in the age group of 20-35 years. Over half of the sample were nurses (266; 59.9%). The mean score for knowledge about OT was 5.51±1.45, attitude was 26.31±3.17 and for practices 4.55±1.76. The main factors which were associated with poor KAP were workload and lack of local guidelines. The distribution of overall practice score was significantly better among paramedics - nurses group and EMT - nurses group.

Conclusion: This study demonstrates that there is a gap in EHCWs' KAP, particularly regarding when to provide OT to a patient. This gap can affect patients' safety. Extensive educational and training programs about OT are needed to raise awareness among health-care providers.

Keywords: Attitude; Emergency medicine; Knowledge; Oxygen therapy; Practice.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: The authors declare that they have no competing interests. All of the authors have approved the final article to be submitted.

References

    1. Chakrabarti B, Calverley PM. Management of acute ventilatory failure. Postgraduate Medical Journal. 2006;82(969):438–45. - PMC - PubMed
    1. World Health Organization (WHO) Essential medicines and health products: WHO Model Lists of Essential Medicines. Geneva: WHO; 2016. pp. 33–47.
    1. McMullan J, Rodriquez D, Hart KW, Lindsell CJ, Vonderschmidt K, et al. Prevalence of Pre-hospital Hypoxemia and Oxygen Use in Trauma Patients. Journal of Surgery Pakistan. 2013;178(10):1121–5. - PMC - PubMed
    1. Adib-Hajbaghery M, Maghaminejad F, Paravar M. The quality of pre-hospital oxygen therapy in patients with multiple trauma: a cross-sectional study. Iran Red Crescent Med J. 2014;16(3):e14274. - PMC - PubMed
    1. Hardinge M, Annandale J, Bourne S, Cooper B, Evans A, Freeman D, et al. British Thoracic Society Home Oxygen Guideline Development Group; British Thoracic Society Standards of Care Committee. British Thoracic Society guidelines for home oxygen use in adults. Thorax. 2015;70(1):1–43. - PubMed

LinkOut - more resources