Attin Mina, Cardin Suzette, Dee Vivien, Doering Lynn, Dunn Dieula, Ellstrom Kathi, Erickson Virginia, Etchepare Maria, Gawlinski Anna, Haley Theresa, Henneman Elizabeth, Keckeisen Maureen, Malmet Marcia, Olson Lisa
Nursing Practice Research Council, University of California, Los Angeles, Medical Center, USA.
Am J Crit Care. 2002 Nov;11(6):529-34.
Pulse oximetry is a frequently used, noninvasive monitoring tool for assessing arterial blood oxygenation. Physicians, registered nurses, and respiratory therapists are responsible for the accurate interpretation of pulse oximetry data as part of the evaluation and management of acutely and critically ill patients.
(1) To evaluate the extent of current knowledge about pulse oximetry and (2) to increase clinicians' knowledge of research-based practices related to the appropriate use of pulse oximetry and interpretation of its results.
A test/survey of 17 true-false questions based on the research-based practice protocol of the American Association of Critical-Care Nurses was developed to evaluate current knowledge of pulse oximetry. A convenience sample of medical, nursing, and respiratory therapy staff was invited to complete the test/survey before and several months after an educational program to improve staff members' knowledge of pulse oximetry. The program included educational forums, policy changes, competency checklists, and verification of inclusion of research-based principles in orientation programs.
A total of 442 staff members completed the test/survey given before the educational program: 331 nurses, 82 physicians, and 29 respiratory therapists. The overall mean percentage of correct answers was 66%. Differences between disciplines were significant: respiratory therapists scored slightly higher (76%) than did nurses (64%) and physicians (66%) (P = .01). The scores on the test/survey given after the educational program increased significantly, from 66% to 82% (P < .01).
This educational project improved staff members' knowledge of pulse oximetry monitoring.
脉搏血氧饱和度测定法是一种常用的非侵入性监测工具，用于评估动脉血氧合情况。医生、注册护士和呼吸治疗师负责准确解读脉搏血氧饱和度测定数据，这是急危重症患者评估和管理的一部分。
（1）评估当前关于脉搏血氧饱和度测定法的知识水平；（2）增加临床医生对基于研究的实践的了解，这些实践与脉搏血氧饱和度测定法的正确使用及其结果解读有关。
根据美国重症护理护士协会基于研究的实践方案，编制了一份包含17道是非题的测试/调查问卷，以评估当前对脉搏血氧饱和度测定法的知识。邀请医疗、护理和呼吸治疗人员组成的便利样本在一个旨在提高工作人员对脉搏血氧饱和度测定法知识的教育项目之前和几个月后完成该测试/调查问卷。该项目包括教育论坛、政策变更、能力检查表以及在入职培训项目中纳入基于研究的原则的核查。
共有442名工作人员完成了教育项目前的测试/调查问卷：331名护士、82名医生和29名呼吸治疗师。正确答案的总体平均百分比为66%。不同学科之间存在显著差异：呼吸治疗师的得分略高于护士（64%）和医生（66%），为76%（P = 0.01）。教育项目后的测试/调查问卷得分显著提高，从66%提高到82%（P < 0.01）。
该教育项目提高了工作人员对脉搏血氧饱和度测定法监测的知识水平。
