Department of Anaesthesiology, Holbaek University Hospital, Smedelundsgade 60, 4300 Holbaek, Region Zealand, Denmark.
Head and Orthopaedic Diseases and Clinical Nursing Research Unit, Aalborg University Hospital, Mølleparkvej 8A, 9000 Aalborg, Denmark.
Intensive Crit Care Nurs. 2019 Jun;52:42-50. doi: 10.1016/j.iccn.2018.12.004. Epub 2019 Jan 9.
Nurses handle supplementary oxygen to intensive care unit patients as part of their daily practise. To secure patients of optimal and safe care, knowledge of nurses' perception of this practise, including influencing factors for adjusting oxygenation levels is essential. This study aimed to explore intensive care nurses' perception of handling oxygenation and of factors that govern and influence this practise.
RESEARCH METHODOLOGY/DESIGN: A mixed methods approach was applied comprising six focus group interviews, conducted in February/March 2017, leading to construction of a questionnaire distributed to 535 ICU nurses in September 2017. Following a process of content analysis, the findings were discussed against Gittell's framework for relational coordination.
Intensive care units in rural, urban and university hospital settings.
A deeper understanding of nurses' perception of handling oxygenation to patients in the intensive care unit.
Findings are presented through the categories Treatment Guidance, Nursing Practise, Knowledge and Competences and Inter-professional Collaboration.
Nurses' practise of handling supplementary oxygen therapy to the intensive care patient is influenced by day-by-day physician prescribed upper and lower limits for pO and pCO, by nurses' understanding of the individual clinical patient situation and by knowledge of pros and cons in relation to oxygen therapy including observational and clinical assessment expertise. Establishing working environments in the intensive care unit setting based on mutual inter- and intra-professional respect may contribute to enhance safe and high quality patient care.
护士在日常工作中为重症监护病房的患者提供补充氧气。为了确保患者得到最佳和安全的护理，了解护士对这种护理的看法，包括影响氧合水平调节的因素至关重要。本研究旨在探讨重症监护护士对氧合处理的看法，以及影响和管理这种护理的因素。
研究方法/设计：采用混合方法，包括 2017 年 2 月/3 月进行的 6 次焦点小组访谈，随后构建了一份问卷，并于 2017 年 9 月分发给 535 名 ICU 护士。在进行内容分析后，根据吉特尔的关系协调框架讨论研究结果。
农村、城市和大学医院的重症监护病房。
深入了解护士对重症监护病房患者氧合处理的看法。
研究结果通过治疗指导、护理实践、知识和能力以及跨专业协作等类别呈现。
护士对重症监护患者补充氧气治疗的实践受到每日医生规定的 pO 和 pCO 上限和下限的影响，受到护士对个体临床患者情况的理解的影响，以及与氧气治疗相关的利弊的知识，包括观察和临床评估专业知识的影响。在重症监护病房环境中建立基于相互和内部专业尊重的工作环境，可能有助于提高安全和高质量的患者护理。
