الفهرس | Only 14 pages are availabe for public view |
Abstract Arterial blood gases (ABGs) analysis provides important information with regard to adequacy of ventilation, oxygen delivery to the tissues and acid-base balance. Interpretation of ABGs level can be difficult, especially if the nurse is under pressure to do it quickly and accurately. Aim: the study aimed to assess factors affecting arterial blood gases analysis among critically ill patients. Study design: a descriptive exploratory design was utilized to conduct this study. Setting: The study was conducted at Ain Shams Specialized Hospital in four intensive care units (Intensive Care Unit A, B & C and Coronary Care Unit). Subject: A convenient sample of all available nurses with total number 50 was `recruited in the previously mentioned units. Data collection tools: 1) Selfadministered questionnaire, 2) Nurses practices observational checklists. Results: the present study revealed that the most of the nurses had unsatisfactory level of knowledge, interpretations and level of practice (64%.64% & 80%) respectively. Many factors affecting negatively on ABGs analysis as reported by majority of the nurses namely job regulation related factors, nurses related factors, resource and sampling analysis related factors and patients related factors (100%,98%,86% & 76%) respectively. Conclusion: Based on the finding of the current study, it can be concluded that less than two third of the nurses had got unsatisfactory level of knowledge regarding ABGs sampling techniques and interpretation of its result. And most of them had got unsatisfactory level of practice regarding ABGs sampling techniques. In addition, many factors affecting negatively on ABGs analysis as reported by majority of the nurses under study namely; job regulation related factors, nurses related factors, resource and sampling analysis related factors and patients related factors. Recommendations: the suggested nurses’ performance protocol for improving their knowledge& practice regarding ABGs analysis, taking into consideration the many factors affecting ABGs analysis as reported by the nurses under study should be available in all Critical Care Units in different hospitals. |