Oxygen Desaturation and Nursing Practices in Critically Ill Patients

Research output: Contribution to journalJournal articlepeer-review

Abstract

Background: With the goal of optimizing tissue perfusion and maintaining adequate oxygen delivery, nurses
play an important role in monitoring oxygenation and ventilation. Nursing practices may affect oxygen
saturation in critically ill patients.
Aim of study was to determine the relationship between nursing practices and oxygen desaturation in critically
ill patients.
Design: A descriptive research design was used in this study.
Setting: The study was conducted at the Critical Care Units (CCUs) of two selected Hospitals at Makah AlMukaramah, KSA.
Subjects; a convenience sample of 100 newly admitted critically ill patients were included in the study.
Tool of data collection was the relationship between nursing practices and oxygen desaturation in critically ill
patients’ tool. It consists of two parts: Part 1; nursing practices observation checklists and part 2; oxygen
saturation monitoring record.
Results: It was noted that in 67% of observations, patients had their position changed by nurses once per shift,
no patients had hyperoxygenation during suctioning. In addition, there were significant correlation between
oxygen desaturation during, and after bathing (r .403, p.000, r .342, p .000).
Conclusion; nursing practices mainly suctioning, positioning and bathing affect oxygen desaturation in
critically ill patients. There were significant relationships between oxygen desaturation and the procedures
performed as oxygen saturation decreased during and after certain performed procedures especially suctioning.
Recommendations: Protocols should be developed regarding oxygen desaturation in critically ill patients.
Adequate supervision should be provided on nurses during their practice.
Original languageAmerican English
Pages (from-to)85-94
Number of pages10
JournalIOSR Journal of Nursing a nd Health Science (IOSR-JNHS)
Volume5
Issue number2
StatePublished - 21 Apr 2016

Keywords

  • Nursing practices - oxygen desaturation- critically ill patients

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