Determinants of Supplemental Oxygen Therapy Competencies among Nurses Working in Paediatric Wards in Kajiado County, Kenya
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Date
2024-02
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Publisher
Kenyatta University
Abstract
Hypoxaemia is common in paediatric patients and increases the risk of mortality
fivefold in patients with varied diagnoses. Patients miss supplemental oxygen therapy
or get inappropriate oxygen therapy due to a deficit of clinical knowledge and skills
on supplemental oxygen therapy among nurses resulting in (impact). The main
objective of this study was to establish determinants of supplemental oxygen therapy
competencies among nurses working in paediatric wards in Kajiado County, Kenya. The
research was a cross-sectional hospital-based survey. The study was carried out in the
four main public hospitals in Kajiado County involving the 81 nurses who work in the
paediatric wards. The 81 nurses were invited to the study and after consenting they
filled a self-administered questionnaire. The questionnaires were clinical vignettes
and direct questions. Responses from the questionnaires were cleaned and coded and
then keyed into the SPSS version 27 computer programme for data analysis, the data
was also coded in R studio statistical programme for further analysis. In the study
75.3% (n=55) of the nurses working in Kajiado County paediatric department,
demonstrated competence in oxygen therapy while 24.7% (n=18) of the nurses
working in paediatric wards in Kajiado County demonstrated less competence in
oxygen therapy. There were gaps in knowledge and practice on oxygen therapy, not
all nurses were able to make the correct diagnosis of hypoxaemia and hypoxia and
selecting the right oxygen dosage. This indicates the need for continued in-service
training of all cadres of nurses on oxygen therapy
Description
Thesis Submitted in Partial Fulfillment of the Requirements for the Award of the Degree of Master of Science (Paediatric Nursing) in the School of Health Sciences, Kenyatta University, February 2024.
Supervisors
Sarah Bett
Nickcy Mbuthia