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KNOWLEDGE OF PULSE OXIMETRY OF 
THE INTENSIVE CARE NURSES 
AND 
EMERGENCY NURSES 
Sevim ÇELİK, Assoc. Prof. PhD 
Zeliha GÜRBÜZ, Nurse 
Şirin EKREN, Nurse 
Zerrin AK, Nurse 
Özlem ÇELİK, Nurse 
Bülent Ecevit University, Zonguldak School of Health
OBJECTIVE 
To determine the knowledge levels of nurses working 
intensive care and emergency units in relation to usage 
and fundamental principles of pulse oximetry.
MATERIAL AND METHOD 
This cross-sectional study was carried out with 141 
nurses working in the intensive care and emergency 
units of a university and state hospital.
SAMPLE 
willing to participate, 
above 18 years of age, 
have no communication problems, 
can speak, understand, and write Turkish, 
have no obstacle for see and writing 
from emergency department 31 nurses, 
from intensive care units 110 nurses, 
Total 141 nurses were included within sampling.
DATA COLLECTION 
Data were collected using 
the personal information form (including 13 questions), 
 knowledge of pulse oximetry evaluating questionnaire 
(including 38 questions) , 
between January and June 2014. 
Data were collected through face-to-face interviews 
made with the nurses. 
The interviews which had lasted 15 minutes in average 
were carried out in a slice of time which is deemed 
suitable by the nurses, by visiting each of the hospitals 
during the working hours.
DATA ANALYSIS 
In the data analysis, 
Descriptive statistics 
Number 
Percentage 
Arithmetic means 
Standard deviation 
Independent variables t test 
Kruskal Wallis Test 
Mann Whitney U test 
Pearson Correlation Analysis 
were used.
RESULTS
Table 1. Demographic Features of Nurses 
The majority of the 
nurses whose 
mean age was 
29.74± 5.81, 
were female (78.7%) 
had a bachelor degree 
(55.3 %). 
the majority of the nurses 
were worked 
between 40 and 48 
hours a week (56.7 %) 
in the state hospitals 
(58.9 %) 
in the intensive care 
units (78.0 %) 
provided nursing care 
for 3 to 4 patients a day 
(39.7 %).
Table 2. Resources of Nurses about Use of Pulse Oximetry 
The nurses have not attended in-service training on the use of pulse 
oximetry (79.4 %), have not participated in conferences and seminars 
outside the hospital (89.4 %) and did not permanently read 
periodicals (55.3 %).
Table 3. Correct Answers in Questionnaire Items of Nurses 
mean knowledge score of nurses was 27.70±3.23
Table 3 
96.5 % of nurses identified that pulse oximetry is a 
non-invasive method for measuring arterial 
oxygenation, 
94.3 % of nurses identified that pulse oximetry is 
helpful in showing the state of the patient's 
oxygenation 
93.6 % of nurses identified that pulse oximetry is 
used for the rapid detection of hypoxemia.
Table 3. Correct Answers in Questionnaire Items of Nurses
Table 3 
89.4 % of nurses identified that accurate pulse 
oximetry readings are more difficult to obtain when 
peripheral perfusion is poor 
86.5 % of nurses identified that pulse oximetry may be 
unreliable in severely anemic patients 
81.6 % of nurses identified that pulse oximetry 
readings are affected when signal quality is bad.
Table 3. Correct Answers in Questionnaire Items of Nurses
Table 3 
93.6 % of nurses that use of pulse oximetry is strongly 
recommended when the patient is on supplemental 
oxygen. 
93.6 % of nurses that primarily, procedure is repeated 
when SpO2 measured low value. 
80.9 % of nurses identified that arterial blood gas 
analysis a primary role plays in the sudden drop in SpO2 
and long-term decline.
Table 4. Comparison of Pulse Oximetry Knowledge Score with Demographic 
Features of Nurses 
It was not found statistically significant relationship (p>0.05)
Table 5. Comparison of Resources about Use of Pulse Oximetry 
with Pulse Oximetry Knowledge Score Pulse Oximetry Knowledge 
Score 
A weakly significant 
relation has been 
found out in the 
negative direction 
between the length 
of the in-service 
training and 
average scores of 
knowledge 
obtained (p=0.001).
CONCLUSION 
This study has showed that: 
intensive care nurses and emergency nurses have not 
the required level of knowledge about the use of pulse 
oximetry. 
these nurses did not make use of the sources of 
knowledge through which they can get information on 
the use of pulse oximetry.

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Salon 1 13 kasim 16.00 17.30 2. sevi̇m çeli̇k (ing)

  • 1. KNOWLEDGE OF PULSE OXIMETRY OF THE INTENSIVE CARE NURSES AND EMERGENCY NURSES Sevim ÇELİK, Assoc. Prof. PhD Zeliha GÜRBÜZ, Nurse Şirin EKREN, Nurse Zerrin AK, Nurse Özlem ÇELİK, Nurse Bülent Ecevit University, Zonguldak School of Health
  • 2. OBJECTIVE To determine the knowledge levels of nurses working intensive care and emergency units in relation to usage and fundamental principles of pulse oximetry.
  • 3. MATERIAL AND METHOD This cross-sectional study was carried out with 141 nurses working in the intensive care and emergency units of a university and state hospital.
  • 4. SAMPLE willing to participate, above 18 years of age, have no communication problems, can speak, understand, and write Turkish, have no obstacle for see and writing from emergency department 31 nurses, from intensive care units 110 nurses, Total 141 nurses were included within sampling.
  • 5. DATA COLLECTION Data were collected using the personal information form (including 13 questions),  knowledge of pulse oximetry evaluating questionnaire (including 38 questions) , between January and June 2014. Data were collected through face-to-face interviews made with the nurses. The interviews which had lasted 15 minutes in average were carried out in a slice of time which is deemed suitable by the nurses, by visiting each of the hospitals during the working hours.
  • 6. DATA ANALYSIS In the data analysis, Descriptive statistics Number Percentage Arithmetic means Standard deviation Independent variables t test Kruskal Wallis Test Mann Whitney U test Pearson Correlation Analysis were used.
  • 8. Table 1. Demographic Features of Nurses The majority of the nurses whose mean age was 29.74± 5.81, were female (78.7%) had a bachelor degree (55.3 %). the majority of the nurses were worked between 40 and 48 hours a week (56.7 %) in the state hospitals (58.9 %) in the intensive care units (78.0 %) provided nursing care for 3 to 4 patients a day (39.7 %).
  • 9. Table 2. Resources of Nurses about Use of Pulse Oximetry The nurses have not attended in-service training on the use of pulse oximetry (79.4 %), have not participated in conferences and seminars outside the hospital (89.4 %) and did not permanently read periodicals (55.3 %).
  • 10. Table 3. Correct Answers in Questionnaire Items of Nurses mean knowledge score of nurses was 27.70±3.23
  • 11. Table 3 96.5 % of nurses identified that pulse oximetry is a non-invasive method for measuring arterial oxygenation, 94.3 % of nurses identified that pulse oximetry is helpful in showing the state of the patient's oxygenation 93.6 % of nurses identified that pulse oximetry is used for the rapid detection of hypoxemia.
  • 12. Table 3. Correct Answers in Questionnaire Items of Nurses
  • 13. Table 3 89.4 % of nurses identified that accurate pulse oximetry readings are more difficult to obtain when peripheral perfusion is poor 86.5 % of nurses identified that pulse oximetry may be unreliable in severely anemic patients 81.6 % of nurses identified that pulse oximetry readings are affected when signal quality is bad.
  • 14. Table 3. Correct Answers in Questionnaire Items of Nurses
  • 15. Table 3 93.6 % of nurses that use of pulse oximetry is strongly recommended when the patient is on supplemental oxygen. 93.6 % of nurses that primarily, procedure is repeated when SpO2 measured low value. 80.9 % of nurses identified that arterial blood gas analysis a primary role plays in the sudden drop in SpO2 and long-term decline.
  • 16. Table 4. Comparison of Pulse Oximetry Knowledge Score with Demographic Features of Nurses It was not found statistically significant relationship (p>0.05)
  • 17. Table 5. Comparison of Resources about Use of Pulse Oximetry with Pulse Oximetry Knowledge Score Pulse Oximetry Knowledge Score A weakly significant relation has been found out in the negative direction between the length of the in-service training and average scores of knowledge obtained (p=0.001).
  • 18. CONCLUSION This study has showed that: intensive care nurses and emergency nurses have not the required level of knowledge about the use of pulse oximetry. these nurses did not make use of the sources of knowledge through which they can get information on the use of pulse oximetry.