INSTITUTIONAL DETERMINANTS OF OXYGEN DELIVERY DEVICE UTILIZATION IN CRITICAL CARE UNITS AT A LEVEL 6 HOSPITAL IN KENYA
INSTITUTIONAL DETERMINANTS OF OXYGEN DELIVERY DEVICE UTILIZATION IN CRITICAL CARE UNITS AT A LEVEL 6 HOSPITAL IN KENYA
Nicole Mbula Ndambuki - Masters Student, Department of Medical-Surgical Nursing and Pre-Clinical Sciences, School of Health Sciences, Kenyatta University, Kenya
Lucy Wankuru Meng’anyi - Lecturer, Department of Medical-Surgical Nursing and Pre-Clinical Sciences, School of Health Sciences, Kenyatta University, Kenya
Dr. Jacob Wekesa Masika - Senior Lecturer, Department of Medical-Surgical Nursing and Pre-Clinical Sciences, School of Health Sciences, Kenyatta University, Kenya
ABSTRACT
Background: Oxygen is among the most commonly used drugs in hospitals. Although it is crucial for human survival, it might cause toxicity when delivered erroneously, either by delivering the wrong dose or method. With different pulmonary diseases requiring different oxygen requirements, it is crucial to understand if health practitioners can select an oxygen delivery device for a specific condition. This study aims to establish the institutional factors that affect the utilization of oxygen delivery devices in the Critical Care Units(CCUS) at Kenyatta National Hospital(KNH). Methods: This study adopted a descriptive-analytical design. A Convenience sampling technique was used to collect data from the 151 participants from different critical care units at KNH from November 2023 to December 2023. Findings: The findings were as follows: healthcare providers who participated in continuing professional development (CPD) on oxygen delivery devices had a significant increase in the odds (OR = 1.959, 95% CI: 1.025-3.747, p = 0.042) of good practice. Additionally, the results showed that 50.3% of providers demonstrated good practice, while 49.7% fell into the poor practice category—indicating nearly an even split. Conclusion: Results indicate that institutional support through CPD and Standard Operating Procedures (SOPS) positively correlates with effective oxygen device utilization. Recommendations emphasize creating structured training protocols, developing SOPS, and enhancing CPD participation for improved oxygen therapy outcomes.
