Evaluating Respiratory Distress Management among Nurses to Improve Evidence Base Practice: A Quantitative Study at Suntreso Hospital, Ghana
DOI:
https://doi.org/10.14738/bjhr.1206.19615Keywords:
Respiratory distress, knowledge, practices, attitudes, and barriers, Suntreso Government Hospital, KumasiAbstract
Introduction: Respiratory distress is a prevalent and critical medical emergency that poses significant challenges for healthcare providers, particularly in emergency department settings. Respiratory distress is usually a medical emergency and is best managed by an interprofessional team that includes the emergency department physicians, nurses, and an intensivist. Objective: This study investigates the knowledge, practices, attitudes, and barriers to managing respiratory distress among healthcare professionals at Suntreso Government Hospital in Kumasi. Utilising the KAP (Knowledge, Attitude, Practices) model as the theoretical framework, the research aimed to identify gaps in the understanding and management of respiratory distress, which contributes substantially to morbidity and mortality rates. Methods: A descriptive cross-sectional study design with a quantitative approached was employed for the study. A structured questionnaire with a Cronbach’s Alpha value of 0.71 was used to collect data from 171 nurses, selected through a convenience sampling method. Statistical Package for Social Sciences (SPSS) was used for data analysis and descriptive statistics was presented with tables of percentages, bar chats and par charts. Results and Finding: The study findings showed that 54.8% of the studied nurses had an average level of knowledge, compared to 9.94% of them having good expertise. 54.97% exhibited moderate attitudes toward managing respiratory distress, and 87.71% of the nurses surveyed demonstrated poor practice. In comparison, less than one-third, 2.34%, showed a good practical level in managing respiratory distress. Conclusion: The study conclude the knowledge and practice gab in managing respiratory distress and therefore recommends regular and structured in-service training programs on respiratory distress management. These should be mandatory and conducted periodically, covering key areas such as emergency response protocols, oxygen therapy, and ventilatory support. Simulation-based learning and case scenario exercises should be incorporated to enhance practical competencies.
References
Miranda FBG, Pereira-Junior GA, Mazzo A. Competencias en la formación de enfermeros para asistir la vía aérea de pacientes adultos en urgencia y emergencia. Rev Lat Am Enfermagem. 2021;29.
Salvi S, Kumar GA, Dhaliwal RS, Paulson K, Agrawal A, Koul PA, et al. The burden of chronic respiratory diseases and their heterogeneity across the states of India: the Global Burden of Disease Study 1990–2016. Lancet Glob Health. 2018 Dec 1;6(12):e1363–74.
Griffiths MJD, McAuley DF, Perkins GD, Barrett N, Blackwood B, Boyle A, et al. Guidelines on the management of acute respiratory distress syndrome. BMJ Open Respir Res. 2019 May 1;6(1).
Abd-Elsayed Editor A. Guide to the Inpatient Pain Consult.
Naser AY, Mansour MM, Alanazi AFR, Sabha O, Alwafi H, Jalal Z, et al. Hospital admission trends due to respiratory diseases in England and Wales between 1999 and 2019: an ecologic study. BMC Pulm Med. 2021 Dec 1;21(1).
Huang M, Gedansky A, Hassett CE, Price C, Fan TH, Stephens RS, et al. Pathophysiology of Brain Injury and Neurological Outcome in Acute Respiratory Distress Syndrome: A Scoping Review of Preclinical to Clinical Studies. Vol. 35, Neurocritical Care. Springer; 2021. p. 518–27.
Matthay MA, Zemans RL, Zimmerman GA, Arabi YM, Beitler JR, Mercat A, et al. Acute respiratory distress syndrome. Nat Rev Dis Primers. 2018;5(1).
Belliato M. The use of extracorporeal life support systems in patients with acute respiratory insufficiency [Internet]. maastricht university; 2023. Available from: https://cris.maastrichtuniversity.nl/en/publications/cf344c67-c8c2-4e17-9237-f5da19010919
Neto AS, Checkley W, Sivakorn C, Hashmi M, Papali A, Schultz MJ. Pragmatic recommendations for the management of acute respiratory failure and mechanical ventilation in patients with COVID-19 in low- And middle-income countries. American Journal of Tropical Medicine and Hygiene. 2021 Mar 1;104(3):60–71.
Chang BH, Adakun SA, Auma MA, Banura P, Majwala A, Mbonde AA, et al. Outcomes of World Health Organization-defined Severe Respiratory Distress without Shock in Adults in Sub-Saharan Africa. Vol. 209, American journal of respiratory and critical care medicine. 2024. p. 109–12.
Teshale MM, Moges NA, Bitew MS, Birhanie SA, Gedfew M, Negese B, et al. Oxygen therapy practice and associated factors among nurses working at an Ethiopian Referral Hospital. African Journal of Emergency Medicine. 2024 Sep 1;14(3):186–92.
Seidu AA, Dickson KS, Ahinkorah BO, Amu H, Darteh EKM, Kumi-Kyereme A. Prevalence and determinants of Acute Lower Respiratory Infections among children under-five years in sub–Saharan Africa: Evidence from demographic and health surveys. SSM Popul Health. 2019 Aug 1;8.
Nicolò A, Massaroni C, Schena E, Sacchetti M. The importance of respiratory rate monitoring: From healthcare to sport and exercise. Vol. 20, Sensors (Switzerland). MDPI AG; 2020. p. 1–45. 110
Cook TM. Strategies for the prevention of airway complications – a narrative review. Vol. 73, Anaesthesia. Blackwell Publishing Ltd; 2018. p. 93–111.
Nigatu M, Debebe F, Tuli W. Assessment of Knowledge, Practice, and Associated Factors Towards Airway and Breathing Management Among Nurses Working in the Emergency Departments of Selected Public Hospitals in Addis Ababa, Ethiopia: A Cross-Sectional Study. Open Access Emergency Medicine. 2022;14:235–47.
Annan GN, Asiedu Y. Predictors of Neonatal Deaths in Ashanti Region of Ghana: A Cross-Sectional Study. Adv Public Health. 2018;2018:1–11.
Olatunji G, Kokori E, Aderinto N, Alsabri MAH. Emergency airway management in resource limited setting. Vol. 17, International Journal of Emergency Medicine. BioMed Central Ltd; 2024.
Murthy S. Using research to prepare for outbreaks of severe acute respiratory infection. BMJ Glob Health. 2019 Jan 1;4(1).
Karthika M, Sureshkumar VK, Bennett A, Noorshe AH, Mallat J, Praveen BM. Quality management in respiratory care. Respir Care. 2021 Sep 1;66(9):1485–94.
Mazur NI, Caballero MT, Nunes MC. Severe respiratory syncytial virus infection in children: burden, management, and emerging therapies. The Lancet. 2024 Sep;
Donda K, Vijayakanthi N, Dapaah-Siakwan F, Bhatt P, Rastogi D, Rastogi S. Trends in epidemiology and outcomes of respiratory distress syndrome in the United States. Pediatr Pulmonol. 2019 Apr 1;54(4):405–14.
Jolley SE, Moss M, Needham DM, Caldwell E, Morris PE, Miller RR, et al. Point prevalence study of mobilization practices for acute respiratory failure patients in the United States. Crit Care Med. 2017 Feb 1;45(2):205–15.
Khemani RG, Smith L, Lopez-Fernandez YM, Kwok J, Morzov R, Klein MJ, et al. Paediatric acute respiratory distress syndrome incidence and epidemiology (PARDIE): an international, observational study. Lancet Respir Med. 2019 Feb 1;7(2):115–28.
Abe T, Madotto F, Pham T, Nagata I, Uchida M, Tamiya N, et al. Epidemiology and patterns of tracheostomy practice in patients with acute respiratory distress syndrome in ICUs across 50 countries. Crit Care. 2018 Aug 17;22(1).
Allen M. Cross-Sectional Design. In: The SAGE Encyclopedia of Communication Research Methods. SAGE Publications, Inc; 2017.
Kesmodel US. Cross-sectional studies – what are they good for? Vol. 97, Acta Obstetricia et Gynecologica Scandinavica. Wiley-Blackwell; 2018. p. 388–93.
Folarin TO, Ogundare EA. International Journal of Information System and Engineering INFLUENCE OF CUSTOMERS’ PERCEIVED RISK ON ONLINE SHOPPING INTENTION IN MALAYSIA’S APPAREL INDUSTRY. Available from: www.ftms.edu.my/journals/index.php/journals/ijise
Uwineza Didi Victoire B, Ufashingabire C. KNOWLEDGE, ATTITUDES AND PRACTICE AMONG NURSES TOWARD OXYGEN ADMINISTRATION TO THE CRITICALLY ILL PATIENTS AT UTHK. 2017.
Bryman Alan. Social research methods. Oxford University Press; 2016. 747 p.
Saunders M, Lewis P, Thornhill A, Lewis S•, Thornhill •. Research methods for business students fi fth edition [Internet]. Available from: www.pearsoned.co.uk
Becky R(, Ingham-Broomfield ). A nurses’ guide to Quantitative Research AUTHOR. Vol. 32, AUSTRALIAN JOURNAL OF ADVANCED NURSING.
Elkazaz RH, Berma AE. STRESS AND SELF EFFICACY AMONG NURSES IN NEONATAL INTENSIVE CARE UNITS. International Journal of Research -GRANTHAALAYAH. 2017 Feb 28;5(2):237–51. 111
Elkazaz RH, Berma AE. STRESS AND SELF EFFICACY AMONG NURSES IN NEONATAL INTENSIVE CARE UNITS. International Journal of Research -GRANTHAALAYAH. 2017 Feb 28;5(2):237–51.
Ali Ahmed M, Ali Ahmed F, Aly Mohammed M, Anwar AbdEl-Aziz M, Aly Mahgoub A. Effect of an Educational Program about Acute Respiratory Distress Syndrome on Critical Care Nurses’ Performance [Internet]. 2020. Available from: http://asnj.journals.ekb.eghttp://www.arabimpactfactor.com
Saqlain M, Munir MM, Rehman SU, Gulzar A, Naz S, Ahmed Z, et al. Knowledge, attitude, practice and perceived barriers among healthcare workers regarding COVID-19: a cross-sectional survey from Pakistan. Journal of Hospital Infection. 2020 Jul 1;105(3):419–23.
Mohamed Elsayed Hegazy W, El Sayed Abusaad F. Nurses , Knowledge and Practices about Care of Neonates on Mechanical Ventilators with Respiratory Distress [Internet]. Vol. 6, International Journal of Novel Research in Healthcare and Nursing. Available from: www.noveltyjournals.com
Qin Z, Zhao X, Meng Y, Wu Y, Qian J, Yin M, et al. Knowledge, attitudes and practices of intensive care unit physicians towards the management of acute respiratory distress syndrome in China: a cross-sectional survey. BMJ Open. 2025 Jan 27;15(1):e092069.
Scholarworks S, Cline PL. Novice Nurse Respiratory Educational Component’s Impact on Novice Nurse Respiratory Educational Component’s Impact on Confidence and Knowledge Confidence and Knowledge [Internet]. Available from: https://scholarworks.waldenu.edu/dissertations
Ali RA, Obeisat SM, Tarawneh LH. Improving nursing knowledge and care for neonates with respiratory distress in Jordan. Int Nurs Rev. 2019;66(3):338–45.
Mawlood E, Ahmed S, Saleh HS. Nurses Knowledge, Attitude, and Practice Toward Respiratory Distress Syndrome in Neonate at Salah Al-Deen Governorate Hospital of Nursing, kirkuk, Iraq 2 Corresponding author: 1*. Vol. 44. 2021.
Linders M, Binkhorst M, Draaisma JMT, van Heijst AFJ, Hogeveen M. Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study. BMC Emerg Med. 2021 Dec 1;21(1).
Aziz AR, Mansi QH. Assessment Quality of Nursing Care Provided to Neonates with Respiratory Distress Syndrome at Intensive Care Unit in AL-Nasiriyah City Hospitals هيذلا ةدلاىلا يثيذحل ةمذقملا ةيضيرمتلا ةياعرلا ةدىج مييقت . ةيرصاىلا ةىيذم تايفشتسم يف ةسكرملا ةياىعلا ةذحو يف سفىتلا برك ةمزلاتم هم نىواعي
Alsharari MMS, Alsharari MAH, Alsharari GSS, Alruwaili IIR, Alsharari AAM, Alshrari NSF, et al. The Influence of Laboratory Diagnostics on Nursing Management of Respiratory Tract Infections: Review of Current Technologies and Their Implications for Patient Care. Journal of Ecohumanism. 2024 Nov 10;3(8):12948–58.
SHAIKH WM, HINDI NJA, GHAMMARI NA, SAK DA, OQADY WHT, SHUWAYI TMA, et al. Improving Patient Outcomes in Respiratory Therapy: The Critical Role of Nursing Interventions. Journal of Ecohumanism [Internet]. 2024 Aug 2;3(6). Available from: https://ecohumanism.co.uk/joe/ecohumanism/article/view/6484
Mukuve P, Nuuyoma V. Critical Care Nursing in a Resource-Constrained Setting: A Qualitative Study of Critical Care Nurses’ Experiences Caring for Patients on Mechanical Ventilation. SAGE Open Nurs. 2023 Jan 1;9.
Ali Ahmed M, Ali Ahmed F, Aly Mohammed M, Anwar AbdEl-Aziz M, Aly Mahgoub A. Effect of an Educational Program about Acute Respiratory Distress Syndrome on Critical Care Nurses’ Performance [Internet]. 2020. Available from: http://asnj.journals.ekb.eghttp://www.arabimpactfactor.com 112
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