Assessment of Knowledge, Attitude and Practices of Nurses Regarding Oxygen Therapy in Patients with Chronic Obstructive Pulmonary Disease

Abstract

Background: Oxygen therapy is a critical intervention for patients with chronic obstructive pulmonary disease (COPD), yet knowledge and practice gaps among nurses can compromise safety and outcomes. While international guidelines advocate for evidence-based administration, data from Pakistan remain limited. Objective: This study aimed to assess the knowledge, attitudes, and practices (KAP) of nurses regarding oxygen therapy in COPD management at a tertiary hospital, with a focus on identifying educational gaps and qualification-related trends. Methods: A descriptive cross-sectional study was conducted at Ali Fatima Hospital, Lahore, involving 200 female nurses. A validated questionnaire assessed demographic details, KAP domains, and confidence levels. Descriptive statistics and chi-square tests were performed using SPSS v27. Results: Nurses demonstrated high knowledge of oxygen therapy (92–95% correct responses), strong attitudes favoring guidelines and training (88–95% agreement), and generally robust practices (85–90% adherence). BSN-qualified nurses outperformed diploma holders across KAP scores and confidence (all p < 0.01). Documentation and practical confidence were identified as areas needing improvement. Conclusion: Nurses at this institution exhibited strong foundational KAP regarding oxygen therapy in COPD, with advanced education contributing to better performance. Continued education, protocol reinforcement, and targeted training are recommended to further enhance clinical care.