Cardiovascular

Nurses' Perceptions of Using Capnography During Resuscitation of Patients in Emergency Department.

TL;DR

Despite a fair to good perception of capnography, most nurses demonstrated low knowledge and limited clinical experience, indicating that educational interventions and policy changes are needed to improve capnography use in emergency resuscitation settings.

Key Findings

Most emergency nurses had low knowledge of capnography during cardiac arrest resuscitation.

  • 80.2% of nurses demonstrated low knowledge of capnography
  • Study conducted with 96 emergency nurses from 7 governmental hospitals in North West Bank
  • Data collected using a validated self-administered questionnaire
  • Descriptive cross-sectional study design was used

Only a minority of emergency nurses reported any clinical experience using capnography.

  • Only 34.4% of the 96 nurses reported any clinical experience using capnography
  • This indicates that approximately two-thirds of emergency nurses had no hands-on experience with capnography
  • Limited adoption of capnography was noted despite its recognized clinical value in emergency settings

Nurses' perceptions of capnography were distributed across poor, fair, and good categories, with no single dominant positive perception.

  • 39.6% of nurses had fair perception of capnography
  • 22.9% had good perception of capnography
  • 37.5% had poor perception of capnography
  • Perception was measured using a validated self-administered questionnaire

A weak but statistically significant correlation existed between nurses' knowledge of capnography and their prior clinical experience with it.

  • The correlation between knowledge and prior experience was statistically significant at P = .048
  • The correlation was described as weak in magnitude
  • Statistical analysis included correlation tests with significance threshold set at P < .05

Capnography adoption remains limited in emergency settings in the North West Bank region despite its clinical value.

  • The study was conducted across 7 governmental hospitals in North West Bank
  • Capnography provides real-time data on ventilation by measuring exhaled carbon dioxide and improves patient safety during resuscitation
  • The authors identified the need for educational interventions and policy changes to improve capnography use

What This Means

This research examined how well emergency nurses in North West Bank hospitals understood and used capnography — a monitoring tool that measures the carbon dioxide a patient exhales and provides real-time information about whether resuscitation efforts are working. The study surveyed 96 nurses across 7 government hospitals and found a significant gap: more than 80% of nurses had low knowledge about capnography, and only about one in three had ever actually used it in a clinical setting. Despite this lack of knowledge and hands-on experience, nurses' attitudes toward capnography were somewhat more positive — about 40% had a fair perception and nearly 23% had a good perception of the technology. The study also found that nurses who had some prior experience with capnography tended to have slightly better knowledge of it, though this relationship was weak. This suggests that exposure to the technology in practice may help build understanding, but that experience alone is not enough to ensure high knowledge levels across the nursing workforce. This research suggests that hospitals in this region need structured training programs and updated policies to improve nurses' familiarity with capnography. Since capnography is recognized as an important tool for improving patient safety during cardiac arrest resuscitation, the large knowledge gap identified here points to a potential area where better education could improve care outcomes for critically ill patients in emergency departments.

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Citation

Zaid G, Toqan D, Aqtam I, Ayed A. (2026). Nurses' Perceptions of Using Capnography During Resuscitation of Patients in Emergency Department.. Critical care nursing quarterly. https://doi.org/10.1097/CNQ.0000000000000621