Knowledge,Practice and Associated Factors of Nurses Working in intensive Care Unit Towards Open-Endotracheal Suctioning for Mechanically Ventilated Patients in Public Hospital of Addis Ababa,Ethiopia,2023.
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Date
2023-06
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Addis Ababa University
Abstract
Introduction: Endotracheal suctioning is one of the commonly performed invasive procedures
in intensive care unit so as to keep airway patent in intubated patients. Knowledge and practice
of nurses working in intensive care unit towards endotracheal suctioning is directly related to
minimize complications, to improve standard of care, to promote effective/safe suctioning and
to reduce length of stay in intensive care unit.
Objective: To assess knowledge, practice and associated factors of nurses working in intensive
care unit towards open endotracheal suctioning for mechanically ventilated patient in public
hospitals of Addis Ababa, Ethiopia, 2023.
Methods: Institutional based cross-sectional study was conducted on nurses working in six
public hospitals. Simple random sampling method was used and data were collected using
structured self-administered questionnaire and observational checklist. Data were entered into
epi data version 4.6 and analysis was done using SPSS version 27. Frequency and percentage
were done for categorical data. In addition, mean and standard deviation were done for
continuous data. Besides, binary logistic regression was used to determine association between
dependent and independent variables.
Result: A total of 136 were included with response rate of 97% (132). From this, 78 (59.1%)
with 95% CI (50.67, 67.53) and 51 (38.6% with 95% CI (30.30, 46.91) of nurses had good
knowledge and practice respectively. Qualification [AOR = 6.01; CI: 1.24–29.05] and training
[AOR= 3.69; CI: 1.40-9.67] were significantly associated with knowledge with P-value <0.05.
Moreover, professional qualification of masters and above [AOR = 7.5; CI: 1.76–31.78],
training [AOR= 9.4; CI: 2.86-30.59], adequate equipment supplies [AOR= 5.0; CI: 1.71-14.38],
and experience => 6years [AOR= 6.8; CI: 2.21-20.86] were associated of practice.
Conclusion: In this study, more than half of the nurses who were working in intensive care units
had good knowledge, but majority had poor practice on endotracheal suctioning. Training,
qualification, experience and availability of adequate equipment were major factors associated
with knowledge and practice.
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Keywords
Endotracheal suctioning, knowledge, practice, Intensive care unit