Knowledge and Practice of Instrument Processing and Its Associated Factors for Nurses Working at Addis Ababa University, Tikur Anbessa Hospital, Addis Ababa, Ethiopia 2021
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Date
2021-02-01
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Addis Ababa University
Abstract
Introduction: There are a number of requirements and necessary steps involved in instrument
processing, including preparation, cleaning and packaging of instruments for sterilization. The
nurses require a high level of knowledge in instrument processing and skills to practice it in
operation room to prevent hospital acquired infection. This will enable quality care which increase
likelihood of infection prevention and promote optimal quality care.
Objective: To determine knowledge and practice of instrument processing and associated factors
among operation room nurses at Addis Ababa University, Black Lion Hospital, 2020
Methodology: Institution based Cross sectional study was conducted to assess the knowledge and
practice of instrument processing and associated factors among operation room nurses at Black
Lion Hospital, 2021. Systematic random sampling was done to select study subjects. The Practice
of sterile technique was assessed by using the observation checklist among Operating room nurses.
Structured questionnaire was also used for collection knowledge and associated data. Instruments
was pre tested, cheeked, cleaned and entered in to Epi-data version 3.1 and imported to SPSS
version 25.0 software for analysis. Associations between independent variables and dependent
variables were analyzed by using binary logistic regression model with bivariate and multivariable
logistic regression analysis technique. P-values < 0.05 were considered statistically significant.
Results: The overall knowledge and practice of participants on instrument processing was
37(31.10%) and 41(34.5%) respectively,. Service year [(AOR=0.002) (95%CI) 0.10(0.02,
0.43)], Higher level of education [(AOR=0.02) (95%CI) 0.09(0.01, 0.12)], positive attitude
[AOR=0.01 (95%CI) 7.33(3.01, 12.99)], training [(AOR=0.012) (95%CI) 0.30(.12, 0.76)],
Refreshment and promotion [(AOR=0.001)(95%CI)1.33(1.01, 2.92)] and Availability of
disinfectant [(AOR=0.012) (95%CI)3.42(1.32, 8.88)] are significantly associated with
knowledge and practice of instrument processing.
Conclusion: Only about one third of participants have good knowledge and good practice on
instrument processing. The finding alerts stake holders to do something in changing the condition.
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Keywords
Instrument processing, knowledge, practice, operation room, Nurses