Assessment of knowledge, practice, and associated factors towards continuous positive airway pressure (CPAP) therapy among nurses working at NICU in public hospital, Addis Ababa, Ethiopia, 2021.

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Addis Abeba University


Back ground: Continuous positive airway pressure (CPAP), a noninvasive respiratory support method used to manage neonates with respiratory distress, provides continuous pressure that helps prevent the collapse of alveoli, increasing the lungs’ functional residual capacity, and thus minimizing the work of breathing. Good nurses' skills and knowledge are needed to prevent and overcome complications such as nasal trauma, pneumothorax, and gastric distension due to the use of CPAP. Objective: This study aim was to assess knowledge, practice, and associated factors towards Continuous positive airway pressure therapy among nurses working in NICU in public Hospitals of Addis Ababa, Ethiopia, 2021. Methods and Materials: A facility-based cross-sectional study design was conducted during the period of March, 2021 to May, 2021. Simple random sampling was used to obtain the study participants. A self-administered questionnaire and observational checklist technique were unitized to gather the data from 120 nurses working in four public Hospitals Addis Ababa, Ethiopia. The collected data was entered by using Epi-data version 4.6 and exported to SPSS version 26 for analysis. Logistic regression model was used to identify the association between the dependent variable and independent variable. In bivariate model, Variables that had p-value ≤ 0.25 were further analyzed into the multivariable model and confidence level at 95%, the p-value of <0.05 was a statistically significant association. Results: One hundred twenty nurses were participated in the study with a response rate of 96.8%. Among the participant nurses 60% had inadequate knowledge regarding CPAP therapy. Nurse with experience ≥11 years at NICU (AOR=13.74, 95% CI: 2.27-83.24), nurses had formal training on CPAP (AOR=0.16, 95% CI: 0.05-0.46), available of protocol for CPAP therapy (AOR=11.95, 95% CI: 2.27-62.89) and 1:1 nurse-to-patient ratio (AOR=15.38, 95% CI: 2.46-96.23) were associated to knowledge on CPAP therapy. The findings of this study also revealed that 55.8% of nurses had good practice about CPAP therapy. Nurses working at NICU ≥11 years’ experience were (AOR=0.06, 95% CI: 0.010.04) and nurse-to-patient ratio 1:2 was (AOR=0.23, 95% CI: 0.05-0.96) were associated to practice on CPAP therapy. Conclusion and Recommendations: In conclusion, three-fifth and almost half of the studied nurses had inadequate and good practice levels towards CPAP therapy in NICU respectively. Continuous and regular training regarding about CPAP should be given to the NICU nurses.



Nurses, knowledge, practice, CPAP therapy, NICU, Addis Ababa