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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Date
2021-06
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Addis Abeba University
Abstract
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.
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Keywords
Nurses, knowledge, practice, CPAP therapy, NICU, Addis Ababa