Assessment of Knowledge, Practice and Barriers on the Need of Early Mobilization of Intensive Care Unit Patients among Nurses Working in Selected Public Hospitals in Addis Ababa, Ethiopia 2024
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Date
2024-06
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Addis Ababa University
Abstract
Background: Early mobilization is the physical activity performed on ICU patients as early as the second to fifth days of ICU admission due to their critical illness. Most of ICU admitted patient develops many complications which are not related to their primary diagnosis. EM improves the patient's physiological functioning, reduce length of stay, and improve mechanical ventilator weaning. Despite its importance, the early mobility procedure is not performed in most ICU settings. The main problem is related to the knowledge and practice of health care providers towards early mobility for ICU patients.
Objective: To assess knowledge, practice, and barriers related to the needs of early mobilization of intensive care unit patients among nurses working in public hospitals, Addis Ababa, Ethiopia 2024. Methods: An institutional-based cross-sectional study design was conducted in Addis Ababa selected public hospitals from March 15 to April 15/2024. All nurses who work in ICU of selected public hospitals were included in the study by census methodes. Data were collected using a structured self-administered questionnaire and analyzed using SPSS version 27.Logistic regression was employed to determine the association between dependent and independent variables and variables with p value less than 0.05 were taken as significantly associated. Result: About 21.8% ICU nurses have good knowledge towards early mobilization. Factors associated with knowledge were staff education and training p= 0.001, availability of early mobility guidelines and protocols in the ICU p=0.001 and work experiences p=0.042. From the total of study participants only 18.3% of ICU nurses have good practice of early mobilization. The factors that have significant association with practice of ICU nurses to EM were standard EM order p=0.003, planning and coordination p=0.007, BMI of patients < 30 p=0.029 and EM guidelines and protocols in the ICU p= 0.008. Conclusion and recommendation: the knowledge and practice of the study participants were poor. This finding highly suggests the needs of EM knowledge and practice of ICU nurses. The factors that influence knowledge were experience’s guidelines and protocols and training. Factors affect practices of nurses were standing bed rest order, lack of planning and X coordination, obesity of the patient and practice guidelines and protocols ascents. Providing education and regular training is important to upgrades the nurses and create awareness. Adopting early patients screening techniques, Providing EM guidelines and protocols to ICU for ICU nurses is also mandatory. All ICU should have physiotherapist, Moreover ICU advocator to EM should be assigned.
Keywords: early mobilization, knowledge, practice, Intensive care unit
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early mobilization knowledge practice Intensive care unit, , ,