Surgical site infection prevention practice and associated factors among nurses in armed forces comprehensive specialized hospital in Addis Ababa, Ethiopia, in 2023
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Date
2023
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Addis Ababa University
Abstract
Background: A Surgical site infection is a preventable hospital-acquired infection. Surgical site
infections remained a significant cause of morbidity, prolonged hospitalization, and death.
Globally, SSI rates have been estimated to range from 2.5% to 41.9%, with much higher rates in
developing nations. Surgical site infection is the most expensive health-related infection, costing
$3.3 billion annually. Multiple studies were conducted in Ethiopia on it; however, these studies
did not delve into the institutional factors that affect nurses surgical site infection prevention
practice.
Objective: To assess the surgical site infection prevention practice, and associated factors a
mong nurses in the armed force comprehensive specialized hospital, Addis Ababa, Ethiopia.
Method: An institution-based cross-sectional study was conducted on 284 nurses in the Armed
Forces comprehensive specialized hospital from February 27–March 27, 2023. A modified,
pretested, and structured self-administered questionnaire was used to measure surgical site
infection prevention practice and factors related to it. A cluster and simple random sampling
methods were used. Epi-data 3.1 and SPSS Version 26 were used to enter the data into the
computer and Bivariate and multivariate regression analyses.
Result: The two hundred and eighty-four nurses responded to the questionnaire with a 100%
response rate. One hundred sixty-three (57.4%) of them were males. The mean age was 31 years
old. The majority of participants (91.9%) held a BSc degree. Just 57.4% [95% CI (.5161–.6318)]
of the participants were found to have good practice in surgical site infection prevention. At a p-
value of 0.05, the participants age [AOR=2.165CI (1.120–4.186)] and use of the IP guideline
[AOR=.421CI (.212–.835)] were significantly associated with the nurse's practice.
Conclusion and recommendation: Nurses' knowledge and practice in surgical site infection
prevention have been compromised due to several factors. Updating the nurse's knowledge and
practice to use infection prevention guidelines is essential for preventing surgical site infections.
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Keywords
Surgical site infection, Nursing practice, Factors Associated, Infection prevention