Assessment of knowledge, attitude, practice and associated factors towards fluid balance monitoring among nurses working in adult ICU of federally administered government hospitals in Addis Ababa, Ethiopia, 2020.

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Addis Abeba University


Fluid Balance is net result of intake and output of fluid to provide metabolic processes Background: to function correctly. In Intensive care unit the patient needs special consideration for Fluid balance monitoring. Fluid balance monitoring is very vital component in intensive care unit for management and good patient prognosis. Recent studies show negative fluid balance and positive fluid balance adversely affects patient morbidity, mortality and patient length of stay in hospitals. Even if there is some related researches but still little is known regarding fluid balance monitoring. Objectives: To assess knowledge, attitude and practice of nurses working in ICU towards fluid balance monitoring and associated factors in federally administered government hospitals, Addis Ababa, Ethiopia from October 2019 to June 2020. Methods: institution based quantitative cross-sectional study was conducted from February to April, 2020 among federally administered government hospitals in Addis Ababa. Well-structured questionnaire for socio-Demographic characteristics, attitude, knowledge and checklist for practice was adopted from literatures with little modification. The data was entered into Epi-data, version 4.6 then analyzed by using SPSS 24 Software. Finally the result was computed and interpreted through use of descriptive statistics. Association between variables was analyzed by using logistic regression at pvalue <0.2 and <0.05 considering as significant respectively. Result: - out of 166 study participants the response rate was 96.4% with 28 ± 3.5 years mean age of study participants. Around 85(53.12%) of study participants were female in sex. Majority of participants 108(67.5%) had less than 5-years work experience. From all study participants around 85( 53.1%), 85(53.1%) and 90( 56.1%) of Nurses working in ICU had good knowledge, negative attitude and good practice toward fluid balance monitoring for critically ill patients respectively. Strong association and positive relationships were found between practice and knowledge Conclusion and recommendation:- The knowledge and practice of study participants found relatively good which was above the mean score but the perception were below the mean score. So that, better to build capacity of nurses working in ICU on fluid balance monitoring was recommended for the responsible body.



Knowledge, practice, fluid balance, monitoring, attitude, input/output