Assessment of Knowledge and Practice of ICU Care Bundles in Infection Control among Physicians and Nurses Working in Three Governmental Hospitals (Tikur Anbesa Specialized Hospital (TASH),Yekatit 12 and st. Peter Specialized Hospital) Adult ICU,Ethiopia, 2021
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Date
2021-12
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Addis Abeba University
Abstract
Background: Intensive care is a continuum of care from various source of admissions where
patients‘ requiring a frequent evaluation and support to assure safe and effective outcomes.
Mortality in intensive care unit (ICU) is a global burden which results in a huge loss of
productivity and financial costs. In Africa, the ICU mortality rate is high compared to developed
continents. ‗‗Evidence-Based Bundle‘‘ of care which involves 3–5 structured interventions help
to reduce and prevent hospital acquired infections (HAI‘s).
OBJECTIVE: To assess the knowledge and practice of ICU care bundles among physicians and
nurses working in three government hospitals Adult ICU, Addis Ababa, Ethiopia 2021.
METHODS: A cross-sectional descriptive study was conducted using a structured questionnaire
and observational check list. Proportional sampling technique was used. Collected data was
cleaned, coded and entered in to excel and SPSS version 26was used for analysis and descriptive
methods such as frequencies, or proportions. A score of ≥ 60% is considered as knowledgeable
or good practice. X
2
tests were used to look for association with P <0.05.
RESULT: A total of 101 health professionals participated with the response rate of 96.2%. Of
this 53 (52.5%) were nurses and 48 (47.3%) were physicians, majority 55 (54.5%) were from
TASH, 64.4% of them were males and the mean age of respondents was 29.4 (SD ± 3.32) years.
Regarding knowledge of ICU care bundles, 53 (52.5%), 69 (68.3%) and 79 (78.2%) were
knowledgeable regarding VAP, sepsis and urinary catheter care bundle respectively. But 50
(49.5%), 64 (63.4%) and 68 (67.3%) were observed to have good practice of elements of VAP,
sepsis and urinary catheter care bundles in their daily activity respectively. This study also
showed that there is significant association between knowledge and practices (p < 0.001).
DISCUSSION AND CONCLUSION: Even through nurses' and physicians‘ overall knowledge
regarding ICU care bundles was good, the practice was inadequate and the health care workers
do not implement the latest evidenced based bundle practices. So the overall knowledge and
practice of ICU care bundles used for prevention of ICU infection was suboptimal.
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Keywords
Knowledge, practice, ICU care bundles, sepsis, ventilator-associated pneumonia, urinary catheter care.