Knowledge, Attitude, Practice and its Associated Factors in Prevention of Catheter –Associated Urinary Tract Infection Among Nurses in Public Hospitals Addis Ababa,Ethiopia,May,2021.
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Date
2021-06
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Addis Abeba University
Abstract
Background: CAUTI is an infection caused by catheter-related during catheterization procedures.Nurses are responsible for performing catheterization procedures strictly with sterile techniques.Nurse’s knowledge, attitude, and practice are the primary input for preventing the patient from
CAUTI. Therefore, this study aimed to assess the KAP and its associated factors in CAUTI prevention among nurses.
Objective. To assess knowledge, attitude, practice, and its associated factors related to catheterassociatedurinary tract infection prevention among nurses in public hospitals Addis Ababa,Ethiopia, 2021. Method: Institutional-based cross-sectional study used. After selecting five hospitals from 14 public hospitals by lottery method the number of nurses in each hospital with
respective total number of nurse was calculated by proportion and total sample size was 352. After getting ethical clearance, One day training about the objectives of the study, data collection tool,
methods, and process of data collection was provided to data collectors and collected by three BScand one MSc supervisor nurses. The study was conducted on a total of 344 nurses. SPSS version24 software used for data analysis. Descriptive statistics, binary and multivariate logistic regression performed. Statistical significance for possible associated factors tested using a p-value< 0.05 and CI 95%. Results. 57.3% of participants had poor knowledge, 55.7% of participantshad a negative attitude, and 44.8% of the participants had an incompetent level of practice. Factors associated with knowledge included guideline availability in their institution. (AOR= 0.317, 95%CI, (0.121-0.832) P=0. 002). Factors associated with attitude included the marital status of theparticipants (AOR=2.200(1.370-3.533) P=0.001), the knowledge of the participants(AOR=0.462(0.283-0.754) P =0.002) and the practice of the participant (AOR=2.200(1.3703.533)P=0.001). Factors associated with the practice were the attitude of the participant
(AOR=2.725, 95% CI (1.732 -4.287), P= 0.000) and the availability of guidelines in participants'institution (AOR=2.360, 95% CI, (1.320- 4.219) P= 0.004). Conclusion and recommendation:The overall results showed an unsatisfactory level of knowledge, a negative attitude towardsCAUTI prevention, and a somewhat good level of practice of nurses in CAUTI prevention. It is
recommended that there should be a guideline in each hospital, and nurses should get training to increase attitudes of nurses and knowledge of nurses towards CAUTI.
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Keywords
Knowledge, attitude, practice, nurse, CAUTI. Addis Ababa, and Ethiopia.