Assessment of knowledge, attitude, and practice of hand hygiene among NICU nurses working in public hospitals, Addis Ababa, Ethiopia, 2020.
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Date
2020-07
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Addis Abeba University
Abstract
Background: Hand hygiene is one of the effective measures for infection prevention and
control. HCAIs are the primary causes of illness and death in NICUs. It has been estimated that
30-40% of HCAIs are related to contamination of HCW hands especially nurses have a contact
for a long time with neonates. Thus, this study is intended to provide information on the level of
knowledge, attitude, and practice of hand hygiene among NICU nurses.
Objective: To assess knowledge, attitude, and practice of hand hygiene among NICU nurses
working in public hospitals, Addis Ababa, Ethiopia, 2020.
Materials and methods: Institutional based cross-sectional study design was conducted and
purposive sampling was used for selecting hospitals. All 120 NICU nurses working in five public
hospitals under AAHB from February 18 to March 25, 2020, were included in this study. Data
were collected through a self-administered questionnaire and observational checklist which
consists of four sections. A pretest was carried out in TASH and data was collected by trained
health professionals’ under the supervision of a trained supervisor. The collected data were
entered using Epi Data version 4.6.0.2 and analyzed using SPSS version 25 software. Descriptive
statistics (frequency, percentage, and mean) and bivariate logistic regression analysis were used.
Final results were presented using texts, pie-charts, tables, and graphs.
Results: A total of 114 NICU nurses with a response rate of 95% have participated. This study
showed that the majority of the NICU nurses 96(84.2%) had moderate, 15 (13.2%) had good and
3(2.6%) had poor knowledge. Level of attitude majority of nurses 88(77.2%) had moderate,
23(20.2%) had good, and 3(2.6%) had poor. Most of them 93(81.6%) had poor, 21(18.4%) had
moderate and 00(0.0%) had a good practice on hand hygiene. There was no significant
association between dependent variables (KAP) and socio-demographic variables.
Conclusions and recommendations: Based on the study findings it can be concluded that
majority of them had moderate knowledge and attitude but they had poor practice regarding hand
hygiene. Therefore, it is recommended to give training on hand hygiene guidelines including
monitoring the practice regularly.
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Keywords
Attitude, Hand Hygiene, Knowledge, Neonate, Nurses, Practice