Assesment of Knowledge and Practice of Nurses Working in the ICU towards Prevention of Ventilator Associated Pnumonia at Selected Governmental Hospitals Addis Ababa, Ethiopia 2015/16.

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Addis Abeba Universty


Background: The professional practice in a high risk critical care setting requires knowledge, skills, clinical experience and problem-solving abilities to assess monitor and effectively respond to the needs of critically ill patients. In addition, little is known regarding knowledge of nurses’ working in the intensive care, concerning prevention guidelines and its application during the provision of patient care in the ICU. The Gaps between knowledge and actual clinical practice have not been sufficiently studied and needs further research which will contribute to the quality of care and improvement of critical patient’s outcome. Objective: this study aims to assess the knowledge and practice of nurses working in the ICU towards prevention of VAP at selected Hospital Addis Ababa, Ethiopia, 2015. Methods: Study was conducted in five randomly selected governmental hospitals at Addis Ababa, Ethiopia. Descriptive cross sectional study design were employed on all 117 nurses working in the ICU in respected hospitals. Data Analysis Descriptive and inferential statistics were utilized to analyze the data. Descriptive statistics included frequency, percentage, mean and standard deviation. Chi square test was utilized to determine association of selected variables. Data were analyzed using SPSS version 200. Results: The current study revealed that, Most of the studied sample 60.7% had satisfactory level of knowledge and 53.3% had Good level of practice regarding VAP prevention measures with a total mean score of (15.97 ± 3.23) and (15.47+2.029) respectively. Significant association was found in knowledge between participants with different education level as found (p = 0.0.041), age groups (p = 0.008), sex of participant (p=0.023) and between participants with different years of ICU working experience (p< 0.001). No significant association was found regarding nurses' practice (p=>0.05) except sex was found (p-0.010). Conclusion and recommendation: Most Nurses work in critical care unit of the five hospitals are knowledgeable and have good practical performance regarding prevention of VAP, However, significant number of nurses 39% and 47% lacked knowledge and practice respectively. So updating knowledge and practice of nurses through Education and training would help to improving the quality of nursing care and also keep nurse’s knowledge and practice consistence. Key Words: Knowledge, Practices, Intensive care unit



Knowledge, Practices, Intensive care unit