Knowledge and Practice of Nurses and Associated Factors Regarding Prevention of Surgical Site Infection Among those who are Working in the Surgical Units of Public Hospitals in Addis Ababa City, Ethiopia, 2018.
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Date
2018-06
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Addis Ababa University
Abstract
Introduction: Surgical site infections are one of the commonest types of healthcare-associated infections. Up to 60% of these infections are estimated to be preventable by using evidence-based guidelines. Hence, as frontline caregivers, nurses can play a crucial role in preventing efforts.
Objective: To assess the knowledge and practice of nurses and associated factors regarding prevention of surgical site infection among those who are working in the surgical units of public hospitals in Addis Ababa city, Ethiopia.
Methods: An institution based cross-sectional study was carried out on 409 nurses. An adapted, pretested, and structured, self-administered questionnaire; containing sociodemographic, knowledge and practice related questions to measure the nurses’ knowledge and practice and associated factors with hem regarding prevention of surgical site infection was utilized as a data collection tool. Stratified random sampling technique was employed. Data was entered into a computer using Epi-data 3.1 statistical package and exported to SPSS Version 23 for further analysis. Bivariate regression analysis was run to assess the association between the dependent and independent variables. To see the relative effect of independent variables on the dependent variable, multivariable regression analysis was carried out.
Result: A total of 409 nurses returned the questionnaire with a response rate of 98%. Majority, (60.4%) of them were females. The mean age was 31.16 with a median of 30 years. Most of the participants (84.1%) were BSc holders. Only 47.7% and 48.9% of the participants were found to have good knowledge and practice regarding prevention of surgical site infection respectively. Sex of participants, work experience, educational level and using available infection prevention guidelines were significantly associated with the nurse’s knowledge and practice at a p <0.05.
Conclusion and recommendations: More than half of the participants have inadequate knowledge and almost half of the participants were practicing poorly. Training nurses, making surgical site infection prevention guidelines easily accessible and ensuring possessed knowledge by nurses is potent enough and can be translated into desirable actions are recommended.
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Keywords
Nurse, Knowledge, Practice, Factors, Surgical Site Infection