Knowledge Practice and Associated Factors Regarding Care of Acute Coronary Syndrome Among Acute Care Nurses Working at Selected Hospitals of Addis Ababa, Ethiopia
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Date
2021-01
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Addis Ababa University
Abstract
Background: Globally cardiovascular diseases are a number one cause of death. Acute coronary syndrome accounts most cardiovascular deaths which is a life threatening condition requires a lifesaving intervention and intensive nursing practice. Acute care nurses play an integral role in the assessment and care of patients with ACS. However we know little about the knowledge and practice of nurses regarding care of ACS.
Objective: The aim of this study was to assess knowledge, practice and associated factors regarding care of acute coronary syndrome among acute care nurse working at selected hospitals of Addis Ababa, Ethiopia 2021.
Methods: Institution based cross-sectional study was conducted from February 8 to March 8 among 265 nurses working in ICU, CCU and Emergency departments recruited from selected governmental hospitals by census method. The data was collected by self administered
questionnaires and entered in to Epi info then transferred to SPSS for
analysis. Descriptive statistics were calculated and also binary logistic regression and multi variable logistic regression were used to determine association.
Result: The study revealed that from a total of 265 nurses with a response rate of 95% were participated in this study from which (52%) of the respondents had good knowledge and(56.4%) had good practice regarding care of acute coronary syndrome. There was a significant association between nurses’ knowledge level and training (AOR=9.2, 95%CI (3.4-25.29), P value=0.000) and availability of guidelines (AOR= 7.2, 95%CI (1.5-34.4),
P value=0.000). Training (AOR= 9.7 95% CI (3.33-28.5) P value= .000 and working unit(AOR=6.4, 95% CI=1.46-28.4, P=0.014) were also significantly associated with nurse’s practice towards ACS care.
Conclusion and recommendations: The results from this study showed that nurses had inadequate knowledge and practice towards ACS care. Lack of guide lines and training are a contributing factors. Therefore, the hospital’s administrative and supportive organizations would better to provide training regarding care of ACS and avail guidelines.
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Keywords
Knowledge, practice, acute care nurses, acute coronary syndrome care.