Assessment of Knowledge and practice of Critical Care HCWs towards Ventilator Associated Pneumonia Bundles in TASH adult ICU
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Date
2020-12
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Addis Abeba University
Abstract
BACKGROUND: Ventilator-associated pneumonia (VAP) continues to be a common and potentially fatal
complication of ventilator care and often encountered within intensive care units (ICUs). Ventilated and
intubated patients present critical care Health care workers the unique challenge to incorporate evidence-based
practices surrounding the delivery of high-quality care. This study examined the Assessment of Knowledge and
practice of Critical Care HCWs towards Ventilator Associated Pneumonia Bundles in TASH adult ICU
OBJECTIVE: to Assess Knowledge and practice of Critical Care HCWs towards Ventilator Associated
Pneumonia Bundles inTASH adult ICU
METHODS: Cross-sectional study was conducted from September to November 2020 among 160 HCW
Addis Ababa University TASH working in adult ICU who were selected by a stratified sampling technique. a
structured questionnaire was used to collect data. Data were entered and analyzed using SPSS version 26 and
the results was presented by tables, bar graphs and pie chart. Variables with p-value < 0.05 were used as
significantly associated with the dependent variable.
RESULTS: Most (67.5%) of the study participants were male and 70.6 % were ages 25-30 years. Most of
the respondents were residents (69.4%) and had a work experience below 5 years (73.1%). The total mean
knowledge score of the participants was 12.4312 out of 16 (Range 5-16, SD= 2.10606). 51.9 % of the
participants had scores above the mean (i.e. good knowledge score) while the rest had below the mean score
with only 155 (96.9%) of the study participants scoring above 8 out of 16. The mean practice score of the
respondents was 14.9625 out of 25 (Range 7-23, SD = 3.48562). Fifty three point one percent (53.1 %) of the
respondents had a mean practice score above the mean (good practice) while the rest had poor practice. 25
(15.6 %) respondents had total practice score below 12 out of 24 (i.e. below 50%).
CONCLUSION: In this study, around half of HCWs have good knowledge (i.e. 51.9%) and around half of
HCWs have good practice (i.e.53.1%). The percentage of HCWs who score good practice is higher than who
score good knowledge. No significant association between age, gender, working department, years of working
experience and knowledge. It was profession (job title) that had statistically significant impact on having good
knowledge score. Practice of ICU HCWs on VAP prevention bundles was not statistically associated with age,
gender, working department, years of working experience and profesion.but nurses had higher odds of having
good practice. There was no correlation between knowledge and practice score.
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Keywords
Pneumonia , TASH