Assessment of Knowledge, Attitude and Practice of Nurses Working in Adult and Pediatric Icu and Emergency Department Towards Standard Precausions at Tikur Anbesa Specialized Hospital from December 2016 To June 2017
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Date
2017-01
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Addis Ababa University
Abstract
Introduction: - Healthcare Associated Infection (HCAI) is the major cause of morbidity and
mortality in hospital based settings; with nosocomial infections and their control creating a
world-wide challenge. This also adds to the burden of healthcare costs due to added
antimicrobial treatment and prolonged hospitalization. Para medical staff, especially nurses is at
great risk of exposure to blood and body fluids and other means of spread of infection.
Objective: - This study was conducted to access knowledge, attitude and practice regarding
standard precautions among the nursing staff work in emergency and ICU at Tikur Anbessa
Specialized Hospital. Method: - A cross sectional study was conducted on knowledge attitude
and practice of nurses working in emergency and ICU at Tikur Anbessa Specialized Hospital
from December 2016 to Jun 2017 GC. Data were collected using pre tested questionnaire on 142
nurses selected by convenience sampling method. Collected data were checked, coded and
transferred to SPSS version 22 for analysis. Frequency, Mean and other statistics were
calculated. Result: - This study revealed that, the mean knowledge score of all participants was
5.65, i.e. more than half (60.5%) of the studied sample had good knowledge level. The mean
attitude score of all respondents was 4.95 which showed that 55.6% of the studied participants
had good attitude level. However, only 48.59 % of the participants had Good practice with a
mean score of 6.34. According to the correlate bivariate model No significant statistical
correlation were found between mean Attitude scores towards age, years of experience, gender
and factor affecting SP. Significant statistical relation were found between mean knowledge
scores and year of experience (P=0.02). And a significant statistical correlation were found
between mean practice scores towards year of experience, gender, and factor affecting SP
(P=0.02, 0.01, 0.04) respectively. Conclusion:- Based on findings of the current study, it can be
concluded that in spite of having positive attitude level regarding standard precaution, nurses had
fair knowledge level and poor practice level. Low compliance of hand hygiene, lack of training,
heavy workloads, lack of infection prevention supply, unavailability of guideline, lack of
awareness about availability of PEP and shortage of vaccine for HBV are major obstacles for
compliance of standard precaution. Recommendation: - Providing training on standard
precaution to all health care staff and enhancing sustainable supplies systems are recommended.
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Keywords
Nurses Working; Tikur Anbesa Specialized Hospital