Assessment of knowledge and practice towards enteral nutrition and associated factors among nurses who are working at Adult intensive care unit of governmental hospitals located in Addis Ababa city, Ethiopia.
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Date
2019-06
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Addis Abeba University
Abstract
Background: The purpose of this study was to describe current tube feeding knowledge and
Practices and associated factors to aim appropriate quality improvement interventions. The
Synergy model of patient care was used as a conceptual basis for this study.
Methods: A cross-sectional study was used to assess knowledge and practice of enteral nutrition
among nurses who works in ICUs of governmental hospitals in Addis Ababa city, Ethiopia. A
total of 209 nurses that met the inclusion criteria, 192 (92% response rate) responded to the
questionnaire. A self-administered data collection method was used and undertaken on May
2019.
Results: More than three fourth 167 (87 %) of respondents had poor knowledge of enteral
nutrition and the result revealed that only 21(11%) have good practice. Participants who are first
degree holder were less likely to had adequate knowledge by 76/100 than MSc. Holders. (AOR =
.240, 95% CI: (.61, .936).
Participants in the age group of 20-28 were less likely to had good practice by 98% on enteral
nutrition than age group of 46-61 (AOR = 0.023, 95% CI: (0.001,0.523). and nurses who got in
school nutrition training were 2 times higher to had good practice on enteral nutrition than didn’t
got. (AOR = 1.951, 95% CI: (.063, .601). Also participants who were aware of protocol had 3
time of good practice than not aware of protocol about enteral nutrition. (AOR =3.401, 95% CI:
(1.186, 9.789)
Conclusions and recommendation: Although the improvement of nurses' knowledge and
practices regarding enteral nutrition will directly or indirectly lead to reduce the complications
and side effects related to enteral feeding in the critical care units, Nurses have remarkable gaps
and alarming skill performance related NGT feeding. Therefore periodic on-job and pre-service
training regarding enteral nutrition , guidelines as well protocol should be provided to all ICU
nurses and regular supportive supervision by experts is also needed to sensitize, update and
motivate staffs to provide safe nutritional support in all intensive care units s.
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Keywords
Adult ICU, Enteral Nutrition, ICU nurse, KP on Enteral nutrition.