Infection Prevention compliance and Associated Factors Among Nurses Working at Dialysis Units for Chronic Kidney Disease Patients in Addis Ababa
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Date
2024-06
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Addis Ababa University
Abstract
Background: Chronic kidney disease patients on hemodialysis have an increased risk of infection
due to the nature of the disease and the type of treatment they receive. In many developing
countries including Ethiopia, there is low level of compliance of infection prevention practice
between medical professionals, despite the rise of highly contagious illnesses. Effective
interventions can be developed by critically assessing the elements that contribute to this problem.
Objective: To assess infection prevention compliance and associated factors among nurses
working at dialysis units for chronic kidney disease patients in Addis Ababa.
Methods: A facility-based cross-sectional study was carried out among nurses working at dialysis
units for chronic kidney disease patients in Addis Ababa from Jan-March 2024. A total of 251
nurses were included. A structured self-administered questionnaire which has eight components
and a checklist were used for data collection. Descriptive statistics and correlation estimates were
used. For regression analysis, the study applies Principal Component Analysis to generate an
index. Finally, logistic regression was done and adjusted odds ratio (AOR) with a 95% confidence
interval was estimated in the final model. P-values of below 0.05 were regarded as significantly
associated variables.
Results: The result showed that 105 nurses 45.66% were non compliant to infection prevention
and control practices. The multivariable logistic regression result indicates, monthly
salary10,000.00-20,000.00) [(AOR:3.23 ,95%CI (1.20-8.70)], nurses who had duty [(AOR:
0.48 ,95%CI (0.25-0.93)], and work environment factor [(AOR: 6.57 ,95%CI (3.38-12.78)] were
predictors of infection prevention compliance.
Conclusion and recommendation: Infection prevention compliance was not sufficiently
practiced among dialysis unit nurses. Monthly salary, frequency of duty and work environment
factors were factors associated with infection prevention compliance. Thus, intervention should
focus on encouraging nurses by giving competitive benefit through salary increment, decreasing
workload and creating good work environmental factors by ensuring sufficient and sustainable
resources.
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Keywords
Infection prevention, compliance, nurses, dialysis units, Addis Ababa, Ethiopia