Knowledge & Practice of selected critical care bundles among Residents at Tikur Anbessa Specialized Hospital Emergency Department, Addis Ababa, Ethiopia 2023
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Date
2023-10
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Addis Ababa University
Abstract
Background: A care bundle consists of three to five evidence-based therapies that work better
when combined than when done alone. Utilizing care bundles can guarantee that the minimal level
of care is provided. It has been demonstrated that implementing an evidence-based care bundle for
critically sick patients improves outcomes.
Objective: To assess the knowledge and practice of selected critical care bundles among residents
working in Tikur Anbessa Specialized Hospital Emergency Department, Addis Ababa, Ethiopia
2023.
Methods: Institutional-based cross-sectional study was conducted using a structured questionnaire
and observational checklist. The method of census sampling was applied. After the collected data
was cleaned, it was imported into Excel and subjected to binary logistic regression and descriptive
analysis using SPSS.
Result: The study included 64 ECCM residents, with a 95.3% response rate. Of this 43 (70.5%)
were males and 46 (75.4%) were between 25-30 years, with mean age of 29.9 (SD± 2.58) years.
The mean of work experience was 3.27 (SD ± 1.68) years. Regarding knowledge of Critical care
bundles, 42 (68.9%), 53 (86.9%), and 54 (88.5%) were aware of the VAP, sepsis, and urinary
catheter care bundles, respectively. However, it was noted that 36 (59%), 51 (83.6%), and 51
(83.6%) had good daily practice of the VAP, sepsis, and urinary catheter care bundle components,
respectively. Year of residency had a statistically significant association with knowledge & practice
of Critical care bundles (P<0.05).
Conclusion: Most ECCM residents had a good knowledge of critical care bundles and were
practicing them. However, the practice of daily oral care, sterile suction system, placement of
urinary drainage, periurethral cleaning & blood culture before antibiotics administration were
suboptimal.
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Keywords
knowledge, practice, critical care bundles, residents, cross-sectional, Tikur Anbesa Specialized Hospital