A Study on Assessment of Knowlodge, Attitude and Practices on the Prevention of Ventilator Associated Pnuemonia Among Nurses Working in Five Selected Adult Intesive Care Units of Government Hospitals, Addis Ababa, Ethiopia
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Date
2017-06
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Addis Ababa University
Abstract
Background: Ventilator associated pneumonia is the most common nosocomial infection occurs
in people who are on intubation and mechanical ventilation. The gaps between knowledge,
attitude and actual clinical practices on its’ prevention have not been sufficiently studied and
needs further research which may contribute to the quality of care and improvement of critical
patient’s out come. Besides, nurse professionals who are providing services in a high risk critical
care setting should be competent to assess, monitor and effectively respond to the needs of
critically ill patients.
Objectives: The general objective of the study is to assess knowledge, attitude and practices on
the prevention of ventilator-associated pneumonia among nurses working in adult intensive
Care unit of five selected government hospitals, Addis Ababa.
Methodology: Across sectional descriptive study, design was employ. Data collected from
AICU nurses of five selected government hospitals. It was enter using SPSS version 21. For
windows and then analyzed. The study was analyzed using table and graph the study was
conduct from DEC/ 2016 - June 2017
RESULTS: Out 120 respondents, the respondent rate of study participant was 95.5%, majority
76.7% were aged between 20-29 yrs, the mean and + SD of age were 27.58 and 6.5 respectively.
56.7% were females, 80.8% had degree, Majority of Adult Intensive Care nurses 55.5 % had
been working in the ICU for less than 2yrs, qualification majority of respondents 57.5% junior
nurses, 60% were single.
59.5% had good knowledge on VAP prevention where as 39.7% poor knowledge, 69 (57%)
good practice and 42.5% poor practice on VAP prevention and 54.5% positive attitude where as
44.6% negative attitude VAP prevention of VAP. There was a significant difference in
knowledge between respondents with ICU work experience (p = 0.015) and there was no
significant deference on the age and educational level and concerning attitude and practice there
was significant deference age with practice (p=0.044) and work experience with attitude (p=
0.043) respectively.
CONCLUSIONS: The present study assessed the current knowledge attitudes and practices of
health professionals regarding VAP prevention in adult intensive care unit majority of
respondents had good knowledge 68(59.50%), attitudes and practice towards VAP prevention.
Increased health Professional’s awareness may improve their attitudes towards VAP prevention.
RECOMMENDATIONS: TO Addis Ababa University and Addis Ababa health bureau to
encourage nurses to follow strict acceptable evidence based practice protocol in service training
or education. Similar study recommended including large sample size in other hospitals, which
provide care for critically ill patients, further research on factors affecting implementation of
VAP prevention strategies was recommend.
Key words: knowledge, attitude, practice, KAPs, VAP, and ICU
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Keywords
knowledge; Attitude; practice; KAPs; VAP; and ICU