Assessment of Knowledge and Practice of Intensive Care Unit Nurses Towards Open Endotracheal Suctioning for Mechanically Ventilated Patient in Four Selected Government Public Hospitals in Addis Ababa,Ethiopia
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Date
2017-06
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Addis Ababa University
Abstract
Background
Endotracheal suctioning (ETS) is considered one of the most common procedures in intensive
care unit to maintain a patent airway in artificially ventilated patients. However, there are many
associated risks and complications like trauma, infection, bleeding, hypoxia, dysrhythmias and,
in extreme cases, cardiac arrest and death. Knowledge and practice of Intensive care unit nurses
towards endotracheal suctioning is directly related to minimize the above complications, improve
standard care, to promote effective/safe suctioning and to reduce length of stay in ICU. So,
assessing knowledge and practice of ICU nurses towards endotracheal suctioning is baseline to
improve well-being of intubated patients.
Objective
This study was conducted to assess knowledge and practice of Intensive care unit nurses towards
open endotracheal suctioning for mechanically ventilated patient in four selected public hospitals
Addis Ababa, Ethiopia, 2017.
Methods:
Institutional based cross sectional descriptive study was conducted. Data was collected using
structured questionnaire and observational check list. Descriptive statistics included frequency,
percentage, mean and standard deviation. Odds ratio was used to determine association between
variables. Data analysis was done using SPSS version 20.
Result: A total of 100 participants were involved in the study with 59% female. The mean age of
the participants’ was between 26-30 years and the mean scores of knowledge and practice nurses
were 11.14 and 16.11 respectively. Nearly half (51.0%) of nurses had poor knowledge and
41.0% of them had fair knowledge on endotracheal suctioning. and 80.0% had poor practice
regarding ETS. Sex had statistically significant association with knowledge (p=.008, AOR and
95% CI 3.336, 1.364- 8.161).Training on ETS had statistically significant association with
practice of nurses (p=.025, AOR & 95% of CI 3.372, 1.162-9.788).
Conclusion and Recommendation: More than half 51% of nurses had poor knowledge and
almost all 80% of nurse’s practice towards ETS was poor. Teaching intervention (especially for
females) and training to improve nurse’s knowledge and practice in the care of patients requiring
ETS is indicated.
Key word: Endotracheal suctioning, knowledge and practice.
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Keywords
Endotracheal suctioning; knowledge and practice