Assessment of Knowledge, Practice and Associated Factors of Adult Intensive Care Nurses‘ on Prevention of Ventilator Associated Pneumonia in Selected Hospitals in Addis Ababa, Ethiopia
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Date
2014-06
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Addis Ababa University
Abstract
Background- Ventilator-associated pneumonia (VAP) is the most common nosocomialinfection, with the prevalence rates ranging from 10% to 70% in critical/ Intensive care units. It isa sub-type of hospital-acquired pneumonia which occurs in people who are on intubation ormechanical ventilation that was not present at the time of admission to hospital or that occurs 48hours after intubation and mechanical ventilation through an endotracheal or tracheotomy withreported incidence of 6–20 times higher in these patients.
Objective: To assess knowledge, practice and associated factors of Adult Intensive Carenurses‘ on prevention of Ventilator Associated Pneumonia (VAP) in selected Hospitals in AddisAbaba, Ethiopia.
Methods And Materials- A facility based cross-sectional and observational study wasconducted on 129 Adult Intensive Care nurses to assess their knowledge, practice and otherassociated factors by using self-administered questionnaire and observational checklist.Information letters, consent forms and questionnaires were handed to nurses working in the AdultICU; by data collectors. Data was coded and entered into EPI INFO 3.5.4 and Analyzed usingSPSS version 16.0 for descriptive and inferential statistics.
Results: Out 129 respondents, 78 (60.5%) were females, 73 (56.6%) had diploma, Majorityof Adult Intensive Care nurses 79 (61.2%) had no ICU training, and 87 (67.5 %) had beenworking in the ICU for less than 6 years, 66 (51.2%) scored below mean score, had inadequateknowledge. There was a significant difference in knowledge between respondents with ICUtraining as found (p value = 0.04) and between participants with different educational level (p value =0.021). Significant difference in practice was found between ICU nurses who had ICU training (pvalue= 0.038) and between nurses with different years of Experiences (p value = 0.041)
Conclusion: The study reveals that majority of nurses working in the Adult Intensive CareUnits had inadequate knowledge and practice. Nevertheless, those nurses who trained and hadhigh educational level have adequate knowledge than those nurses who had more years ofexperience, where as those experienced and trained nurses were practicing more adequately thanthose nurses who hold first and second degree.
Recommendations: I would like to recommend those program efforts working towardsprevention of VAP, and improving Knowledge and practices of Intensive care nurses‘.
Key words: knowledge, practice, nurse(s), Adult intensive care unit, Ventilator associatedpneumonia
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Keywords
Knowledge Practice Nurse(s) Adult intensive care unit Ventilator associated pneumonia