Tigistu Gebreyohannis and Tsion AlemuMeron Eshete2026-06-222026-06-222025-06-27https://etd.aau.edu.et/handle/123456789/8380Background: The quality of nursing care in intensive care units (ICUs) is a critical determinant of patient outcomes and satisfaction, particularly in high-stakes environments such as those found in public hospitals. In Ethiopia, where healthcare resources are often limited and related literature is rather scarce, understanding the dynamics of nursing care quality is essential for improving health services. Objective: To assess quality of nursing care and associated factors in intensive care units of selected public hospitals, Addis Ababa, Ethiopia, 2025 Methods: An institution-based, cross-sectional study was conducted from February 1 to February 30, 2025, among nurses working in intensive care units of selected public hospitals in Addis Ababa, Ethiopia. All eligible nurses within the study settings were included, employing a total population sampling approach. Data were collected using a standardized, self-administered Quality Nursing Care Scale for Intensive Care (ICU-I-QNCS) questionnaire. The collected data were entered into Kobo Toolbox and analyzed using SPSS version 26. Descriptive statistics summarized participants’ characteristics. Bivariable and multivariable regression analyses were performed to identify factors associated with the quality of nursing care. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated, and a p-value of less than 0.05 was considered statistically significant. The findings were presented using text, tables, and figures. Results: A total of 165 respondents participated in the study, resulting in a response rate of 98.8%. Males constituted 55.8% (n = 92) of the sample. The median age was 30 years, with an interquartile range of 28 to 32 years. Overall, 75.8% (n = 125) of participants demonstrated adequate knowledge of quality nursing care; however, only 27.9% (n = 46; 95% CI: 21.0–34.8) provided care that met acceptable quality standards. Multivariate logistic regression analysis indicated that higher educational attainment (AOR = 3.70; 95% CI: 1.72 7.98) and adequate knowledge of quality nursing care (AOR = 3.28; 95% CI: 1.14–9.46) were significantly associated with the provision of acceptable quality nursing care. Conclusions: A substantial majority (72.1%) of nurses delivered care below acceptable quality standards. We recommend that hospital authorities strengthen efforts to ensure compliance with nursing care quality standards. These findings can inform policy development aimed at enhancing care quality in health facilities.enquality of nursing careassociated factorsintensive care unitsEthiopiaThesis