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

Wami, Girma Alemu (2014) 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. Masters thesis, Addis Ababa University.

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Abstract

BACKGROUND- Ventilator-associated pneumonia (VAP) is the most common nosocomial infection, with the prevalence rates ranging from 10% to 70% in critical/ Intensive care units. It is a sub-type of hospital-acquired pneumonia which occurs in people who are on intubation or mechanical ventilation that was not present at the time of admission to hospital or that occurs 48 hours after intubation and mechanical ventilation through an endotracheal or tracheotomy with reported incidence of 6–20 times higher in these patients. OBJECTIVE: To assess knowledge, practice and associated factors of Adult Intensive Care nurses‘ on prevention of Ventilator Associated Pneumonia (VAP) in selected Hospitals in Addis Ababa, Ethiopia. METHODS AND MATERIALS- A facility based cross-sectional and observational study was conducted on 129 Adult Intensive Care nurses to assess their knowledge, practice and other associated factors by using self-administered questionnaire and observational checklist. Information letters, consent forms and questionnaires were handed to nurses working in the Adult ICU; by data collectors. Data was coded and entered into EPI INFO 3.5.4 and Analyzed using SPSS version 16.0 for descriptive and inferential statistics. RESULTS: Out 129 respondents, 78 (60.5%) were females, 73 (56.6%) had diploma, Majority of Adult Intensive Care nurses 79 (61.2%) had no ICU training, and 87 (67.5 %) had been working in the ICU for less than 6 years, 66 (51.2%) scored below mean score, had inadequate knowledge. There was a significant difference in knowledge between respondents with ICU training as found (p value = 0.04) and between participants with different educational level (pvalue =0.021). Significant difference in practice was found between ICU nurses who had ICU training (p value = 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 Care Units had inadequate knowledge and practice. Nevertheless, those nurses who trained and had high educational level have adequate knowledge than those nurses who had more years of experience, where as those experienced and trained nurses were practicing more adequately than those nurses who hold first and second degree. RECOMMENDATIONS: I would like to recommend those program efforts working towards prevention of VAP, and improving Knowledge and practices of Intensive care nurses‘.

Item Type: Thesis (Masters)
Uncontrolled Keywords: knowledge, practice, nurse(s), Adult intensive care unit, Ventilator associated pneumonia
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 03 Jul 2018 08:45
Last Modified: 03 Jul 2018 08:45
URI: http://thesisbank.jhia.ac.ke/id/eprint/6246

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