International Journal of Clinical Dermatology

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Knowledge, Practice and Associated Factors of Adult Intensive Care Nurses’ on Prevention of Ventilator Associated Pneumonia in Addis Ababa Public Hospitals, Addis Ababa, Ethiopia

Received: 19 May 2018    Accepted: 01 June 2018    Published: 03 July 2018
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Abstract

Pneumonia is amongst the most leading cause of death in developing world where Ventilator Associated Pneumonia (VAP) is common among patients on mechanical ventilation/ intubation post hospitalization, and it is 6-20 times higher among patients in critical / intensive care units. Multiple factors were identified in different literatures for its occurrences. Poor nurses’ knowledge and practices were repetitively reported from public hospitals in Ethiopia. The objective of this study is 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. A Facility based cross-sectional and observational study was conducted on 129 Adult Intensive Care nurses using self-administered questionnaire and observational checklist. The study shows that, Out of 129 respondents, 78 (60.5%) were females, 73 (56.6%) had diploma. There was a significant difference in knowledge between trained and non-trained adult intensive care nurses as found (pvalue = 0.04) and as increased educational level (pvalue = 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 working experiences (pvalue = 0.033). Thus, the study reveals that majority of nurses working in the Adult Intensive Care Units had inadequate knowledge and practice.

DOI 10.11648/j.ijcd.20180101.14
Published in International Journal of Clinical Dermatology (Volume 1, Issue 1, June 2018)
Page(s) 15-21
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Knowledge, Practice, Nurse(s), Adult Intensive Care Unit, Ventilator Associated Pneumonia, Ethiopia

References
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[3] Vincent JL BD, S. P., Bruining HA, White J, Nicolas-ChanoinMH, etal, The prevalence of nosocomial infection in intensive care units in Europe. Results of the European prevalence of infection in Intensive care (EPIC) study. JAMA, 2-1995. 274(1): p. 639-44.
[4] MynyD, D. P., ColardynF, BlotS, Ventilator-associatedpneumonia in a tertiary care ICU: Analysis of risk factors for acquisition and mortality. Acta Clin Belg, 2005. 60: p. 114-21.
[5] Kelleher S, A., T', An Observational Study on the open-system endotracheal suctioning practices of critical care nurses':SA. Journal of Clinical Nursing, 2008. 17(3): p. 360-369.
[6] Torres A, S.-B. J., Ross E, et al, Pulmonary aspiration of gastric contents in patients receivingmechanicalventilation: Theeffectofbodyposition. Ann Intern Med., 1992.
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[8] Grap J, M. C., Ashianti B, Bryant S, Oral care interventions in critical care: frequency and documentation. American Journal of Critical Care, 7/2003. 12(2).
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[10] Rothschild JM LC, C. J. e. a., The incidence and nature of adverse events and serious medical errors in intensive care: The critical care safety study. Crit Care Med, 2005. 33: p. 1694-700.
[11] Tablan OC AL, B. R., Bridges C, HajjehR, Health careInfectionControl PracticesAdvisoryCommittee. Guidelines for preventing health care associated pneumonia. Recommendations of CDC and the Healthcare Infection Control Advisory Committee. MMWRRecomm, 2003/2004. 53(RR-3.): p. 1-36.
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[14] Rello J OD, O. G., et al Epidemiology and outcomes of ventilator-associated pneumonia in a large US database. Chest 2002. 122(2): p. 115-21.
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[17] Biancofiore G, B. E., Catalani V, Landi A, Bindi L, Urbani L, Desimone P, Nurses‘ knowledge and application of evidence-based guidelines for preventing ventilatorassociated pneumonia, Italy. Minerva Anestesiologica, 2007. vol. 73.
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Author Information
  • Department of Adult Health, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia

  • Department of Nursing & Midwifery, College of Medicine, Addis Ababa University, Addis Ababa, Ethiopia

  • Department of Pediatrics, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia

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    Girma Alemu Wami, Daniel Mengistu, Gebre Gelana Gudisa. (2018). Knowledge, Practice and Associated Factors of Adult Intensive Care Nurses’ on Prevention of Ventilator Associated Pneumonia in Addis Ababa Public Hospitals, Addis Ababa, Ethiopia. International Journal of Clinical Dermatology, 1(1), 15-21. https://doi.org/10.11648/j.ijcd.20180101.14

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    ACS Style

    Girma Alemu Wami; Daniel Mengistu; Gebre Gelana Gudisa. Knowledge, Practice and Associated Factors of Adult Intensive Care Nurses’ on Prevention of Ventilator Associated Pneumonia in Addis Ababa Public Hospitals, Addis Ababa, Ethiopia. Int. J. Clin. Dermatol. 2018, 1(1), 15-21. doi: 10.11648/j.ijcd.20180101.14

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    AMA Style

    Girma Alemu Wami, Daniel Mengistu, Gebre Gelana Gudisa. Knowledge, Practice and Associated Factors of Adult Intensive Care Nurses’ on Prevention of Ventilator Associated Pneumonia in Addis Ababa Public Hospitals, Addis Ababa, Ethiopia. Int J Clin Dermatol. 2018;1(1):15-21. doi: 10.11648/j.ijcd.20180101.14

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  • @article{10.11648/j.ijcd.20180101.14,
      author = {Girma Alemu Wami and Daniel Mengistu and Gebre Gelana Gudisa},
      title = {Knowledge, Practice and Associated Factors of Adult Intensive Care Nurses’ on Prevention of Ventilator Associated Pneumonia in Addis Ababa Public Hospitals, Addis Ababa, Ethiopia},
      journal = {International Journal of Clinical Dermatology},
      volume = {1},
      number = {1},
      pages = {15-21},
      doi = {10.11648/j.ijcd.20180101.14},
      url = {https://doi.org/10.11648/j.ijcd.20180101.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijcd.20180101.14},
      abstract = {Pneumonia is amongst the most leading cause of death in developing world where Ventilator Associated Pneumonia (VAP) is common among patients on mechanical ventilation/ intubation post hospitalization, and it is 6-20 times higher among patients in critical / intensive care units. Multiple factors were identified in different literatures for its occurrences. Poor nurses’ knowledge and practices were repetitively reported from public hospitals in Ethiopia. The objective of this study is 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. A Facility based cross-sectional and observational study was conducted on 129 Adult Intensive Care nurses using self-administered questionnaire and observational checklist. The study shows that, Out of 129 respondents, 78 (60.5%) were females, 73 (56.6%) had diploma. There was a significant difference in knowledge between trained and non-trained adult intensive care nurses as found (pvalue = 0.04) and as increased educational level (pvalue = 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 working experiences (pvalue = 0.033). Thus, the study reveals that majority of nurses working in the Adult Intensive Care Units had inadequate knowledge and practice.},
     year = {2018}
    }
    

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    AB  - Pneumonia is amongst the most leading cause of death in developing world where Ventilator Associated Pneumonia (VAP) is common among patients on mechanical ventilation/ intubation post hospitalization, and it is 6-20 times higher among patients in critical / intensive care units. Multiple factors were identified in different literatures for its occurrences. Poor nurses’ knowledge and practices were repetitively reported from public hospitals in Ethiopia. The objective of this study is 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. A Facility based cross-sectional and observational study was conducted on 129 Adult Intensive Care nurses using self-administered questionnaire and observational checklist. The study shows that, Out of 129 respondents, 78 (60.5%) were females, 73 (56.6%) had diploma. There was a significant difference in knowledge between trained and non-trained adult intensive care nurses as found (pvalue = 0.04) and as increased educational level (pvalue = 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 working experiences (pvalue = 0.033). Thus, the study reveals that majority of nurses working in the Adult Intensive Care Units had inadequate knowledge and practice.
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