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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: 1 June 2018     Published: 3 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.

Published in International Journal of Clinical Dermatology (Volume 1, Issue 1)
DOI 10.11648/j.ijcd.20180101.14
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), 2018. Published by Science Publishing Group

Keywords

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

References
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[2] SanouJ, T. S., LankoandeJ, Ouedraogo RM, SanouA, Survey of nosocomial infection prevalence in the surgery department of the Central National Hospital of Ouagadougou. Dakar Med, 1999. 38.
[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.
[7] HugonnetS, U. I., PittetD, Staffinglevel: a determinant oflate onset ventilator associated pneumonia. Critical Care, 2007. vol. 11.
[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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[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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[13] Muscedere J, D. P., Keena S, Fowler R, Cook D, Heyland D, Comprehensive evidence-based clinical practice guidelines for ventilator-associated pneumonia: Diagnosis and treatment. Journal of Critical Care, 2008. vol. 23.
[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.
[15] Rosenthal VD, G. S., Crnich C, Impact of an infection control program on rates of ventilator-associated pneumonia in intensive care units in 2 Argentinean hospitals. Am J Infect Control 2006, 2006. 34(2): p. 58-63.
[16] Dia NM, K. R., Dieng C, DiagneR, DiaML, FortesL, etal, Prevalence of nosocomial infections in a university hospital (Dakar, Senegal). Med Mal Infect, 2008. 38: p. 270-4.
[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.
[18] Binkley C FL, C. R., Mc. Curren C, Survey of oral care practices in US intensive care units. Am J Infect Control 2004. 32(3): p. 169-9.
[19] DAT, S., Knowledge and Practice of ICU Nurses on prevention of of VAP at MNH, Dar Es Salaam, Tanzania: A descriptive cross-sectional and Observational Study.. Open Access Journal 2012.
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  • APA Style

    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://article.sciencepublishinggroup.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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  • TY  - JOUR
    T1  - Knowledge, Practice and Associated Factors of Adult Intensive Care Nurses’ on Prevention of Ventilator Associated Pneumonia in Addis Ababa Public Hospitals, Addis Ababa, Ethiopia
    AU  - Girma Alemu Wami
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    JF  - International Journal of Clinical Dermatology
    JO  - International Journal of Clinical Dermatology
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    PB  - Science Publishing Group
    SN  - 2995-1305
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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.
    VL  - 1
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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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