Knowledge , Practice and Associated factors towards Mechanical Ventilation Management among Adult Intensive Care Unit Nurses at Public Hospitals in Addis Ababa, Ethiopia, 2021 GC

Abstract

Abstract Background: The need for mechanical ventilation is one of the most common causes of admission to the intensive care unit. There is a paucity of information on knowledge and practice towards mechanical ventilation among nurses in the current study area. Objective: The main aim of this study was to assess knowledge, practice, and associated factors towards mechanical ventilation among adult intensive care unit Nurses at public hospitals in Addis Ababa, Ethiopia, 2021. Methods: Facility-based cross-sectional study was done by a total survey of all 330 Adult intensive care unit nurses at public hospitals in Addis Ababa for the assessment of knowledge and 10%(33) of them included in the observational study. Data was collected using self-administered questionnaires for knowledge and observational checklist for practice on mechanical ventilation. The data was coded and entered into Epidata version 4.6 and then transferred to the statistical package for social science version 26 for further analysis. Binary and multi-variable logistic regression was done at 95% confidence interval with P-value < 0.05 to find association between variables. Results are expressed as mean ± standard deviation and percentage. Result: Among the study participants 181(58.6%) were females and the mean age was 27.9 years (± 3.2 SD). About 266(86.1%) were clinical nurses and first-degree holders. The overall knowledge level of the Nurses was determined that 167(54%) had poor knowledge with 95% C.I (48.5-59.5). The identified factors associated with adult intensive care unit Nurses’ mechanical ventilation knowledge were: educational level, Masters of Science degree (AOR7.316, 95% C.I 1.733, 30.895) and Bachelor Science (AOR 4.87, 95% C.I 1.63, 14.57), training (AOR 2.299, 95% C.I 1.362, 3.881) and guideline (AOR 1.67, 95% C.I, 0.979, 2.8490). About 151(49.2%) of the subjects had favorable attitude towards mechanical ventilation and 25(75.8%, n=33) of subjects demonstrated poor practice during observation with 95% C.I (60.6, 90.9). Conclusion: The overall knowledge and practice of intensive care unit nurses was poor with identified factors that increase the likelihood of good knowledge were: educational level, training and guideline. Therefore, policy makers and health planners would better strengthen regular training and provision of guidelines and protocols to improve the knowledge and practice level of the nurses. Keywords: Mechanical ventilation, Knowledge, Practice, Adult Intensive Care Unit Nurses, Public hospitals