Knowledge, Attitude, and Practice of Procedural Sedation Among Residents at St. Paul's Hospital Millennium Medical College

Abstract

Abstract Introduction: The provision of Procedural sedation for procedures outside of the operating room has grown dramatically for both diagnostic and therapeutic purposes. Since Procedural sedation is now practiced across many medical emergency centers in Ethiopia, there is a need to ascertain whether practices are in keeping with current evidence-based guidelines. This study therefore aims to determine current practices, common indications, and major obstacles concerning the practice of Procedural sedation in selected departments of St. Paul Hospital. Objective: To assess the Knowledge, Attitude, and Practice of Procedural Sedation Among Residents at St. Paul’s Hospital Millennium Medical College, and Addis Ababa Burn, Emergency and Trauma Hospital, Addis Ababa, Ethiopia. Methodology: A quantitative, descriptive, analytical, and cross-sectional questionnaire study was implemented to explore the level of awareness of procedural sedation among residents working at St. Paul’s Hospital Millennium Medical College. Results: A total of 184 respondents completed the questionnaire received from the four departments. The result of the study shows that the overall levels of awareness of procedural sedation were poor. Those who scored poor knowledge were higher than those who scored good knowledge (56% Vs 44% respectively). However, the emergency and critical care medicine group were more knowledgeable than others (AOR=1.31, 95%CI,0.564-3.041). Those who scored the unfavorable attitude were higher than those who scored the favorable attitude (65% Vs 35% respectively). However, the emergency and critical care medicine groups were more favorable than others (AOR = 6.252, 95%CI, 2.505-15.604). Those who scored poor practice were fairly higher than those who scored good practice (52.70%Vs 47.30%respectively). Conclusion: The levels of awareness of procedural sedation in all groups were lacking. Keywords: Procedural Sedation, Residents, Knowledge, Attitude, and Practice.