Knowledge, practice, and associated factors towards Mechanical Ventilation management among adult intensive care unit Nurses at public hospitals in Addis Ababa, Ethiopia
Kemal Abdulkadir1, Epherem Hassen*2, Tilahun Desta3 and Dereje Bayissa Demissie4
Abstract
Background: Mechanical ventilation (MV) is one of the commonest reasons of admission to the intensive care unit (ICU) and its management requires good knowledge and skill. There is a paucity of information on knowledge and practice of MV among nurses in the study area.
Objectives: The aim of the study was to assess knowledge, practice, and associated factors toward MV among adult ICU nurses at public hospitals in Addis Ababa, Ethiopia, in December 2021.
Methods: A cross-sectional study was conducted at public hospitals in Addis Ababa among 330 adult ICU nurses, and 10% (33) of the respondents were observed by checklist for MV practice. The collected data were cleaned, entered into EpiData version 4.4, and exported to SPSS version 25.0 software for further analysis. Both binary and multiple logistic regression analyses were used to identify associated factors with knowledge status, with adjusted odds ratio (AOR) and 95% confidence interval (CI) at p-value < 0.05.
Results: Poor knowledge level on MV management among adult ICU nurses at public hospitals in Addis Ababa was 54% (95% CI: 48.5-59.5%). The factors that increased the odds of good knowledge towards MV management were educational level: Masters of Science degree (AOR = 7.31; 95% CI: 1.73-30.89) and Bachelor of Science (AOR = 4.87; 95% CI: 1.63-14.57), on job training (AOR = 2.29, 95% CI: 1.36-3.88), and use of guidelines (AOR 1.65; 95% CI: 1.39-2.26). The study revealed that 25 out of 33 (75.8%, 95% CI: 60.6, 90.9%), of adult intensive care unit nurses demonstrated poor practice on MV management.
Conclusion: This study determined that the majority of adult ICU nurses had poor knowledge and poor practice toward MV management at public hospitals in Addis Ababa. The factors that increased the likelihood of good knowledge were educational status, training, and use of guidelines. Policymakers and health planners should strengthen the on-job training on MV management.
Keywords: Mechanical ventilation, Knowledge, Practice, Intensive Care Unit, Nurses
