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
Volume 1, Issue 1, June 2018, Pages: 15-21
Received: May 19, 2018;
Accepted: Jun. 1, 2018;
Published: Jul. 3, 2018
Views 830 Downloads 105
Girma Alemu Wami, Department of Adult Health, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia
Daniel Mengistu, Department of Nursing & Midwifery, College of Medicine, Addis Ababa University, Addis Ababa, Ethiopia
Gebre Gelana Gudisa, Department of Pediatrics, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia
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.
Girma Alemu Wami,
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, International Journal of Clinical Dermatology.
Vol. 1, No. 1,
2018, pp. 15-21.
Al, R. A., Ventilator-associated pneumonia: Prevention is better than cure. Nursing critical care, 2008. 13(1): p. 44-53.
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.
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.
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.
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.
Torres A, S.-B. J., Ross E, et al, Pulmonary aspiration of gastric contents in patients receivingmechanicalventilation: Theeffectofbodyposition. Ann Intern Med., 1992.
HugonnetS, U. I., PittetD, Staffinglevel: a determinant oflate onset ventilator associated pneumonia. Critical Care, 2007. vol. 11.
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).
Grap J, M. C., Ashianti B, Bryant S, Oral care interventions in critical care: frequency and documentation. American Journal of Critical Care, 2003. 12(2).
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.
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.
Rosenthal VD, G. S., Orellano PW, Nosocomial infections in medical-surgical intensive care units in Argentina: attributable mortality and length of stay. Am J Infect Control 2003. 31(5): p. 291-5.
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.
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.
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.
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.
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.
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.
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.
Hixon S, L. S. M., King T, Nursing strategies to prevent ventilator associated pneumonia. AACN Clinical issues: Advanced Practice in Acute and Critical Care. Nursing critical care, 4-1998. 9(1).
Blot S LS, V. D., et al, Executive board of Flemish Society for Critical Care Nurses. Evidence-based guideline for the prevention of ventilator-associated pneumonia: Results of knowledge test among intensive care nurses. Intensive Care Med 2007. 33: p. 1463-7.
DeKeyser Ganz F FN, R. O., Asher M, Bruttin M, Nun MB, et al ICU nurses‘ oral-care practices and the current best evidence. J Nurs Scholarsh, 2009. 41(2): p. 132-8.