Abstract:
Introduction: Intravenous (IV) cannula-related infections are one of the leading causes of
healthcare-associated infection. Mostly it occurred due to poor nursing care and it leads to
morbidity and mortality in hospitalized patients, Whereas, In Ethiopia, there is limited
information and published studies on nurses’ knowledge, practice, and associated factors
towards IV cannula-related infection prevention.
Objectives: To assess knowledge, practice, and associated factors toward IV cannula-related
infection prevention among nurses working in Northwest Amhara Regional State
Comprehensive Specialized Hospitals, 2022.
Methods: An institution-based cross-sectional study was conducted at Northwest Amhara
Regional State Comprehensive Specialized Hospitals in May 1-30/2022. A simple random
sampling method was used to select 423 nurses. The data were collected by using structured
pretested self-administered questionnaires then entered into EPI- Data version 4.6 and
exported in to SPSS version 23 software for analysis. A binary logistic regression model was
used to assess the association between variables. Based on the AOR variables having a pvalue
less
than
0.05 with
a
95%
CI
were
used
to state
association
with the
outcome
variables.
Results:
A
total
of
412
nurses
participated
in
this
study
with
a
97.4%
of
response
rate.
More
than
half (54.9%) and (53.4%) of the participants had good knowledge and practice
respectively. Variables which were significantly associated with knowledge; Masters
[AOR=3.81, 95% CI (1.07, 13.53)], and Degree nurses [AOR=3.65, 95% CI (1.21, 11.05)],
obtaining training [AOR =2.16, 95% CI (1.31, 3.57)], being male [AOR=3.29, 95% CI (2.14,
5.06)], and working in surgical [AOR= 3.02, 95% CI (1.34, 6.81)]. With practice having
good knowledge [AOR=2.55, 95% CI (1.67, 3.89)], obtaining training [AOR=2.12, 95% CI
(1.26, 3.57)], Availability of guideline [AOR=1.69, 95% CI (1.06, 2.68)], and working in
pediatrics wards [AOR=4.88, 95% CI (1.83, 13.05)], & Emergency [AOR=3.11, 95% CI
(1.22, 7.93)].
Conclusion: The finding of this study revealed that nearly half of the nurses had poor
knowledge and practice in IV cannula-related infection prevention. Therefore, hospital
administrators and other concerned stakeholders better to prepare and ensure the availability
of guideline, provision of training and improve the educational level of nurses.
Keywords: Hospital, Infection Prevention, Intravenous, Knowledge, Nurses’, Practice
