KNOWLEDGE, PRACTICE AND ASSOCIATED FACTORS TOWARDS INTRAVENOUS CANNULA-RELATED INFECTION PREVENTION AMONG NURSES WORKING AT NORTHWEST AMHARA REGIONAL STATE COMPREHENSIVE SPECIALIZED HOSPITALS, NORTHWEST ETHIOPIA 2022

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