Knowledge, Attitude, Perceived Responsibilities, and Associated Factors Regarding Colostomy Care Among Nurses Working in Surgical Units at Amhara Region General and Referral Hospitals, Ethiopia: A Mixed Method Study

Abstract

Background: Colostomy is one of the commonest lifesaving procedures worldwide with aims of decompression of an obstructed colon or diversion of feces. Colostomy care is important to improve the quality of life of the patient, yet information is scarce concerning knowledge, attitude, and role of nurses on colostomy care in Ethiopia generally and in Amhara region specifically. Objective: This study aimed to assess knowledge, attitude, perceived responsibility, and associated factors regarding colostomy care among nurses working in surgical units at Amhara region general and referral hospitals, Ethiopia. Methods: A cross-sectional, mixed method study was conducted from March 1 to 30, 2020 using a census method. The data were collected using semi-structured, self-administered questionnaire and in-depth interview. Analytic schemes including bivariable and multivariable logistic regression were computed considering P-value < 0.05 to identify statistically significant factors. Qualitative data were analyzed with thematic content analysis. Results: In the current study, the adequate knowledge of nurses was found to be 40.4% (95% CI: 35.4-45.8). Clinical experience, colostomy care guidelines, gave care for colostomy patient, ever received colostomy care training, and read professional literature regularly were significantly associated with adequate knowledge. Favorable attitude of nurses was found to be 49.6% (95% CI: 45-54.5). Presence of colostomy care guidelines, gave care for colostomy patients, and adequate knowledge were significantly associated with favorable attitude. Nurses have a strong professional perception of caring for colostomy patients but lack of training, inadequate supplies, and lack of professional perquisite are barriers identified. Conclusion:In the present study, nearly half of nurses had only adequate knowledge and favorable attitude, but the majority of nurses perceived their responsibilities towards colostomy care. Therefore, taking part in care, developing guidelines, providing training and fulfilling nurses' perquisite are needed to enhance the knowledge, attitude, and responsibility of nurses towards colostomy care.

Knowledge and Associated Factors of Nursing Professionals Toward Colostomy Care at Borumeda and Dessie Comprehensive Specialized Hospital, South Wollo Zone, Northeast, Ethiopia, 2022

“…On the other hand, only a small percentage 25 (7.4%) demonstrated high knowledge of colostomy care. Furthermore, the study conducted in Amhara regional hospitals found that only 40.4% of nursing participants had adequate knowledge of colostomy care ( Lebona et al, 2016 ; Tiruneh et al, 2022 ).…”

The clarification of the concept of colostomy nursing care in ostomy care centers: A concept analysis through Walker and Avant’s method

“…First, SCNs are on the frontline of ostomy care in OCCs and have a key role in care provision to patients with colostomy, but they do not consider themselves responsible for colostomy care due to their limited knowledge about their roles, which roots in ambiguities in the concept of CNC. [ 28 29 30 ] Second, expressions such as ostomy care, colostomy care, and ileostomy nursing are interchangeably used, while patients with each type of ostomy have unique needs and all of them need long-term care and specific attention. [ 31 ] Nonetheless, to the best of our knowledge, there is no specific concept analysis study on the concept of CNC.…”