Knowledge, practice and associated factors of nurses towards prevention of catheter-associated urinary tract infection in intensive care unit of public hospitals administered by Federal Government in Addis Ababa, Ethiopia: a cross-sectional institutional-based study

Abstract

Background Urinary catheterization is one of the most common procedures performed in hospitals specifically, in the intensive care units and is associated with a high risk for acquired urinary tract infections. More than 70% of acquired urinary tract infections are due to catheter use. Nurses are the primary healthcare providers responsible for inserting and maintaining urinary catheters. The data regarding nurses’ knowledge, practice and associated factors towards prevention of catheter-associated urinary tract infections are limited in Ethiopia. Therefore, this study aimed to assess the knowledge, practice, and associated factors of nurses towards prevention of catheter-associated UTIs in the Intensive Care Unit (ICU) of public hospitals in Addis Ababa, Ethiopia. Methods An institutional-based descriptive cross-sectional study was conducted from March 01 to April 15, 2021, among nurses working in the ICU of public hospitals in Addis Ababa, Ethiopia. All 204 nurses working in the ICU of four public hospitals were included in the study using the census sampling method. Data were collected using a pretested self-administered semi-structured questionnaire. Data were cleaned and entered into Epi data version 4.6 and analyzed using Statistical Package for Social Sciences version 26.0. Pearson Chi-square and Fischer exact tests were performed to see the association between independent and dependent variables. The level of significance is considered at P-value less than 0.05. Results A total of 184 nurses participated in the study, making a response rate of 90.2%. The mean (±SD) age of the study participant was 29.07(±4.78). The study findings showed that more than half (63.04%) of nurses had poor knowledge and 88(47.83%) of nurses had poor practice towards prevention of catheter-associated UTIs. In this study, there was a statistically significant association between professional work experience and nurses’ knowledge in preventing catheter-associated UTIs (at P-value = 0.031). Conclusion In this study, nurses’ knowledge and practice towards the prevention of catheter-associated urinary tract infection was relatively poor. Professional work experience had a significant statistical association with the level of knowledge. Therefore, increasing the knowledge of nurses through appropriate educational programs and training on the preventive measures of device-associated infections was recommended to prevent catheter-associated UTIs.

Construction of a three-level enteral nutrition nursing system under the “Internet + medical” mode and an evaluation of its effect in clinical application

“…Clinical reports show that, due to the depletion of diseases and patients' insufficient nutritional intake, the number of patients with malnutrition is increasing ( 3 ). However, through the construction of a normalized and standardized enteral nutrition nursing system, professional services can be provided for clinical nutrition evaluation, implementation, observation, nursing, and follow-up family nutrition management, which can greatly improve the effect of nutritional treatment ( 4 , 5 ).…”

Nurse's knowledge and practice towards prevention of catheter‐associated urinary tract infection: A systematic review

“…Most of the studies were reported from India (6 studies) 26,31–35 : followed by United States (3 studies), 36–38 Ethiopia (3 studies), 2,39,40 Iraq (2 studies) 41,42 and single study from Pakistan, 43 Saudi Arabia, 44 Yeman, 12 Solvakia, 45 Nepal 46 and Malaysia 47 (Figure 2).…”

“…Most of the studies followed a cross-sectional study design. 2,12,26,37,39,40,[42][43][44][45][46][47] In contrast, one study followed a randomized experimental design, 31 a prospective cohort study design, 38 as stated in Table 2. There were 3019 study participants in the included studies; the maximum number of participants was 423, 40 while the minimum was 30.…”

“…32 Meanwhile, 23.90% of nurses had a master's degree, the maximum number of participants having a bachelor's degree. 2 In terms of nurse's experience, most of the studies described the experience of nurses (1-5 or >5 years); however, four studies did not mention the experience. 31,35,38,43 Nurses working in different wards or departments and data collection tools used in the studies are listed in Table 2.…”

“…It is responsible for over 70% of all UTIs. 2 Similarly, an indwelling urinary catheter (IUC) is the leading risk factor for CAUTIs. 3 Suppose a patient has an IUC and exhibits at least one of the following symptoms within 48 hours of the onset of infectivity such as fever, urgency, dysuria, suprapubic tenderness, pain or costovertebral angle tenderness, and a urine +ve culture.…”