Practice of and associated factors regarding prevention of surgical site infection among nurses working in the surgical units of public hospitals in Addis Ababa city, Ethiopia: A cross-sectional study

Abstract

Background Surgical site infections are one of the commonest types of healthcare-associated infections. Up to 60% of these infections are estimated to be preventable by using evidence-based guidelines. As a front line caregiver, nurses are responsible for the majority of preventive activities. Hence, the enhanced practical skill of nurses is an essential component in preventive actions. Objective The aim of this study was to assess the practice of nurses and identify factors associated with it regarding prevention of surgical site infections in Addis Ababa city public hospitals. Methods An institution-based cross-sectional study was carried out from March 01-30, 2018. An adapted and pretested, self-administered questionnaire was utilized as a data collection tool. A stratified random sampling technique was employed by considering the level of hospitals as a stratum. Data were entered into a computer using Epi-data 3.1 statistical package. Then, it was exported to SPSS Version 23 for further analysis. Descriptive statistics were computed for the study variables. Bivariate regression analysis was also run to assess the association between independent variables and the level of nurse's practice. To see the relative effect of independent variables on the nurse's practice, a multivariable regression analysis was carried out.

Knowledge, practice, and associated factors towards postoperative wound care among nurses working in public hospitals in Ethiopia: A multicenter cross‐sectional study in low resource setting area

“…This finding was agreed with the study conducted in Addis Ababa city among nurses working in the surgical units of public hospitals. 20 An adequate supply of personal protective equipment was significantly associated with the good practice toward postoperative wound care in the study area. The odds of having good postoperative practice were almost three times more likely among those who had a supply of PPE than those who had not (AOR = 3.38 [(1.29-8.84]).…”

“…A pretested and structured self‐administered English version questionnaire (as nurses use the English language as a medium of communication as well as learning proficiency in the Ethiopian context) that was adapted from related studies was used to collect the necessary data from the study participants. The data collection tool was adapted and modified from previous comparable studies 15,16,20 . Four trained nurses and two supervisors facilitated data collection.…”

“…The nurses' practice towards postoperative wound care was measured by 15 items with a 4‐point Likert scale (never practice, rarely practice, sometimes practice, and always practice) and receives a score of “0” for never practice, rarely practice “1,” sometimes practice “2,” and always practice “3.” The scores ranged from 0 to 45 and were transformed into a percentage for interpretation after checking for normality. Accordingly, nurses' practice towards postoperative wound care was classified into two categories: good practice (if above the mean) and poor practice (equal to or below the mean) 16,20 …”

“…Accordingly, nurses' practice towards postoperative wound care was classified into two categories: good practice (if above the mean) and poor practice (equal to or below the mean). 16,20…”

“…The data collection tool was adapted and modified from previous comparable studies. 15,16,20 Four trained nurses and two supervisors facilitated data collection. The instrument was pretested on 24 nurses (5% of the sample size) to enhance instrument reliability.…”