Assessment Of Knowledge Practice And Associated Factors On Hypothermia Prevention Of Nurses Among Trauma Patients.

Background: Trauma patients are particularly prone to hypothermia for multiple reasons includingrnexposure to environment or low ambient temperature, central nervous system injury, hypovolemicrnshock, administration of unaesthetic drugs and cold intravenous fluid, blood and blood products whichrnall decrease the abilities for patients to maintain Normothermia and conserve body heat. Exposure orrnaccidental hypothermia in adult trauma patients is associated with poor patient outcomes and consideredrnan independent determinant of early death. rnObjectives: the aim of this study was to assess knowledge and practice of nurses‘ and associated factorsrntowards hypothermia prevention among trauma patients in Addis Ababa Burn, Trauma, and emergencyrn(AaBET) hospital, Ethiopia, 2018/2019 G.C. rnMethodology: A descriptive, cross sectional study design was conducted to determine Knowledge andrnpractice of nurse‘s and associated factors on hypothermia prevention in Addis Ababa Burn, Trauma,rnand emergency (AaBET) hospital, Addis Ababa, Ethiopia from November 2018- May 2019.A total ofrn242 nurses were recruited by purposive sampling method. The data was collected by using semirnstructured, self-administer questioner. SPSS version 21.0 for windows was used for data entry andrnanalysis, descriptive statistics, bivariate and multivariate logistic regression was used to analyze the data. rnResult: More than half of 126(52.1%) of participants had good level of knowledge on hypothermia.rnNurses who are indicate resource shortage is as a challenge 2.211 times more knowledgeable than nursesrnwho didn‘t indicate resource shortage is as a challenge. (AOR=2.211, 95 % CI: 1.061, 5.034),)rneducational status and job place satisfaction were not found to be significant at 0.05 level of p-value.rnThe findings also show that, above half 125(52.5%) study participants had good level of practice onrnhypothermia prevention. Work experience, resource shortage, and on job training were associate inrnbivariate analysis but were not found to be significant in multivariate analysis. rnConclusion and recommendation: rnAlthough practice of hypothermia prevention in trauma patient appears to be easy, the nurse‘srnknowledge on hypothermia and level of practice on hypothermia still has with big difficulties. This canrnhave a significant impact on trauma patient that facilitate the increment of morbidity and mortalityrnrelating to trauma, therefore periodic on-job training and pre service training, regarding hypothermia andrnits prevention should be provided to all staff nurses and the development and subsequent implementationrnof simple algorithmic practice guideline is expected to improve the recognition and prevention ofrnhypothermia in trauma patient.

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