Assessment Of Knowledge And Practice Of Intensive Care Unit Nurses Towards Open Endotracheal Suctioning For Mechanically Ventilated Patient In Four Selected Government Public Hospitals In Addis Ababaethiopia

BackgroundrnEndotracheal suctioning (ETS) is considered one of the most common procedures in intensiverncare unit to maintain a patent airway in artificially ventilated patients. However, there are manyrnassociated risks and complications like trauma, infection, bleeding, hypoxia, dysrhythmias and,rnin extreme cases, cardiac arrest and death. Knowledge and practice of Intensive care unit nursesrntowards endotracheal suctioning is directly related to minimize the above complications, improvernstandard care, to promote effective/safe suctioning and to reduce length of stay in ICU. So,rnassessing knowledge and practice of ICU nurses towards endotracheal suctioning is baseline tornimprove well-being of intubated patients.rnObjectivernThis study was conducted to assess knowledge and practice of Intensive care unit nurses towardsrnopen endotracheal suctioning for mechanically ventilated patient in four selected public hospitalsrnAddis Ababa, Ethiopia, 2017.rnMethods:rnInstitutional based cross sectional descriptive study was conducted. Data was collected usingrnstructured questionnaire and observational check list. Descriptive statistics included frequency,rnpercentage, mean and standard deviation. Odds ratio was used to determine association betweenrnvariables. Data analysis was done using SPSS version 20.rnResult: A total of 100 participants were involved in the study with 59% female. The mean age ofrnthe participants’ was between 26-30 years and the mean scores of knowledge and practice nursesrnwere 11.14 and 16.11 respectively. Nearly half (51.0%) of nurses had poor knowledge andrn41.0% of them had fair knowledge on endotracheal suctioning. and 80.0% had poor practicernregarding ETS. Sex had statistically significant association with knowledge (p=.008, AOR andrn95% CI 3.336, 1.364- 8.161).Training on ETS had statistically significant association withrnpractice of nurses (p=.025, AOR & 95% of CI 3.372, 1.162-9.788).rnConclusion and Recommendation: More than half 51% of nurses had poor knowledge andrnalmost all 80% of nurse’s practice towards ETS was poor. Teaching intervention (especially forrnfemales) and training to improve nurse’s knowledge and practice in the care of patients requiringrnETS is indicated.rnKey word: Endotracheal suctioning, knowledge and practice.

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