Assessment Of Knowledge Practice And Associated Factors Of Adult Intensive Care Nurses On Prevention Of Ventilator Associated Pneumonia In Selected Hospitals In Addis Ababa Ethiopia

BACKGROUND- Ventilator-associated pneumonia (VAP) is the most common nosocomialrninfection, with the prevalence rates ranging from 10% to 70% in critical/ Intensive care units. It isrna sub-type of hospital-acquired pneumonia which occurs in people who are on intubation orrnmechanical ventilation that was not present at the time of admission to hospital or that occurs 48rnhours after intubation and mechanical ventilation through an endotracheal or tracheotomy withrnreported incidence of 6–20 times higher in these patients.rnOBJECTIVE: To assess knowledge, practice and associated factors of Adult Intensive Carernnurses‘ on prevention of Ventilator Associated Pneumonia (VAP) in selected Hospitals in AddisrnAbaba, Ethiopia.rnMETHODS AND MATERIALS- A facility based cross-sectional and observational study wasrnconducted on 129 Adult Intensive Care nurses to assess their knowledge, practice and otherrnassociated factors by using self-administered questionnaire and observational checklist.rnInformation letters, consent forms and questionnaires were handed to nurses working in the AdultrnICU; by data collectors. Data was coded and entered into EPI INFO 3.5.4 and Analyzed usingrnSPSS version 16.0 for descriptive and inferential statistics.rnRESULTS: Out 129 respondents, 78 (60.5%) were females, 73 (56.6%) had diploma, Majorityrnof Adult Intensive Care nurses 79 (61.2%) had no ICU training, and 87 (67.5 %) had beenrnworking in the ICU for less than 6 years, 66 (51.2%) scored below mean score, had inadequaternknowledge. There was a significant difference in knowledge between respondents with ICUrntraining as found (p value = 0.04) and between participants with different educational level (p value =rn0.021). Significant difference in practice was found between ICU nurses who had ICU training (prnvaluern= 0.038) and between nurses with different years of Experiences (p value = 0.041)rnCONCLUSION: The study reveals that majority of nurses working in the Adult Intensive CarernUnits had inadequate knowledge and practice. Nevertheless, those nurses who trained and hadrnhigh educational level have adequate knowledge than those nurses who had more years ofrnexperience, where as those experienced and trained nurses were practicing more adequately thanrnthose nurses who hold first and second degree.rnRECOMMENDATIONS: I would like to recommend those program efforts working towardsrnprevention of VAP, and improving Knowledge and practices of Intensive care nurses‘.rnKey words: knowledge, practice, nurse(s), Adult intensive care unit, Ventilator associatedrnpneumonia

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