Knowledge and Associated Factors Towards Sepsis Management Among Nurses Working in the Emergency Department of Public Hospitals in Addis Ababa.

IF 2 Q2 NURSING SAGE Open Nursing Pub Date : 2024-08-18 eCollection Date: 2024-01-01 DOI:10.1177/23779608241274224
Michael Geletu Alaro, Taye Mezgebu Ashine, Sofia Kebede, Heyria Hussien, Melaku Geletu Alaro, Temesgen Kechine Tibore
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Abstract

Background: Sepsis is a major cause of mortality worldwide and an important public health problem. The quality of patient care is negatively impacted when nurses lack adequate knowledge regarding the management of sepsis. On the other hand, little is known regarding Ethiopian nurses' knowledge of sepsis management.

Objective: To assess the level of knowledge and the associated factors towards sepsis management among nurses working in emergency departments in public hospitals in Addis Ababa, Ethiopia.

Method: From March 18 to April 18, 2022, a health facility-based cross-sectional study was conducted. A simple sampling technique (lottery method) was used to select the hospitals. The data was analyzed using SPSS version 25. The study employed logistic regression analysis to examine the association between the independent variables and the level of knowledge. Variables were significantly associated with a level of knowledge if they had a p-value of less than 0.05 and a 95% confidence interval.

Result: Of the 127 participants, more than half (56.7%) had poor knowledge. Nurses' knowledge of managing sepsis was significantly associated with not having regular training, a low level of education, and working experience of less than five years. The findings of the multivariable regression analysis revealed that the following variables were associated with a nurse's knowledge of sepsis management: low level of education (AOR = 3.2 (95% CI, 1.16-8.77), lack of training adjusted odd ratio (AOR = 2.5 (95% CI, 1.07-5.93), and less than five years of work experience (AOR = 3.6 (95% CI, 1. 29-9.830).

Conclusion: The majority of nurses had inadequate knowledge of managing sepsis. On the other hand, the majority of nurses had a favourable attitude toward sepsis management. Lack of prior training, a low level of education, and less than five years of work experience were all significantly associated with nurses' poor knowledge regarding sepsis management. This study recommends that hospital managers should provide on-the-job and long-term training for nurses working in the emergency department to enhance the level of nurses' knowledge towards sepsis management at their institutions.

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亚的斯亚贝巴公立医院急诊科护士对败血症管理的认识及相关因素。
背景:败血症是全球死亡的主要原因,也是一个重要的公共卫生问题。如果护士缺乏足够的败血症管理知识,病人护理的质量就会受到负面影响。另一方面,埃塞俄比亚护士对败血症管理的知识知之甚少:评估在埃塞俄比亚亚的斯亚贝巴公立医院急诊科工作的护士对败血症处理的知识水平和相关因素:方法:2022 年 3 月 18 日至 4 月 18 日,开展了一项以医疗机构为基础的横断面研究。采用简单抽样技术(抽签法)选择医院。数据使用 SPSS 25 版进行分析。研究采用逻辑回归分析法来检验自变量与知识水平之间的关联。如果变量的 p 值小于 0.05,且置信区间为 95%,则该变量与知识水平有明显关联:结果:在 127 名参与者中,一半以上(56.7%)的知识水平较低。护士对败血症处理知识的掌握程度与未接受定期培训、教育程度低和工作经验少于五年有显著相关性。多变量回归分析结果显示,以下变量与护士的败血症管理知识相关:受教育程度低(AOR = 3.2(95% CI,1.16-8.77))、缺乏培训调整奇数比(AOR = 2.5(95% CI,1.07-5.93))和工作经验不足五年(AOR = 3.6(95% CI,1.29-9.830)):结论:大多数护士对败血症的处理知识不足。结论:大多数护士对败血症的处理缺乏足够的了解,另一方面,大多数护士对败血症的处理持积极态度。缺乏前期培训、受教育程度低、工作经验少于 5 年都与护士对败血症管理知识掌握不足有很大关系。本研究建议,医院管理者应为急诊科护士提供在职培训和长期培训,以提高本机构护士对败血症管理的认知水平。
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来源期刊
CiteScore
2.10
自引率
5.00%
发文量
106
审稿时长
15 weeks
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