Abstract:
Background: Catheter-related urinary tract infection is an infection related to imported
pathogens, which affects the urinary tract of patients with a urinary catheter. Determining
the knowledge and practice of nurses is important to help health care institutions;
particularly hospitals to recognize factors associated with knowledge and practice to take
corrective measures in an attempt to create a conducive environment and to improve the
knowledge and practice of their employees as well as efficiency and quality of care.
Objective: To assess the knowledge and practice of catheter-related urinary tract
infection prevention and associated factor among nurses in public hospitals of West Shoa
zone, Oromia, Ethiopia, 2021.
Methods: Institution-based cross-sectional study was conducted from August 01–August
30/2021. A simple random sampling technique was used to select 422 study participants
from the public hospitals in the West Shoa zone, Oromia, Ethiopia, 2021. A Structured
self-administered questionnaire was used to collect data. The data were entered into Epi
data 3.1 and exported to SPSS Version 20 for analysis. Descriptive and inferential
statistics analysis were done. Variable with p-value < 0.05 with 95% CI were statistical
significant. Then the analysis was described by Adjusted odds ratios (AOR) with 95% CI.
Result: This study includes 408 participants with a 96.7% response rate. Out of
respondents, 63.5%, [95% CI: 58.1 - 68.2] had adequate knowledge, but only 34.6%,
[95% CI,29.7-39.2] of study participants have good practice on Catheter-related urinary
tract infection prevention. In-service training [AOR: 1.862,95% CI: 1.106-3.135],
working in Intensive care unit [AOR:3.148,95% CI:1.133-8.752], having infection
prevention guide line [AOR: 2.778,95% CI: 1.495-5.164] were associated with the
nurse’s knowledge of catheter-related urinary tract infection prevention. Age (
years) [AOR: 3.463, 95% CI: 1.181-10.15] ,year of experience (greater than 10 years)
[AOR: 3.65,95% CI: 1.48-9.101], having in-service training [AOR: 1.905,95% CI: 1.21-
3.236] and having infection prevention guidelines[AOR : 2.369,95% CI: 1.081-5.191)]
were associated with the nurses practice of catheter-related urinary tract infection
prevention.
Conclusions and Recommendation: The finding of this study revealed that more than
half the study participants have adequate knowledge on catheter-related infection
prevention but near to two-third of study participants had poor practice on catheter-related
infection prevention. In-service training on infection prevention, age, the current area of
practice, and the presence of a guide line were significantly associated with both the
knowledge and practice of nurses toward catheter-related urinary tract infection
prevention. Hospitals administrative and other concerned bodies should ensure the
provision of training, and provide infection prevention guidelines for nurses.
