Assessment Of Knowledge And Practice Of Catheter-Related Urinary Tract Infection Prevention And Associated Factor Among Nurses In Public Hospitals Of West Shoa Zone, Oromia, Ethiopia

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.