Practice of Ventilation-Associated Pneumonia Prevention and Associated Factors Among Health Care Professionals Working in Intensive Care Units at Public Hospitals in Addis Ababa, Ethiopia

¹Department of Emergency Medicine and Critical Care Nursing, Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Wachemo University, Hosaena 667, Ethiopia.

²Department of Neonatal Nursing, School of Nursing, Saint Paul's Hospital Millennium Medical College, Addis Ababa 1271, Ethiopia.

³Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wachemo University, Hosaena 667, Ethiopia.

*Corresponding author: Elias Ezo

Published: October 11,2024

Abstract

Background: Ventilation-associated pneumonia is the foremost as often as possible life-threatening nosocomial disease in intensive care units. It increases dismalness and mortality rates in mechanically, ventilated patients. Objective: To evaluate the practice of ventilation-associated pneumonia and associated factors among healthcare professionals working in intensive care units at public hospitals in Addis Ababa, Ethiopia, 2022. Methods: A hospital-based cross-sectional study design was utilized among 154 healthcare professionals working intensive care unit from December 1 to 31, 2022. A simple random sampling method was utilized. Data was entered through Epidata version 3.1 and analyzed utilizing SPSS version 25. Multicollinearity was checked considering the variance inflation and the goodness of the test was done utilizing the Hosmer-Lemeshow test. Binary logistic regression was done, and factors with a p-value < 0.25 within the bivariable analysis were taken into the multivariable analysis. Statistical significance was announced at a p-value < 0.05 with an adjusted odds ratio and 95% confidence interval. Result: The level of practice of ventilation-associated pneumonia prevention was 54.5% with 95%CI [46.8-62.3]. Gender [AOR: 0.33, 95%CI: 0.13-0.85], knowledge [AOR: 11.74, 95%CI: 3.87-36.66], profession [AOR: 7.07, 95%CI: 1.56-32.00], training [AOR: 6.69, 95%CI: 1.91-23.39], and marital status [AOR: 0.04, 95%CI: 0.01-0.14] were altogether related to the practice of ventilation-associated pneumonia prevention. Conclusion: About five in 10 health care professionals working in intensive care units at public hospitals in Addis Ababa practice ventilation-associated pneumonia prevention. Gender, knowledge, proficient training, and marital status were critical components within the practice of ventilation-associated pneumonia prevention. Hence, appropriate administration of gender orientation personality, improving the knowledge of health care professionals, actualizing proficient measures, giving preparation training for health care professionals, and appropriate administration of marital-related conditions might improve the practice of ventilation-associated pneumonia prevention.

References

[1] Center for Disease Controls., Prevention, Ventilator-associated pneumonia. Device Assoc Events. 2012:6:16:13. http://www.cdc.gov/nhsn/pdfs/pscmanual/6pscvapcurrent.pdf.

[2] Maria Jesus Perez-Granda, Patricia Munoz, Carmen Heras, Guiomar Sanchez, Jordi Relloand Emilio Bouza on behalf of Grupo de Ayuda a la Neumonia Grave (GANG). Prevention of Ventilator-Associated Pneumonia: Can Knowledge and Clinical Practice Be Simply Assessed in a Large Institution? Respiratory care, July 2013, 58(7): 1213-1219. DOI: https://doi.org/10.4187/respcare.01854.

[3] Timsit JF, Esaied W, Neuville M et al. Update on ventilator-associated pneumonia [version 1; referees: 2 approved] F1000Research 2017, 6(F1000 Faculty Rev): 2061. DOI: 10.12688/f1000research.12222.1.

[4] Aurang Z, Ijaz A, Shafiq K, Aftab A s. Nurses’ Knowledge Regarding Prevention of Ventilator Associated Pneumonia. Rehman College of Nursing Peshawar, Pakistan. LOJ Nur Heal Car 1(5)-2018. LOJNHC.MS.ID.000124., 2018.

[5] Alecrim R, Belasco AG, et al., Good practices in the prevention of ventilator-associated pneumonia. Brazil. Acta Paul Enferm., 2019, 32(1): 11-7.

[6] AMAS, Ankitashar. Descriptive Study to assess the knowledge of staff nurses regarding ventilator associated pneumonia (VAP) among patient admitted in intensive care unit at selected hospital, Jalandhar (Punjab) India IOSR Journal of Nursing and Health Science (IOSR-JNHS) PP. 56-59. www.iosrjournals.org, 2019. Volume 8, (Issue 2 Ser. II).

[7] Bassi GL, Ferrer. M., Marti JD, Comaru T, Torres A., Ventilatorassociated pneumonia. Semin Respir Crit Care Med., 2014, 35: 469-481.

[8] Hassan Bin, Usuman S, Farah R et al., pneumonia in tertiary care hospitals of Islamabad and RawalpindiArti Knowledge and practices of critical care health professionals related to ventilator associated. cle in Journal of the Pakistan Medical Association, 2017.

[9] Diling W, Chenf W., Siye Z et al. Risk Factors of Ventilator-Associated Pneumonia in Critically III Patients. United States published: 2019. Volume 10.

[10] Priyanka Pandhare. Prevention is better than cure. World Journal of Pharmaceutical Research SJIF Impact Factor 8074. Volume 7 (Issue 14, 2018: 353).

[11] Resende M, Callegari B. Epidemiology and outcomes of ventilatorassociated pneumonia in northern Brazil: an analytical descriptive prospective cohort study. BMC Infect Dis. 2013, 13: 119.

[12] Kapucu. S., et al. Nursing Interventions to Prevent Ventilator-Associated Pneumonia in ICUs Hacettepe University Nursing Faculty, Department of Medical Nurses, Ankara, 2017, 9.

[13] Nahla Shaaban Ali. Critical Care Nurses' Knowledge and Compliance with Ventilator Associated Pneumonia Bundle at Cairo University Hospitals. 2013, 4(15).

[14] Alvarez L, MSG., L. Lorente, et al. Guidelines for the prevention of ventilator-associated pneumonia and their implementation. The Spanish‘‘Zero-VAP’’ bundle Med Intensiva, 2014, 38(4): 226-236.

[15] Bagheri-Nesami M. Nurses’ knowledge of evidence-based guidelines for preventing ventilator-associated pneumonia in intensive care units. Journal of Nursing and Midwifery Sciences, Sari, Iran, 2014, 1(1): 44-48.

[16] ZM Hassan, Zarqa, Jordan, et al. 2016 Knowledge level of nurses in Jordan on ventilator-associated pneumonia and preventive measures. British Association of Critical Care Nurses, 2016, Vol. 22 (No. 3).

[17] Leila J., Mehdi M., Hamid B., et al. Exploration of knowledge of, adherence to, attitude and barriers toward evidence-based guidelines (EBGs) for prevention of ventilator-associated pneumonia (VAP) in healthcare workers of pediatric cardiac intensive careunits (PCICUs): A Quali-Quantitative survey in Iran. International Journal of Medical Research & Health Sciences, 2016, 5(9): 67-73.

[18] Girma AlemuWami, Daniel Mengistu, Gebre Gelana Gudisa. Knowledge, Practice and Associated Factors of Adult Intensive Care Nurses’ on Prevention of Ventilator Associated Pneumonia in Addis Ababa Public Hospitals, Addis Ababa, Ethiopia. International Journal of Clinical Dermatology, Vol. 1, No. 1, 2018, pp. 15-21. DOI: 10.11648/j.ijcd.20180101.14.

[19] DAT, S. Knowledge and Practice of ICU Nurses on prevention of of VAP at MNH, Dar Es Salaam, Tanzania: A descriptive cross-sectional and Observational Study. Open Access Journal, 2012.

[20] Frota M, Campanharo CRV, Lopes M, et al. Good practices for preventing ventilator-associated pneumonia in the emergency department. Rev Esc Enferm USP, Brazil, 2019, 53: e0460.

How to cite this paper

Practice of Ventilation-Associated Pneumonia Prevention and Associated Factors Among Health Care Professionals Working in Intensive Care Units at Public Hospitals in Addis Ababa, Ethiopia

How to cite this paper: Tesgera Bekele, Dereje Bayissa, Elias Nigusu, Elias Ezo. (2024). Practice of Ventilation-Associated Pneumonia Prevention and Associated Factors Among Health Care Professionals Working in Intensive Care Units at Public Hospitals in Addis Ababa, Ethiopia. Clinical Nursing Perspectives, 1(1), 1-10.

DOI: http://dx.doi.org/10.26855/cnp.2024.12.001

Clinical Nursing Perspectives

Journal Menu

Volumes & Issues

Current Issue

More Articles

Practice of Ventilation-Associated Pneumonia Prevention and Associated Factors Among Health Care Professionals Working in Intensive Care Units at Public Hospitals in Addis Ababa, Ethiopia

Abstract

References

How to cite this paper