Journal article Open Access

Practice of and associated factors regarding prevention of surgical site infection among nurses working in the surgical units of public hospitals in Addis Ababa city, Ethiopia: A cross-sectional study

Ayelign MengeshaID 1*, Nete Tewfik2☯, Zeleke Argaw2☯, Biruk Beletew1‡, Mesfin Wudu1‡


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{
  "DOI": "10.1371/journal.pone.0231270", 
  "author": [
    {
      "family": "Ayelign MengeshaID 1*, Nete Tewfik2\u262f, Zeleke Argaw2\u262f, Biruk Beletew1\u2021, Mesfin Wudu1\u2021"
    }
  ], 
  "issued": {
    "date-parts": [
      [
        2020, 
        4, 
        16
      ]
    ]
  }, 
  "abstract": "<p>Background</p>\n\n<p>Surgical site infections are one of the commonest types of healthcare-associated infections.</p>\n\n<p>Up to 60% of these infections are estimated to be preventable by using evidence-based</p>\n\n<p>guidelines. As a front line caregiver, nurses are responsible for the majority of preventive</p>\n\n<p>activities. Hence, the enhanced practical skill of nurses is an essential component in preventive</p>\n\n<p>actions.</p>\n\n<p>Objective</p>\n\n<p>The aim of this study was to assess the practice of nurses and identify factors associated</p>\n\n<p>with it regarding prevention of surgical site infections in Addis Ababa city public hospitals.</p>\n\n<p>Methods</p>\n\n<p>An institution-based cross-sectional study was carried out from March 01&ndash;30, 2018. An</p>\n\n<p>adapted and pretested, self-administered questionnaire was utilized as a data collection</p>\n\n<p>tool. A stratified random sampling technique was employed by considering the level of hospitals</p>\n\n<p>as a stratum. Data were entered into a computer using Epi-data 3.1 statistical package.</p>\n\n<p>Then, it was exported to SPSS Version 23 for further analysis. Descriptive statistics</p>\n\n<p>were computed for the study variables. Bivariate regression analysis was also run to assess</p>\n\n<p>the association between independent variables and the level of nurse&rsquo;s practice. To see the</p>\n\n<p>relative effect of independent variables on the nurse&rsquo;s practice, a multivariable regression</p>\n\n<p>analysis was carried out.</p>\n\n<p>Result</p>\n\n<p>A total of 409 nurses returned the questionnaire with a response rate of 98%. Majority</p>\n\n<p>(60.4%) of the participants were females and 84.1% were BSc holders. Less than half,</p>\n\n<p>(48.9%) of the participants were found to have good practice regarding prevention of surgical</p>\n\n<p>site infection. Being male, having more work experience, higher educational level and</p>\n\n<p>using available infection prevention guidelines were significantly associated with practice at</p>\n\n<p>p &lt;0.05.</p>\n\n<p>Conclusion</p>\n\n<p>More than half of the participants have inadequate practice regarding prevention of surgical</p>\n\n<p>site infection. Training nurses, making surgical site infection prevention guidelines easily</p>\n\n<p>accessible and ensuring possessed knowledge by nurses is potent enough and can be</p>\n\n<p>translated into desirable actions are recommended.</p>", 
  "title": "Practice of and associated factors regarding prevention of surgical site infection among nurses working in the surgical units of public hospitals in Addis Ababa city, Ethiopia: A cross-sectional study", 
  "type": "article-journal", 
  "id": "16804"
}
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