Knowledge and practice of nurses with respect to perioperative hypothermia prevention in the Northwest Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional study

Objectives It has been reported that maintaining a normal body temperature among surgical patients can reduce the length of hospitalisation by up to 40%, decrease the risk of surgical site infection by 64% and reduce mortality by fourfold. Nurses are primarily responsible for preventing the occurren...

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Main Authors: Endalkachew Dellie, Ashenafi Worku Woretaw, Bezenaw Yimer Mekonnen, Netsanet Tsegaye
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/12/e068131.full
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author Endalkachew Dellie
Ashenafi Worku Woretaw
Bezenaw Yimer Mekonnen
Netsanet Tsegaye
author_facet Endalkachew Dellie
Ashenafi Worku Woretaw
Bezenaw Yimer Mekonnen
Netsanet Tsegaye
author_sort Endalkachew Dellie
collection DOAJ
description Objectives It has been reported that maintaining a normal body temperature among surgical patients can reduce the length of hospitalisation by up to 40%, decrease the risk of surgical site infection by 64% and reduce mortality by fourfold. Nurses are primarily responsible for preventing the occurrence of hypothermia among surgical patients. This study assessed nurses’ knowledge and practices with respect to perioperative hypothermia prevention in Northwest Ethiopia, and investigated the factors associated with good knowledge and practice.Design Cross-sectional study.Setting Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia, 25 March–20 May 2021.Participants 413 nurses working in the perioperative units of five referral hospitals.Outcome measures Perioperative hypothermia prevention knowledge and practice among nurses.Results Nearly three-fifths (59.1%; 95% CI: 54.7% to 63.7%) of respondents had good knowledge and about half (50.4%; 95% CI: 45.5% to 55.0%) had good practice with respect to perioperative hypothermia prevention. Factors associated with nurses’ knowledge of prevention of perioperative hypothermia included male sex (adjusted OR (AOR): 1.61, 95% CI: 1.02 to 2.53), having a bachelor’s degree (AOR: 2.50, 95% CI: 1.25 to 5.00), having a master’s degree (AOR: 4.39, 95% CI: 1.45 to 13.20) and training participation (AOR: 3.68, 95% CI: 2.14 to 6.33). Factors associated with nurses’ practice of prevention of perioperative hypothermia included working in recovery (AOR: 2.87, 95% CI: 1.08 to 7.58) and intensive care units (AOR: 2.39, 95% CI: 1.09 to 5.22), training participation (AOR: 2.64, 95% CI: 1.53 to 4.57), being satisfied with their job (AOR: 2.15, 95% CI: 1.34 to 3.43) and having good knowledge (AOR: 2.64, 95% CI: 1.63 to 4.27).Conclusion Nurses’ knowledge and practice of the prevention of perioperative hypothermia were inadequate. Hospital managers need to design and strengthen training programmes and work to enhance job satisfaction.
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spelling doaj-art-7c04b0aaa52d4d3e82c0bece3e1596c22025-08-20T03:10:53ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2022-068131Knowledge and practice of nurses with respect to perioperative hypothermia prevention in the Northwest Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional studyEndalkachew Dellie0Ashenafi Worku Woretaw1Bezenaw Yimer Mekonnen2Netsanet Tsegaye3Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Surgical Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Emergency and Critical Care Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Emergency and Critical Care Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaObjectives It has been reported that maintaining a normal body temperature among surgical patients can reduce the length of hospitalisation by up to 40%, decrease the risk of surgical site infection by 64% and reduce mortality by fourfold. Nurses are primarily responsible for preventing the occurrence of hypothermia among surgical patients. This study assessed nurses’ knowledge and practices with respect to perioperative hypothermia prevention in Northwest Ethiopia, and investigated the factors associated with good knowledge and practice.Design Cross-sectional study.Setting Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia, 25 March–20 May 2021.Participants 413 nurses working in the perioperative units of five referral hospitals.Outcome measures Perioperative hypothermia prevention knowledge and practice among nurses.Results Nearly three-fifths (59.1%; 95% CI: 54.7% to 63.7%) of respondents had good knowledge and about half (50.4%; 95% CI: 45.5% to 55.0%) had good practice with respect to perioperative hypothermia prevention. Factors associated with nurses’ knowledge of prevention of perioperative hypothermia included male sex (adjusted OR (AOR): 1.61, 95% CI: 1.02 to 2.53), having a bachelor’s degree (AOR: 2.50, 95% CI: 1.25 to 5.00), having a master’s degree (AOR: 4.39, 95% CI: 1.45 to 13.20) and training participation (AOR: 3.68, 95% CI: 2.14 to 6.33). Factors associated with nurses’ practice of prevention of perioperative hypothermia included working in recovery (AOR: 2.87, 95% CI: 1.08 to 7.58) and intensive care units (AOR: 2.39, 95% CI: 1.09 to 5.22), training participation (AOR: 2.64, 95% CI: 1.53 to 4.57), being satisfied with their job (AOR: 2.15, 95% CI: 1.34 to 3.43) and having good knowledge (AOR: 2.64, 95% CI: 1.63 to 4.27).Conclusion Nurses’ knowledge and practice of the prevention of perioperative hypothermia were inadequate. Hospital managers need to design and strengthen training programmes and work to enhance job satisfaction.https://bmjopen.bmj.com/content/13/12/e068131.full
spellingShingle Endalkachew Dellie
Ashenafi Worku Woretaw
Bezenaw Yimer Mekonnen
Netsanet Tsegaye
Knowledge and practice of nurses with respect to perioperative hypothermia prevention in the Northwest Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional study
BMJ Open
title Knowledge and practice of nurses with respect to perioperative hypothermia prevention in the Northwest Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional study
title_full Knowledge and practice of nurses with respect to perioperative hypothermia prevention in the Northwest Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional study
title_fullStr Knowledge and practice of nurses with respect to perioperative hypothermia prevention in the Northwest Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional study
title_full_unstemmed Knowledge and practice of nurses with respect to perioperative hypothermia prevention in the Northwest Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional study
title_short Knowledge and practice of nurses with respect to perioperative hypothermia prevention in the Northwest Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional study
title_sort knowledge and practice of nurses with respect to perioperative hypothermia prevention in the northwest amhara regional state referral hospitals ethiopia a cross sectional study
url https://bmjopen.bmj.com/content/13/12/e068131.full
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