Knowledge, Attitude, Perceived Responsibilities, and Associated Factors Regarding Colostomy Care Among Nurses Working in Surgical Units at Amhara Region General and Referral Hospitals, Ethiopia: A Mixed Method Study

Tsegaye Eneyew Tiruneh,1 Girma Alem,2 Mekuanint Taddele,3 Zewedu Minewey Tizazu,1 Fasil Kefale Minale,1 Kasaye Demeke Alemu4 1Department of Nursing, Debre Markos Comprehensive Specialized Hospital, Debre Markos, Ethiopia; 2Department of Nursing College of Health Sciences, Debre Markos University, De...

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Main Authors: Tiruneh TE, Alem G, Taddele M, Tizazu ZM, Minale FK, Alemu KD
Format: Article
Language:English
Published: Dove Medical Press 2022-10-01
Series:Nursing: Research and Reviews
Subjects:
Online Access:https://www.dovepress.com/knowledge-attitude-perceived-responsibilities-and-associated-factors-r-peer-reviewed-fulltext-article-NRR
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author Tiruneh TE
Alem G
Taddele M
Tizazu ZM
Minale FK
Alemu KD
author_facet Tiruneh TE
Alem G
Taddele M
Tizazu ZM
Minale FK
Alemu KD
author_sort Tiruneh TE
collection DOAJ
description Tsegaye Eneyew Tiruneh,1 Girma Alem,2 Mekuanint Taddele,3 Zewedu Minewey Tizazu,1 Fasil Kefale Minale,1 Kasaye Demeke Alemu4 1Department of Nursing, Debre Markos Comprehensive Specialized Hospital, Debre Markos, Ethiopia; 2Department of Nursing College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia; 3Departments of Public Health College of Health Sciences, Injibara University, Debre Markos, Ethiopia; 4Department of HIV/AIDS Prevention Care and Treatment, International Center for AIDS Care Program/ICAP, Bahir Dar, EthiopiaCorrespondence: Tsegaye Eneyew Tiruneh, Tel +251920273593, Email Tsegayeeneyew30@gmail.comBackground: Colostomy is one of the commonest lifesaving procedures worldwide with aims of decompression of an obstructed colon or diversion of feces. Colostomy care is important to improve the quality of life of the patient, yet information is scarce concerning knowledge, attitude, and role of nurses on colostomy care in Ethiopia generally and in Amhara region specifically.Objective: This study aimed to assess knowledge, attitude, perceived responsibility, and associated factors regarding colostomy care among nurses working in surgical units at Amhara region general and referral hospitals, Ethiopia.Methods: A cross-sectional, mixed method study was conducted from March 1 to 30, 2020 using a census method. The data were collected using semi-structured, self-administered questionnaire and in-depth interview. Analytic schemes including bivariable and multivariable logistic regression were computed considering P-value < 0.05 to identify statistically significant factors. Qualitative data were analyzed with thematic content analysis.Results: In the current study, the adequate knowledge of nurses was found to be 40.4% (95% CI: 35.4– 45.8). Clinical experience, colostomy care guidelines, gave care for colostomy patient, ever received colostomy care training, and read professional literature regularly were significantly associated with adequate knowledge. Favorable attitude of nurses was found to be 49.6% (95% CI: 45– 54.5). Presence of colostomy care guidelines, gave care for colostomy patients, and adequate knowledge were significantly associated with favorable attitude. Nurses have a strong professional perception of caring for colostomy patients but lack of training, inadequate supplies, and lack of professional perquisite are barriers identified.Conclusion: In the present study, nearly half of nurses had only adequate knowledge and favorable attitude, but the majority of nurses perceived their responsibilities towards colostomy care. Therefore, taking part in care, developing guidelines, providing training and fulfilling nurses’ perquisite are needed to enhance the knowledge, attitude, and responsibility of nurses towards colostomy care.Keywords: colostomy care, knowledge, attitude, perceived responsibility
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spelling doaj.art-27004369f1fe4c0f9877f784cef6514f2022-12-22T04:13:20ZengDove Medical PressNursing: Research and Reviews2230-522X2022-10-01Volume 1219120678920Knowledge, Attitude, Perceived Responsibilities, and Associated Factors Regarding Colostomy Care Among Nurses Working in Surgical Units at Amhara Region General and Referral Hospitals, Ethiopia: A Mixed Method StudyTiruneh TEAlem GTaddele MTizazu ZMMinale FKAlemu KDTsegaye Eneyew Tiruneh,1 Girma Alem,2 Mekuanint Taddele,3 Zewedu Minewey Tizazu,1 Fasil Kefale Minale,1 Kasaye Demeke Alemu4 1Department of Nursing, Debre Markos Comprehensive Specialized Hospital, Debre Markos, Ethiopia; 2Department of Nursing College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia; 3Departments of Public Health College of Health Sciences, Injibara University, Debre Markos, Ethiopia; 4Department of HIV/AIDS Prevention Care and Treatment, International Center for AIDS Care Program/ICAP, Bahir Dar, EthiopiaCorrespondence: Tsegaye Eneyew Tiruneh, Tel +251920273593, Email Tsegayeeneyew30@gmail.comBackground: Colostomy is one of the commonest lifesaving procedures worldwide with aims of decompression of an obstructed colon or diversion of feces. Colostomy care is important to improve the quality of life of the patient, yet information is scarce concerning knowledge, attitude, and role of nurses on colostomy care in Ethiopia generally and in Amhara region specifically.Objective: This study aimed to assess knowledge, attitude, perceived responsibility, and associated factors regarding colostomy care among nurses working in surgical units at Amhara region general and referral hospitals, Ethiopia.Methods: A cross-sectional, mixed method study was conducted from March 1 to 30, 2020 using a census method. The data were collected using semi-structured, self-administered questionnaire and in-depth interview. Analytic schemes including bivariable and multivariable logistic regression were computed considering P-value < 0.05 to identify statistically significant factors. Qualitative data were analyzed with thematic content analysis.Results: In the current study, the adequate knowledge of nurses was found to be 40.4% (95% CI: 35.4– 45.8). Clinical experience, colostomy care guidelines, gave care for colostomy patient, ever received colostomy care training, and read professional literature regularly were significantly associated with adequate knowledge. Favorable attitude of nurses was found to be 49.6% (95% CI: 45– 54.5). Presence of colostomy care guidelines, gave care for colostomy patients, and adequate knowledge were significantly associated with favorable attitude. Nurses have a strong professional perception of caring for colostomy patients but lack of training, inadequate supplies, and lack of professional perquisite are barriers identified.Conclusion: In the present study, nearly half of nurses had only adequate knowledge and favorable attitude, but the majority of nurses perceived their responsibilities towards colostomy care. Therefore, taking part in care, developing guidelines, providing training and fulfilling nurses’ perquisite are needed to enhance the knowledge, attitude, and responsibility of nurses towards colostomy care.Keywords: colostomy care, knowledge, attitude, perceived responsibilityhttps://www.dovepress.com/knowledge-attitude-perceived-responsibilities-and-associated-factors-r-peer-reviewed-fulltext-article-NRRcolostomy careknowledgeattitudeperceived responsibilityethiopia.
spellingShingle Tiruneh TE
Alem G
Taddele M
Tizazu ZM
Minale FK
Alemu KD
Knowledge, Attitude, Perceived Responsibilities, and Associated Factors Regarding Colostomy Care Among Nurses Working in Surgical Units at Amhara Region General and Referral Hospitals, Ethiopia: A Mixed Method Study
Nursing: Research and Reviews
colostomy care
knowledge
attitude
perceived responsibility
ethiopia.
title Knowledge, Attitude, Perceived Responsibilities, and Associated Factors Regarding Colostomy Care Among Nurses Working in Surgical Units at Amhara Region General and Referral Hospitals, Ethiopia: A Mixed Method Study
title_full Knowledge, Attitude, Perceived Responsibilities, and Associated Factors Regarding Colostomy Care Among Nurses Working in Surgical Units at Amhara Region General and Referral Hospitals, Ethiopia: A Mixed Method Study
title_fullStr Knowledge, Attitude, Perceived Responsibilities, and Associated Factors Regarding Colostomy Care Among Nurses Working in Surgical Units at Amhara Region General and Referral Hospitals, Ethiopia: A Mixed Method Study
title_full_unstemmed Knowledge, Attitude, Perceived Responsibilities, and Associated Factors Regarding Colostomy Care Among Nurses Working in Surgical Units at Amhara Region General and Referral Hospitals, Ethiopia: A Mixed Method Study
title_short Knowledge, Attitude, Perceived Responsibilities, and Associated Factors Regarding Colostomy Care Among Nurses Working in Surgical Units at Amhara Region General and Referral Hospitals, Ethiopia: A Mixed Method Study
title_sort knowledge attitude perceived responsibilities and associated factors regarding colostomy care among nurses working in surgical units at amhara region general and referral hospitals ethiopia a mixed method study
topic colostomy care
knowledge
attitude
perceived responsibility
ethiopia.
url https://www.dovepress.com/knowledge-attitude-perceived-responsibilities-and-associated-factors-r-peer-reviewed-fulltext-article-NRR
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