Suboptimal Knowledge and Care of Patients with Acute Coronary Syndrome Among Nurses Working in Selected Hospitals in Addis Ababa, Ethiopia 2021

Bizuayehu Ashine Lakew, Daniel M Bekele, Wudma Alemu Kassa, Boka Dugassa Tolera School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Boka Dugassa Tolera, School of Nursing and Midwifery, College of Health Sciences, Addis Ababa Univ...

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Main Authors: Lakew BA, Bekele DM, Alemu Kassa W, Dugassa Tolera B
Format: Article
Language:English
Published: Dove Medical Press 2023-09-01
Series:Vascular Health and Risk Management
Subjects:
Online Access:https://www.dovepress.com/suboptimal-knowledge-and-care-of-patients-with-acute-coronary-syndrome-peer-reviewed-fulltext-article-VHRM
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author Lakew BA
Bekele DM
Alemu Kassa W
Dugassa Tolera B
author_facet Lakew BA
Bekele DM
Alemu Kassa W
Dugassa Tolera B
author_sort Lakew BA
collection DOAJ
description Bizuayehu Ashine Lakew, Daniel M Bekele, Wudma Alemu Kassa, Boka Dugassa Tolera School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Boka Dugassa Tolera, School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Ethiopia, Tel +251-913-132-398, Email boka.dugassa@aau.edu.etBackground: Acute Coronary Syndrome is the leading cause of morbidity and mortality in developing nations including Ethiopia. As frontline healthcare providers, nurses need to be prudent in handling cases of acute coronary syndrome. However, nurses’ knowledge and practice of acute coronary syndrome are not well-known across Ethiopia. Thus, this study aimed to assess knowledge, practice, and associated factors regarding the care of acute coronary syndrome among acute care nurses working at selected hospitals in Addis Ababa, Ethiopia.Methods: Institution-based descriptive cross-sectional study design was conducted from February to March among 252 purposively selected nurses working in tertiary hospitals of Addis Ababa, Ethiopia. A pretested and structured questionnaire was used for data collection. Data were entered into Epi-Data 4.6 and exported to SPSS version 25. Both descriptive and inferential statistics were used to describe and test the association between selected variables. P-values < 0.05 were declared as significant factors for the outcome variable.Results: Out of 252 nurses, (52%) had good knowledge, and (44.4%) had good practice towards care of Acute Coronary Syndrome. Being a master’s degree [AOR=3.801, (95% CI:1.314– 10.996), P =0.014] and having guidelines [AOR= 10.998, (95% CI:2.478– 48.805), P =0.002] were significantly associated with nurse’s good knowledge of ACS. While having a master’s degree [AOR=4.258, (95% CI:1.676– 10.820), P=0.002] and getting in-service training [AOR= 1.902, (95% CI:1.022– 3.539), P = 0.042] were significantly associated with nurse’s good level of practice.Conclusion: In this study, nurses had inadequate knowledge and practice regarding the care of Acute Coronary Syndrome. Nurses’ educational level, presence of clinical practice guidelines, and getting training were determinant factors associated with good knowledge and practice. Therefore, organizational and nursing educational support are needed to improve this gap by providing short- and long-term training, and updated evidence-based clinical practice guidelines should be available for all acute care nurses.Keywords: knowledge, care, acute care nurses, acute coronary syndrome
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spelling doaj.art-fead25e38e6d48a6a99a00add8fd4a1c2023-09-21T19:09:00ZengDove Medical PressVascular Health and Risk Management1178-20482023-09-01Volume 1963764986879Suboptimal Knowledge and Care of Patients with Acute Coronary Syndrome Among Nurses Working in Selected Hospitals in Addis Ababa, Ethiopia 2021Lakew BABekele DMAlemu Kassa WDugassa Tolera BBizuayehu Ashine Lakew, Daniel M Bekele, Wudma Alemu Kassa, Boka Dugassa Tolera School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Boka Dugassa Tolera, School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Ethiopia, Tel +251-913-132-398, Email boka.dugassa@aau.edu.etBackground: Acute Coronary Syndrome is the leading cause of morbidity and mortality in developing nations including Ethiopia. As frontline healthcare providers, nurses need to be prudent in handling cases of acute coronary syndrome. However, nurses’ knowledge and practice of acute coronary syndrome are not well-known across Ethiopia. Thus, this study aimed to assess knowledge, practice, and associated factors regarding the care of acute coronary syndrome among acute care nurses working at selected hospitals in Addis Ababa, Ethiopia.Methods: Institution-based descriptive cross-sectional study design was conducted from February to March among 252 purposively selected nurses working in tertiary hospitals of Addis Ababa, Ethiopia. A pretested and structured questionnaire was used for data collection. Data were entered into Epi-Data 4.6 and exported to SPSS version 25. Both descriptive and inferential statistics were used to describe and test the association between selected variables. P-values < 0.05 were declared as significant factors for the outcome variable.Results: Out of 252 nurses, (52%) had good knowledge, and (44.4%) had good practice towards care of Acute Coronary Syndrome. Being a master’s degree [AOR=3.801, (95% CI:1.314– 10.996), P =0.014] and having guidelines [AOR= 10.998, (95% CI:2.478– 48.805), P =0.002] were significantly associated with nurse’s good knowledge of ACS. While having a master’s degree [AOR=4.258, (95% CI:1.676– 10.820), P=0.002] and getting in-service training [AOR= 1.902, (95% CI:1.022– 3.539), P = 0.042] were significantly associated with nurse’s good level of practice.Conclusion: In this study, nurses had inadequate knowledge and practice regarding the care of Acute Coronary Syndrome. Nurses’ educational level, presence of clinical practice guidelines, and getting training were determinant factors associated with good knowledge and practice. Therefore, organizational and nursing educational support are needed to improve this gap by providing short- and long-term training, and updated evidence-based clinical practice guidelines should be available for all acute care nurses.Keywords: knowledge, care, acute care nurses, acute coronary syndromehttps://www.dovepress.com/suboptimal-knowledge-and-care-of-patients-with-acute-coronary-syndrome-peer-reviewed-fulltext-article-VHRMknowledgecareacute care nursesacute coronary syndrome.
spellingShingle Lakew BA
Bekele DM
Alemu Kassa W
Dugassa Tolera B
Suboptimal Knowledge and Care of Patients with Acute Coronary Syndrome Among Nurses Working in Selected Hospitals in Addis Ababa, Ethiopia 2021
Vascular Health and Risk Management
knowledge
care
acute care nurses
acute coronary syndrome.
title Suboptimal Knowledge and Care of Patients with Acute Coronary Syndrome Among Nurses Working in Selected Hospitals in Addis Ababa, Ethiopia 2021
title_full Suboptimal Knowledge and Care of Patients with Acute Coronary Syndrome Among Nurses Working in Selected Hospitals in Addis Ababa, Ethiopia 2021
title_fullStr Suboptimal Knowledge and Care of Patients with Acute Coronary Syndrome Among Nurses Working in Selected Hospitals in Addis Ababa, Ethiopia 2021
title_full_unstemmed Suboptimal Knowledge and Care of Patients with Acute Coronary Syndrome Among Nurses Working in Selected Hospitals in Addis Ababa, Ethiopia 2021
title_short Suboptimal Knowledge and Care of Patients with Acute Coronary Syndrome Among Nurses Working in Selected Hospitals in Addis Ababa, Ethiopia 2021
title_sort suboptimal knowledge and care of patients with acute coronary syndrome among nurses working in selected hospitals in addis ababa ethiopia 2021
topic knowledge
care
acute care nurses
acute coronary syndrome.
url https://www.dovepress.com/suboptimal-knowledge-and-care-of-patients-with-acute-coronary-syndrome-peer-reviewed-fulltext-article-VHRM
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