Practices and associated factors of infection prevention of nurses working in public and private hospitals toward COVID-19 in Bahir Dar City, Northwest Ethiopia: Institution-based cross-sectional study

Abstract

Objective: To assess the levels of practices and associated factors of infection prevention of nurses working in public and private hospitals toward coronavirus 2019 (COVID-19) in Bahir Dar City, Ethiopia. Methods: Institution-based cross-sectional study design employed in public and private hospitals in Bahir Dar city from 26 March 2021 to 8 April 2021. A total of 442 study participants were recruited using stratified followed by simple random sampling techniques. A self-administered questionnaire was prepared and pretested on 5% of the total sample. The collected data were checked for completeness and consistency, and then the data were coded, entered, and cleaned with SPSS version 25 software. Descriptive statistics were carried out to display the means and proportions of sociodemographic characteristics. Logistic regression analysis was used to assess the association between the level of prevention practices and the independent variables. An adjusted odds ratio with 95% confidence interval was used to report the results. A significant association was set at p-value <0.05. Results: Of the total 442 samples, 431 (with response rate of 97.5%) answered the questions completely. The mean (±standard deviation) age of the participants was 29.33 (±5.62) years and 217 (50.3%) were females. The proportion of good prevention practices of nurses toward COVID-19 was 39.4% (95% confidence interval: 35%–44%). Female (adjusted odds ratio = 1.77, 95% confidence interval: 1.18–2.68), have training on COVID-19 (adjusted odds ratio = 1.65, 95% confidence interval: 1.10–2.48), personal protective equipment access (adjusted odds ratio = 1.57, 95% confidence interval: 1.01–2.44), availability of infection prevention guideline (adjusted odds ratio = 1.63, 95% confidence interval: 1.06–2.49), and favorable attitude (adjusted odds ratio = 2.05, 95% confidence interval: 1.25–3.36) were factors significantly associated with good infection prevention practices. Conclusion: Most nurses in Bahir Dar City public and private hospitals had poor prevention practices against COVID-19. Training provision, infection prevention guidelines distribution, sustainable personal protective equipment access, and promotion to change their attitudes are intervention areas that required emphasis.

Adherence to infection prevention and control measures and risk of exposure among health‐care workers: A cross‐sectional study from the early period of COVID‐19 pandemic in Addis Ababa, Ethiopia

“…However, the current finding explains that men were 80% times less likely to adhere to standard precautionary measures compared with females. Our finding was consistent with those studies conducted in different parts of Ethiopia 28,33 and reports from other LMICs 34–36 . Opposed to this, Tsegaye et al 37 have identified better adherence among men than women HCWs.…”

“…Our finding was consistent with those studies conducted in different parts of Ethiopia 28,33 and reports from other LMICs. [34][35][36] Opposed to this, Tsegaye et al 37 have identified better adherence among men than women HCWs. Whereas, a study by Jiee et al, 38 from high-income countries has reported that sex has no effect on IPC adherence; rather workers' stress (burnout), workload, and exposure to IPC training were detrimental to maintaining proper IPC measures.…”

Determinants of vaccine acceptance, knowledge, attitude, and prevention practices against COVID‐19 among governmental healthcare workers in Addis Ababa and Adama, Ethiopia: A cross‐sectional study

“…This finding was low compared to a study conducted in 2020 48,49 . Conversely, the prevention practice against the COVID‐19 among healthcare workers in this study was higher than that reported in Ethiopia 50,51 . This might be caused by disparities in access to the most recent information, instructions, and manuals.…”

“…48,49 Conversely, the prevention practice against the COVID-19 among healthcare workers in this study was higher than that reported in Ethiopia. 50,51…”