A study to assess factors associated with urinary catheterization malpractice among nurses in three tertiary Hospitals of the Amhara region: A cross-sectional study

Yideg Abinew Kebede 1 *, Bekele Tesfaye 2, Hiwot Nahusenay Goshu 2, Benalfew Lake 2, Tirngo Kebed Simegn 2 and Melese Abiye Munie 3

1 Department of Nursing, Debark University Health Science College, Debark, Ethiopia.
2 Department of Nursing, Debre Markos University Health science college, Debre Markos, Ethiopia.
3 Department of Nursing, Woldia University Medicine and Health science college, Woldia, Ethiopia.
 
Research Article
Global Journal of Research in Medicine and Dentistry, 2022, 01(01), 020–030.
Article DOI: 10.58175/gjrmd.2022.1.1.0025
 
Publication history: 
Received on 07 September 2022; revised on 13 October 2022; accepted on 16 October 2022
 
Abstract: 
Background: Malpractice in catheterization increases the risk of developing urinary catheter complications such as catheter-associated urinary tract infection, a leading cause of infection.
Objective: To assess urinary catheterization malpractice, and its associated factors among nurses at the three tertiary Hospitals in the Amhara region, Northwest Ethiopia, 2021.
Design: A facility-based cross-sectional study design was conducted.
Method: Sample size was proportionally allocated. Then data were collected using a simple random sampling technique. Bivariate and multivariable logistic regression analyses were conducted. A P-value-value, with 95% CI with the correspondence AOR was used to declare significant variables in Bivariate and multivariable logistic regression.
Results: Four hundred twenty-four participants were included. 47.1% of Nurses had poor catheterization practice. Educational qualification (AOR = 3.163, 95% CI 1.389 – 7.204), Low knowledge level (AOR = 3.808, 95% CI 1.940–7.474), and inadequate Urinary catheter material (AOR = 1.866, 95% CI 1.219 – 2.859) were associated with catheterization malpractice.
Conclusion: In this study, nearly half (47.1%) of nurses had poor urinary catheterization practice. Educational level, availability of catheterization materials, working in hospital, and knowledge of respondents were significant variables in this study.
 
Keywords: 
Ethiopia; Malpractice; Nursing; Urinary catheterization
 
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