Fita Firomsa, Mekonnen Habtamu Sewunet, Endalew Helen Lamesgin, Azagew Abere Woretaw
Ambo University referral hospital, Ambo, Ethiopia.
Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Nurs. 2021 Dec 9;20(1):248. doi: 10.1186/s12912-021-00774-1.
Nurses' knowledge and attitude regarding the care of older people can have an impact on patient outcomes such as reduced length of hospital stays, reduced readmission rates, and increased patient and family satisfaction. However, evidence is scarce in Ethiopia, particularly in the study area. Therefore, the study aimed to assess the knowledge, attitude, and associated factors towards the care of older people among nurses working at public hospitals in West Shoa Zone, Ethiopia.
Institutional based cross-sectional study was conducted from April1-30, 2021 among 423 nurses who were working in adult care units. Data were collected through a self-administered questionnaire. The sample was selected using simple random sampling. The logistic regression analysis model was fitted and the Adjusted Odds Ratio at 95% confidence interval was used. P-values less than or equal to 0.05 were considered statistically significant.
A total of 411 nurses participated in the study with a 97.16% response rate. The mean age of the participants was 29.11 (SD ± 3.84) years. The study showed that 37.2% (95% CI: 33, 42%) of the participants had good knowledge and 45.7% (95% CI: 40.9, 50.6%) had a favorable attitude toward the care of older people. The significantly associated factors positively affected both the knowledge and the attitude of nurses. Age greater than 30 years (AOR:2.37, 95% CI: 1.18, 4.75), experience greater than 5 years (3.00: 1.21, 7.41), being BSc degree holder and above (3.57: 1.40, 9.09), lived with older people (2.14: 1.34, 3.42), and nurses working in adult intensive care unit (3.03: 1.03, 8.91) were significantly associated with knowledge. Likewise, being female (2.04: 1.33, 3.12), being BSc degree holder and above (2.77: 1.35, 5.65), lived with older people (1.59: 1.03, 2.44), and care for older people (1.63: 1.06, 2.53) were significantly associated with attitude.
In this study, less than half of the nurses had good knowledge and a favorable attitude towards the care of older people. Continuous professional development regarding the care of older people is important to enhance nurses' knowledge and attitude.
护士有关老年人护理的知识和态度会对患者的治疗结果产生影响，例如缩短住院时间、降低再入院率以及提高患者和家属的满意度。然而，埃塞俄比亚的相关证据很少，特别是在研究区域。因此，本研究旨在评估埃塞俄比亚西绍阿地区公立医院护士对老年人护理的知识、态度及相关因素。
2021年4月1日至30日，在423名成人护理病房工作的护士中开展了基于机构的横断面研究。通过自填式问卷收集数据。采用简单随机抽样选取样本。拟合逻辑回归分析模型，并使用95%置信区间的调整比值比。P值小于或等于0.05被认为具有统计学意义。
共有411名护士参与研究，应答率为97.16%。参与者的平均年龄为29.11（标准差±3.84）岁。研究表明，37.2%（95%置信区间：33，42%）的参与者对老年人护理有良好的知识，45.7%（95%置信区间：40.9，50.6%）对老年人护理持积极态度。显著相关因素对护士的知识和态度均有积极影响。年龄大于30岁（调整比值比：2.37，95%置信区间：1.18，4.75）、工作经验大于5年（3.00：1.21，7.41）、拥有理学学士学位及以上（3.57：1.40，9.09）、与老年人同住（2.14：1.34，3.42）以及在成人重症监护病房工作的护士（3.03：1.03，8.91）与知识显著相关。同样，女性（2.04：1.33，3.12）、拥有理学学士学位及以上（2.77：1.35，5.65）、与老年人同住（1.59：1.03，2.44）以及照顾老年人（1.63：1.06，2.53）与态度显著相关。
在本研究中，不到一半的护士对老年人护理有良好的知识和积极的态度。持续开展有关老年人护理的专业发展对于提高护士的知识和态度很重要。
