Mitike Hailye, Yimam Wondwossen, Goshiye Debrnesh, Kumar Kumar Prem
Department of Nursing, College of Medicine and Health Sciences, Gigjiga University, Gigjiga, Ethiopia.
Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
SAGE Open Nurs. 2023 Feb 27;9:23779608231159631. doi: 10.1177/23779608231159631. eCollection 2023 Jan-Dec.
Ethiopia's elderly care service is relatively young and little is known about the practices or readiness of nurses to provide care. Nurses need to have good knowledge, a positive attitude, and experience when it comes to caring for the elderly or patients who are chronically providing quality care. This study aimed to assess the knowledge, attitudes, and practices towards care for elderly patients and associated factors among nurses working in adult care units of public hospitals in Harar, 2021.
An institutional-based descriptive cross-sectional study was conducted from February 12 to July 10, 2021. A simple random sampling technique was used to select 478 study participants. Data were collected by trained data collectors using a pretested self-administered questionnaire. From the pretest, Cronbach's alpha for all items was above 0.7 for all items. Data were entered into Epi Data v.4.6 and exported to the Statistical Package for Social Science Version 26 for binary logistic regression analysis. A -value of 0.05 was used to declare a significant association between variables.
The study revealed that 311 (69%) had inadequate knowledge. Having a first degree and an unfavorable attitude towards nurses showed a statistically significant association with nurses' inadequate knowledge. A total of 275 (61.0%) nurses were found to have an unfavorable attitude and were significantly associated with having a diploma and first degree, learning in a private organization, 6 to 10 years of experience, lack of training, and inadequate knowledge of nurses. A total of 297 (65.9%) study units had inadequate practice towards the care of elderly patients. Nurses' practices showed a significant association with the type of hospital, work experience, and adherence to guidelines with a response rate of 94.4%.
The majority of nurses had inadequate knowledge, an unfavorable attitude, and inadequate practice towards the care of elderly patients. Having a first-degree and an unfavorable attitude with inadequate knowledge, lack of training and inadequate knowledge, unfavorable attitudes and less than 11 years of experience, working in non-academic hospitals, and unavailability of guidelines with inadequate practices were significantly associated.
埃塞俄比亚的老年护理服务尚处于起步阶段，对于护士提供护理的实践情况或准备程度了解甚少。在照顾老年人或长期需要高质量护理的患者方面，护士需要具备丰富的知识、积极的态度和经验。本研究旨在评估2021年在哈拉尔市公立医院成人护理单元工作的护士对老年患者护理的知识、态度和实践情况以及相关因素。
2021年2月12日至7月10日进行了一项基于机构的描述性横断面研究。采用简单随机抽样技术选取478名研究参与者。由经过培训的数据收集人员使用预先测试的自填式问卷收集数据。通过预测试，所有项目的Cronbach's alpha均高于0.7。数据录入Epi Data v.4.6，并导出到社会科学统计软件包第26版进行二元逻辑回归分析。采用0.05的P值来判定变量之间存在显著关联。
研究表明，311名（69%）护士知识不足。拥有本科学历以及对护士持有负面态度与护士知识不足存在统计学显著关联。共发现275名（61.0%）护士持有负面态度，且与拥有文凭和本科学历、在私立机构学习、6至10年工作经验、缺乏培训以及护士知识不足显著相关。共有297个（65.9%）研究单元对老年患者的护理实践不足。护士的实践情况与医院类型、工作经验以及遵循指南情况存在显著关联，回复率为94.4%。
大多数护士在老年患者护理方面知识不足、态度负面且实践不足。拥有本科学历、知识不足且态度负面、缺乏培训以及知识不足、态度负面且工作经验少于11年、在非学术医院工作以及缺乏实践指南与实践不足显著相关。
