Key result
Among acute care nurses, having clinical practice guidelines was strongly associated with good knowledge of acute coronary syndrome care (AOR 10.998; 95% CI 2.478-48.805; P=0.002).
Why the study?
Nurses are frontline providers for acute coronary syndrome, but their knowledge and practice regarding its care are not well-known across Ethiopia.
Cross-Sectional (n=252)
Yes
Odds Ratio: 10.998 (95% CI 2.478–48.805)
p-value: p=0.002
A significant proportion of acute care nurses in Addis Ababa have suboptimal knowledge and practice regarding ACS care, highlighting the need for targeted training and accessible clinical guidelines.
Suboptimal ACS knowledge and practice among Ethiopian nurses supports targeted training; leaves open effects on outcomes pending prospective studies.
Background: 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.
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Kassa et al. (2023) conducted a cross-sectional in Acute Coronary Syndrome (n=252). Having clinical practice guidelines vs. Not having guidelines was evaluated on Good knowledge of Acute Coronary Syndrome care (AOR 10.998, 95% CI 2.478-48.805, p=0.002). Among acute care nurses, having clinical practice guidelines was strongly associated with good knowledge of acute coronary syndrome care (AOR 10.998; 95% CI 2.478-48.805; P=0.002).
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