Abstract
BackgroundKnowledge of health care professionals on postoperative nausea and vomiting (PONV) and antiemetic prescription trends affects patient's outcome after surgery and anesthesia and also patient and family satisfaction. Hence, knowing the knowledge status of health professionals towards PONV management is vital for the optimal care of surgical patients. Therefore, the study aimed to assess the knowledge and factors associated with PONV management among health professionals in referral hospitals of Northwest Ethiopia. MethodsAn institutional based cross-sectional study was conducted on 407 health care professionals from March 1 to 30, 2019. A Simple random sampling technique was used to select the study participants. Both bivariable and multivariable logistic regression analysis were used to identify factors associated with the knowledge level of health professionals on PONV management. In the multivariable analysis, variables with a p-value <0.05 were considered statistically significant. ResultsIn this study, about 52.8% (95% CI: 47.9, 57.2) of the participants had good knowledge of PONV management. Being male (AOR = 1.95; 95% CI: 1.20, 3.17), Physician (AOR = 5.36; 95% CI: 2.20, 13.5), Anesthetist (AOR = 3.88; 95% CI: 1.66, 9.08), and taking training on PONV management (AOR = 5.32; 95%CI: 1.58, 17.89) were positively associated with good knowledgeable of health professionals about PONV management. Conclusionand recommendation: More than half of health care professionals who are working in the perioperative sites of the referral hospitals had good knowledge about the PONV management. Being male, Physician, Anesthetist and taking in-service training on PONV management were significantly affecting the knowledge level of health professionals on PONV management. Thus, providing regular in-service training on PONV management, especially for physician and anesthetist is highly recommended.
Highlights
Postoperative nausea and vomiting (PONV) is a common undesirable side effect of surgery and anesthesia, which results in simple to severe complications following surgery [1,2] and decreases patient and family satisfaction [1]
The study was conducted at Debre Markos, Felege Hiwot, Tibebe Gion and University of Gondar Referral Hospitals, which are the biggest hospitals in northwest part of Amhara regional state, Ethiopia
A total number of health care professionals were obtained from human resource management (HRM) of each referral hospital, total num ber of health professionals included in the study were proportionated depending on the number of professions in each referral hospital
Summary
Postoperative nausea and vomiting (PONV) is a common undesirable side effect of surgery and anesthesia, which results in simple to severe complications following surgery [1,2] and decreases patient and family satisfaction [1]. Knowledge of health care professionals on postoperative nausea and vomiting (PONV) and anti emetic prescription trends affects patient’s outcome after surgery and anesthesia and patient and family satisfaction. The study aimed to assess the knowledge and factors associated with PONV management among health professionals in referral hospitals of Northwest Ethiopia. A Simple random sampling technique was used to select the study participants Both bivariable and multivariable logistic regression analysis were used to identify factors associated with the knowledge level of health professionals on PONV management. Being male (AOR = 1.95; 95% CI: 1.20, 3.17), Physician (AOR = 5.36; 95% CI: 2.20, 13.5), Anesthetist (AOR = 3.88; 95% CI: 1.66, 9.08), and taking training on PONV management (AOR = 5.32; 95%CI: 1.58, 17.89) were positively associated with good knowledgeable of health professionals about PONV management. Providing regular in-service training on PONV manage ment, especially for physician and anesthetist is highly recommended
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