Abstract
Background Good knowledge conjoined with evident practice of postoperative nausea, and vomiting management is vital for the optimal management of patients. On the other hand, inadequate knowledge and poor practice of health professionals on postoperative nausea vomiting risk reduction and management come up with complications, reduce patient satisfaction, increase patient, and hospital costs. Objective To assess knowledge, practice, and predictors of knowledge regarding postoperative nausea and vomiting management among health professionals working in referral hospitals in northwest Ethiopia. Methods A multicenter cross-sectional study was conducted on 407 health professionals from February 27 to March 30, 2019, in referral hospitals in northwest Ethiopia. Stratified random
Sampling followed by simple random sampling was used to select the study participants. Both bivariable and multivariable logistic regression were used to identify factors associated with the knowledge level of health professionals in PONV management. In the multivariable analysis, variables with a p-value <0.05 were considered statistically significant. Results 52.8% of the study participants had good knowledge of PONV management (95% CI: 47.9-57.2). Male professionals were 1.95 times more likely knowledgeable as compared with females. The odds of physicians being knowledgeable were 5.36 times more likely than midwives, while the odds of anesthetists being knowledgeable were 3.88 times more likely than midwives. Professionals trained on PONV management were 5.32 (AOR: 5.32; 95%CI: 1.58, 17.89) times more likely knowledgeable than those who did not train. Conclusions Nearly fifty % of healthcare providers working in the perioperative working areas had poor knowledge of PONV management. Gender, profession, and training on PONV management were factors significantly affecting the knowledge level of health professionals. Regular training seminars, continuous professional development, adherence to the latest guidelines, and conducting clinical audits are recommended to increase knowledge and improve the practices of health professionals in postoperative nausea vomiting management.
Factors associated with knowledge towards postoperative nausea and vomiting management among health professionals in referral Hospitals of Northwest Ethiopia. A multi-center cross-sectional study