INTRAVENOUS FLUID ADMINISTRATION PRACTICES AND ASSOCIATED FACTORS AMONG NURSES AND MIDWIVES WORKING IN PUBLIC HOSPITALS OF WEST SHOA ZONE, OROMIA, ETHIOPIA

Abstract

Background: Intravenous fluid administration is the most common invasive procedures in hospitals. Correct and appropriate administration practices is a central component of the clinical care practice that most inpatient wards and all emergency units are using for life-saving and for correcting the metabolic disorders worldwide. But in most cases, the magnitude of intravenous fluid administration practices by nurses and midwives was not identified. Factors that affect nurse’s intravenous fluid administration practices may influence the patient’s outcome, increase morbidity and mortality. As far as my knowledge little evidence is found on a study done regarding a similar problem. Objective: To assess intravenous fluid administration practices and associated factors among nurses and midwives working in public hospitals of West Shoa Zone, Oromia Regional State, Ethiopia from March 1 to 31, 2019. Methodology: Institution based quantitative cross-sectional study was conducted among 396 nurses and midwives. Simple random sampling was used to select study participants. Wellstructured self- administered questionnaire and observation checklist were used to gather data. Data were coded and entered using Epi Data version 3.1software then exported to SPSS version 20software for analysis. A bivariable and multivariable logistic regression model was used to identify factors associated with IV fluid administration practices. Results: Out of 396 study participants 59.3% [95%CI = (54.7%-64.5%)] had inadequate practices. Multivariable logistic regression results showed that inadequate knowledge [AOR 2.1; CI 95 % = (1.36-3.36)], being un-trained [AOR 1.7; 95%CI = (1.04-2.86)], in-availability of supervision [AOR 1.8; CI 95% = (1.14-2.99)] and absence of incentives and promotion for nurses and midwives [AOR 2.1; CI 95% = (1.19-3.62)] were significantly and positively associated with IV fluid administration practices. Conclusion and Recommendations: The finding indicated that overall inadequate practice of respondents in this study was high. Inadequate knowledge, training, and absence of supervision by senior nurses and head nurse, and the absence of incentives and promotion for nurses and midwives were the main factors affecting IV fluid administration practices. Refresher courses and supervision, as well as incentives and promotion, need to be offered for nurses and midwives. Thus, leads to an improvement of the IV fluid administration practices.