KNOWLEDGE, ATTITUDE AND PRACTICES OF NURSES IN THEMANAGEMENT OF DIARRHEA AMONG CHILDREN UNDER FIVE YEARS ON PAEDIATRIC WARDAT KAMPALA INTERNATIONAL UNIVERSITY TEACHING HOSPITAL BY MUHANGUZI CHRISTOPHER M16/U011/DNE/029 A RESEARCH REPORT SUBMITTED TO UGANDA NURSESAND MIDWIVES EXAMINATIONS BOARD IN PARTIAL FULFILLMENT FOR THE AWARD OF DIPLOMA IN NURSING SCIENCES OCOTBER, 2017 KNOWLEDGE, ATTITUDE AND PRACTICES OF NURSES IN THEMANAGEMENT OF DIARRHEA AMONG CHILDREN UNDER FIVE YEARS ON PAEDIATRIC WARDAT KAMPALA INTERNATIONALUNIVERSITY TEACHING HOSPITAL BY MUHANGUZI CHRISTOPHER M16/U011/DNE/029 A RESEARCH REPORT SUBMITTED TO UGANDA NURSESAND MIDWIVES EXAMINATIONS BOARD IN PARTIAL FULFILLMENT FOR THE AWARD OF DIPLOMA IN NURSING SCIENCES OCOTBER, 2017 ABSTRACT The study was to assess the knowledge, attitude and practice of nurses on the management of diarrhea among children under five years of age on Pediatric ward at KIU- TH. Methodology: The study design was descriptive and cross sectional in nature involving collection of information using questionnaires and enrolled 30 respondents (nurses) who were selected using a simple random sampling procedure. Results: Majority responded on the three clinical types of diarrhea,10(33%) indicated acute waterystool that lasts several hours or days, 3(10%) disclosed acutebloodydiarrhea also called dysentery and 17(57%) disclosed persistent diarrhea, which lasts 14 days or longer, 15(50%) disclosed that health units had no improved sanitation, 14(47%) agreed that there was improved sanitation and 1(3%) was not sure.28(94%) agreed that mothers are advised to use exclusive breastfeeding for the first six months 1(3%) disagreed, 1(3%) were not sure, 25(83%) agreed that nurses encourage good personal and food hygiene 3(10%) disagreed and 2(7%) were not sure. Lastly, 15(50%) agreed that nurses educate mothers and 15(50%) disagreed. Conclusion: The practice of nurses on the management of diarrhea among children under five years of age on Pediatric ward at KIU – TH indicated that improved sanitation like hand washing with soap, exclusive breastfeeding for the first six months, good personal and food hygiene reduce the occurrence of diarrhea, and educating mothers as they received health tips to control diarrhea diseases. i COPYRIGHT Research report submitted to Kampala International University-western campus, School of Nursing and deposited in the library, is open for inspection, but is to be used with due regard to the rights of the author. The author and Kampala International University School of Nursing can grant privilege of loan or purchase of copy to accredited borrowers provided credit is given in subsequent written or published work. Copyright © (2017) by (Muhanguzi Christopher) ii AUTHORIZATION This unpublished research report submitted to Kampala international university-western campus, school of Nursing and deposited in the library, is open for inspection, but is to be used with due regard to the author. The author and Kampala International University-western campus, school of Nursing can grant privilege of loan or photocopy to accredited borrowers credit is given in subsequent written or published. RESEARCHER: MUHANGUZI CHRISTOPHER Signature.…………………………………Date ……………………………………… KAMPALA INTERNATIONAL UNIVERSITY-WESTERN CAMPUS P.O.BOX 71, BUSHENYI UGANDA Signature........................................................Date .......................................................... MR. MUSHAIJA JONATHAN KAMANDA SUPERVISOR Signature........................................................Date ....................................................... M/S. ANNNET KABANYORO DEAN SCHOOL OF NURSING OF KAMPALA INTERNATIONAL UNIVERSITY- WESTERN CAMPUS. iii DECLARATION I, Muhanguzi Christopher, hereby declare that this research report about knowledge, attitude and practice of nurses in the management of diarrhea among children under five years on pediatric ward at Kampala international university teaching hospital is my own work and has never been presented anywhere either partially or in total for any award unless otherwise stated. ………………………………….. …………………………… Signature Date MUHANGUZI CHRISTOPHER (Researcher) iv DEDICATION I, Muhanguzi Christopher wish to dedicate this work to Almighty God, my parents, friends, relatives and everyone who contributed something towards my education. I wish to dedicate this research to the Senior Principal Nursing Officer (SPNO), KIU-TH. Also, special dedications go to the staff Kampala International University School of Nursing and more especially to my Research Supervisor. v ACKNOWLEDGEMENT I acknowledge God the heavenly father for his constant love, protection, guidance and good health. Special thanks go to my supervisor Mr. Mushaija Jonathan Kamanda for advice and courage he has given me, which enabled me to complete this research report. I wish to extend great thanks to all my parents, relatives and friends for the wonderful support they have rendered to me since I joined up to now. I appreciate my brothers for his close cooperation and encouragement Sincere thanks go to my course mates for the good cooperation throughout the course Sincere appreciation goes to the school administration for the parental guidance and love to me throughout my course. Grateful thanks to Kampala international university- western campus Teaching hospital for allowing me to carry out my research in their school. Lastly but not the least, I thank all my respondents who considered my request and answered my questionnaires despite of other commitments they had vi TABLE OF CONTENTS ABSTRACT ................................................................................................................................................... i COPYRIGHT ................................................................................................................................................ ii AUTHORIZATION .................................................................................................................................... iii DECLARATION......................................................................................................................................... iv DEDICATION .............................................................................................................................................. v ACKNOWLEDGEMENT ......................................................................................................................... vi TABLE OF CONTENTS .......................................................................................................................... vii LIST OF TABLES ....................................................................................................................................... x LIST OF ABBREVIATIONS ................................................................................................................... xi LIST OF OPERATIONAL DEFINITIONS ........................................................................................... xii CHAPTER ONE: BACKGROUND OF STUDY ............................................................................... 1 1.2 Statement of the problem ...................................................................................................................... 3 1.3 Purpose of the study .............................................................................................................................. 4 1.4 Specific objectives ................................................................................................................................. 4 1.5 Research Questions ............................................................................................................................... 5 1.6 Justification ............................................................................................................................................. 5 CHAPTER TWO: LITERATURE REVIEW ..................................................................................... 6 2.1 Introduction ............................................................................................................................................ 6 2.2 Knowledge of nurses on the management of diarrhea among children under five years of age . 6 2.3 Attitude of nurses on the management of diarrhea among children under five years of age ...... 7 2.4 Practice of nurses on the management of diarrhea among children under five years of age ....... 9 CHAPTER THREE: METHODOLOGY .......................................................................................... 12 vii 3.1 Introduction .......................................................................................................................................... 12 3.2 Study design ......................................................................................................................................... 12 3.3 Study setting ......................................................................................................................................... 12 3.4 Study population .................................................................................................................................. 12 3.4.1 Sample size determination ............................................................................................................... 13 3.4.2 Sampling procedure ........................................................................................................................