Factors associated with non-compliance to wound care guidelines among nurses working at the University Teaching Hospital of Kigali, Rwanda

Background Wounds are a significant burden to the global health care since they are more common. Noncompliance to wound care guideline can cause many different effects. Aim To identify the factors associated with noncompliance to wound care guidelines among nurse working at University Teaching Hospital of Kigali. Methodology : A cross-sectional design with quantitative approach was used. The target population were 105 nurses working in the Surgical Department. The participants were recruited with convenience sampling, all eligible nurses included, resulting in a sample size of 76 nurses. Bilingual questionnaires covering demographic information and factors associated with non-compliance to wound care guidelines was used and analyzed by using the descriptive statistics through SPSS Version 23. Results Results revealed that although nurses had a general understanding of wound care guidelines, various factors affected their adherence. These factors included inadequate training, lower education levels, time constraints, workload. Organizational factors such as lack of resources, poor communication played significant roles. The study found positive correlations between knowledge and adherence to guidelines (r = 0.762, p < 0.01), between individual attributes and non-compliance (r = 0.623, p < 0.01), organizational factors and non-compliance (r = 0.609 p < 0.01,), and demographic factors and non-compliance (r = 0.584). Conclusion Addressing gaps in training, individual constraints, and organizational support are crucial for improving adherence.