Variables Category Attitude COR (95% CI) AOR (95% CI) valueFavorable Unfavorable Age (years) <31 200 255 1 1 >31 186 134 1.77 (1.32, 2.36) 1.24 (0.84, 1.84) 0.266 Monthly income (ETB) <5358 111 231 1 1 5358–6193 55 55 2.08 (1.34, 3.22) 1.26 (0.68, 2.33) 0.455 6193–7071 93 58 3.33 (2.24, 4.97) 3.19 (1.65, 6.16) 0.001 7071–8017 82 31 5.50 (3.43, 8.81) 5.36 (2.78, 10.33) <0.001 >8017 ETB 45 14 6.68 (3.52,12.70) 4.38 (1.64, 11.69) 0.003 Educational qualification Diploma 75 150 1 1 BSc 243 219 2.21 (1.59, 3.09) 0.82 (0.52, 1.29) 0.395 MSc 68 20 6.80 (3.84,12.02) 0.83 (0.33, 2.04) 0.687 Years of experience <1 year 42 98 1 1 1–3 years 55 89 1.44 (0.88, 2.36) 0.99 (0.55, 1.77) 0.989 3–5 years 77 56 3.20 (1.94, 5.28) 1.84 (0.96, 3.52) 0.062 >5 years 212 146 3.38 (2.23, 5.14) 0.72 (0.38, 1.36) 0.321 Education on NPPM Yes 222 193 1.37 (1.03, 1.82) 1.25 (0.88, 1.76) 0.204 No 164 196 1 1 Need to have NPPM education Yes 298 280 1.31 (0.95, 1.82) 1.38 (0.92,2.07) 0.119 No 88 109 1 1 Working unit Pediatrics 67 79 1 1 Oncology 8 6 1.57 (0.88, 9.83) 2.22 (0.52, 9.37) 0.275 OPD 74 77 1.13 (0.71, 1.78) 1.35 (0.78, 2.34) 0.280 Emergency 42 48 1.03 (0.60, 1.74) 0.67 (0.35, 1.29) 0.241 OR 34 42 0.95 (0.54, 1.66) 0.72 (0.37, 1.40) 0.334 Orthopedic 23 15 1.80 (0.87, 3.74) 1.89 (0.78, 4.59) 0.158 Recovery 19 13 1.72 (0.79, 3.59) 0.80 (0.32, 2.01) 0.649 ICU 36 22 1.92 (1.03, 1.64) 0.97 (0.46, 2.05) 0.954 Medical 54 63 1.01 (0.62, 2.29) 1.01 (0.55, 1.84) 0.970 Surgical 27 26 1.22 (0.65, 2.29) 0.87 (0.41, 1.86) 0.736 Nurse-to-patient ratio 1 : 4 165 71 2.90 (2.02, 4.15) 1.89 (1.19, 3.01) 0.007 1 : 6 45 54 1.04 (0.65, 1.64) 0.96 (0.56, 1.65) 0.893 1 : 8 43 98 0.54 (0.35,0.83) 0.56 (0.34, 0.94) 0.029 Undetermined 133 166 1 1 Work load Yes 239 307 0.43 (0.31, 0.59) 0.70 (0.47, 1.06) 0.097 No 147 82 1 1 Lack of evidence Yes 179 221 0.65 (0.49, 0.87) 0.99 (0.69, 1.42) 0.979 No 207 168 1 1 Working hours 8 hours 227 204 1.52 (1.02, 2.27) 0.88 (0.53, 1.44) 0.617 8–12 hours 105 111 1.29 (0.83, 2.01) 0.86 (0.50, 1.47) 0.591 >12 hours 54 74 1 1 Knowledge Adequate 291 129 6.17 (4.51, 8.44) 4.26 (2.91, 6.24) <0.001 Inadequate 95 260 1 1