Emergency Medicine

Permanent URI for this collection

http://etd.aau.edu.et/handle/123456789/71

Browse

Browsing Emergency Medicine by Author "Abebe, Asmamaw (BSC, MSC in EMCCN)"

Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    Assessment of knowledge of alarm fatigue, practice towards alarms and associated factors among nurses working in adult intensive care units of federal government hospitals in Addis Ababa city, Ethiopia.
    (Addis Abeba University, 2020-06) Kebede, Hana; Abebe, Asmamaw (BSC, MSC in EMCCN)
    Background: Audible clinical alarms have been an essential part of patient monitoring since the 1950s. Alarm fatigue is the desensitization of a clinician to an alarm stimulus that occurs when caregivers are exposed to a great number of repeated alarms. Due to a number of clinical alarms from medical machines within the ICU, there is a high risk of nurses becoming desensitized to the sound of patient alarms. Moreover, physiologic alarms may be disabled, silenced, or ignored. These practices can potentially affect the patient care negatively. Objectives: To assess the nurses' level of knowledge of alarm fatigue, practices towards alarms and associated factors among nurses working in adult ICUs of federal government hospitals in Addis Ababa city, Ethiopia, Jan-Jun 2020 G.C. Methods: A descriptive cross-sectional quantitative study design was conducted to determine the knowledge of alarm fatigue, practices towards alarms and associated factors among nurses working in Adult ICUs of federal governmental hospitals in Addis Ababa, Ethiopia from Jan -Jun 2020 GC. A total of 162 nurses was recruited by the convienience sampling method. The data were collected by using semi structured, self-administer questioner. SPSS version 25 for Windows was used for data entry and analysis, descriptive statistics and bivariate and multivariate logistic regression were used to analyze the data. Result: In this study, 42% of participants had poor practice towards alarms and 57.8% have good practice. The majority of, 107 (66%) respondents had good knowledge on alarm fatigue. The majority of nurses 140 (86.4%)answered correctly that Non actionable/nuisance alarms disrupt patient care. Nurses who don’t have in service training on alarm management are 2 times, having a poor practice than those who took in service training (AOR=1.974, 95% CI (1.296, 4.024)). Conclusion and Recommendation: Although the improvement of nurses' knowledge and practices regarding alarm management will directly or indirectly reduce the harms related to poor alarm management, Nurses have remarkable gaps and alarming skill performance related to alarms. Therefore, periodic on-job and pre-service training regarding alarm management, guidelines as well as protocols should be provided to all ICU nurses. There is also a need for further research to include more settings would be valuable. In addition, there are gaps identified for further research to strengthen findings.
  • No Thumbnail Available
    Item
    Assessment of patients‟ readiness for hospital discharge and associated factors among medical emergency patients in black lion specialized teaching hospital adult emergency department, Addis Ababa, Ethiopia ,January 2020G.C.
    (Addis Abeba University, 2020-01) Getachew, Migbaru; Abebe, Asmamaw (BSC, MSC in EMCCN)
    Introduction: Improving health institution discharge processes, decreasing readmissions and emergency department visits after discharge is on the countrywide issue for health care reform and health facility-based improvement tasks, which are unplanned, adverse, potentially avoidable, and costly outcomes of hospitalization caused by low patient readiness for hospital discharge. A patient's readiness for Hospital Discharge is defined as a patient‟s assessment of their own preparedness for discharge and their ability to cope with their illness at home. However, a little is known about whether emergency medical patients sufficiently prepared for discharge to home after acute care at intermediate phase of recovery. Objective: To assess patients‟ readiness for discharge and associated factors in the emergency department of black lion specialized teaching hospital Addis Ababa Ethiopia from February 17 to July 2020G.C Method: An institutional-based cross-sectional prospective study was conducted and all patients with a diagnosis of medical conditions, and ready for discharge during the study period were included and the collected data was evaluated with SPSS version 25 software. Results; the total number of respondents was 159; the mean age of the study subjects is 49 with a standard deviation of ± 16.7 the majority of the patients 106 (66.7%) reported low RHD scores (<7.0), although 53 (33.3%) reported RHD scores (≥7.0). The overall patientRHD score was 6.89 ± 0.92. Increased age AOR 16.34 (CI 5.4, 49.02) and high Charlson comorbidity index AOR 24.1, (CI 4.1, 44.2) are contributing factors for low patient RHD scores. On the other hand, having a spouse as a primary caregiver was predictive of greater RHD (AOR 0.31, CI 0.002, 0.56). Conclusions and recommendations; the finding indicate most patients are being discharged without being ready and most are not getting any discharge education. Paying attention to adequate discharge planning, providing appropriate discharge education is essential to improve patient outcome.