Browsing by Author "Feleke Yohannes"

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    Assessment of Knowledge and Attitude of ATLS among Interns of three Different Medical Schools of Ethiopia.
    (Addis Abeba University, 2019-08) Feleke Yohannes; Girma Biruk
    Back ground: Trauma is a leading cause of death and disability all over the world. Management of injured patients in many circumstances involves a team effort that allows medical personnel with special skills and expertise to provide care simultaneously with surgical leadership of the process. Trauma management can be improved by implementing a trauma system that includes injury prevention, education and hospital care. In order to deliver timely organized and effective care to the patient physicians who are competent, efficient are needed. OBJECTIVE: The aim of this study is to assess the knowledge and attitude of interns of three different medical school to ATLS from February1/2019 to July 31/2019. Methodology: Cross-sectional study method is conducted in selected medical schools: Addis Ababa University, St. Paul millennium medical college and Arsi University College of health sciences. Data was collected from February 1/2019 to July 31/2018 by the principal investigator and delegate person using structured questionnaires. The data is analyzed by using SPSS 22.0. Results: 172 out of 212 respondents filled and returned the quetionare.106 from AAU,40 from SPHMMC,26 from Arsi University. Of the respondents, 112 (65.1%) were male the rest 60(34.9)were female. Among the participants 12 (7%) has very good knowledge, 71(41.3%) has good knowledge, 45(26.2%) has fair knowledge, 26(15.1%) has low knowledge, 18(10.5%) has very low knowledge about ATLS.98.8% of the participant interns have positive attitude towardsATLS .and most(85.5%) believe that it genuinely improves the management of trauma patient. Conclusion: Doctors should be trained in ATLS before employment, or as early as possible in their service lives. Most interns view ATLS positively and believe that it saves life and provides genuine practical benefit for patients
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    Patient Satisfaction and Associated Factors among Clients Visiting Adult Emergency Department of Tikur Anbesa Specialized Hospital, Addis Ababa Ethiopia.
    (Addis Abeba University, 2021-06) Kedir Sadik; Feleke Yohannes; Tuli Wagari
    Background: Patient satisfaction is an important indicator of the quality of care and servicedelivery in the emergency department (ED). It is defined as the individual’s positive evaluationof distinct dimensions of health care and is an important element in the evaluation of servicerendered by a hospital. Researchers also tried to assess what aspects of the client’s characteristicswere related to their satisfaction. Patient satisfaction with emergence care service is consideredan important factor in explaining patients' perceptions of service criteria is far from ideal if as aresult of that care the patient is unhappy or dissatisfied. There is a sound rationale for making theorganization and delivery of health care responsive to client’s opinions currently, research is interested in satisfaction in several areas, and various cultures. This study aims to evaluate patient satisfaction with emergency care and to determine associated factors with patient satisfaction. Objectives: To assess patient satisfaction and associated factors among clients who visited the adult emergency department of Tikur Anbesa Specialized Hospital, Addis Ababa Ethiopia, from March to June 2021. Methods: Hospital-based cross-sectional study design was employed to assess patientsatisfaction of emergency services on conveniently selected 191 clients through face-to-faceinterviews in the adult ED. Data was collected by a standard modified Press Ganey questionnaire developed in English then translated to Amharic. The questionnaires contain sociodemographic and satisfaction items. Likert scale questionnaire was graded as strongly dissatisfied “1”,dissatisfied “2”, satisfied “3”, and strongly satisfied “4”. Those scoring the mean or below were considered as dissatisfied while a score above the mean was labeled as satisfied. Epi data 4.6.2was used for data entry and cleanness and exported to SPSS version 25 was used to further analyze the data and frequency distribution table, graphs, pie chart, and binary logistic regressionwas used for data presentation. Results: A total of 191clients who attend the TASH adult ED were included in this study. The response rate in this study was 100% from this more than half of them were male (55.5%)respondents. The overall satisfaction of this study were 75.9% from this the highest satisfaction rates were observed in terms of doctors care, laboratory service, nurses care and pain management 89%, 89%, 88.5%, and 79.3% respectively, and the lowest satisfaction rates were observed in terms of latrine cleanness, ED examination room cleanness, find my way when theymove here and there in the facility, pharmacy service and distinguish between nurses and doctors8.9%, 27.2%, 33.5%, 39.8%, and 48.2% respectively. In Bivariate analysis, there were variables sex, age, ethnicity, level of education, job, and monthly income which were fitted/candidate for multivariate logistic regression analysis with P-value <0.25 whereas In multivariable logistic regression analysis variables age and job were significantly associated with patient satisfaction having p=0.015 and p=0.046 respectively. Conclusions and recommendations: The lowest satisfaction rates were observed in terms of latrine cleanness, ED examination room cleanness, find my way when they move here and there in the facility, pharmacy service, and distinguish between nurses and doctors 8.9%, 27.2%,33.5%, 39.8%, and 48.2% respectively. Based on the finding of this study Efforts should focus on improving the overall cleanness of the emergency room and latrine, shortening the waiting time, proper guider should be there to indicate the way where they move in the facility,improving the overall pharmacy service, patient privacy should be maintained and nurses and doctors should wear proper dress coding and apply visible badges.