Browsing by Author "Girma Biruk"

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    Assesment of Prevalence and Pattern of Medication Prescription for Bronchial Asthma, at Adult Emergency Department of Tikur Anbesa Specialsed Hospital
    (Addis Ababa University, 2015-07) Mulat Tadele; Girma Biruk
    Background;Bronchial asthma is a chronic inflammatory disorder of the airways.Asthma imposes a large burden on the individual and on health care systems.(1) Currently,asthma prevalence is approximately 10%-13%globaly.(1) WHO estimates globally,300million are suffering with bronchial asthma with approximately 25,000 asthma related annual death.(6) in Africa estimated that a prevalence of 11.7% for asthma.(2) Objective; The main objective of this study was assessing the prevalence of bronchial asthma and pattern of medication prescription for bronchial asthma on adult patients visiting adult emergency department of TIKUR ANBESA SPECIALISED HOSPITAL from November 1-2012 to November 1-2014 according to national asthma prevention and education programme (NAEPP)and global initiative for asthma management(GINA). Method; this study was descriptive, crossectional, retrospective study. It was conducted in January to February 2015 in adult emergency department of Tikur Anbessa specialized hospital.The necessary data was collected from record of the patient who visited from November 1-2012 to November 1-2014. RESULT, 78(52.7%) were males giving a male to female ratio of 1.11 to 1. the prevalence of bronchial asthma was 1.04% with severity of 65(43.9%) moderate, 62(41.9%) were mild, and 21(14.2%) severe. 136(91.9%) had wheezing, 131(88.5%) dyspnea, 125(84.5%) cough, Conclusion,There was low prevalence of bronchial asthma in the emergency department with no difference in sex. Wheezing and Cough were the predominant symptoms and signs seen. Treating and managing patients with accordance to GINA is low. Patients who took low dose SABA were 78(52.7%), medium dose 64(43.2%), high dose 5(3.4%), systemic CS97(65.5%), oxygen 122 (84.4%), adjective therapy 34(23.0%). Recommendation, Health authorities of the country should ensure the availability of nationally appropriate asthma management guidelines.0-86
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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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    Assessment of Knowledge and Practice of Acute Trauma Care by Health Professionals at Government Health Centers in Addis Abeba, Ethiopia.
    (Addis Abeba University, 2019-06) Eshetu Rekik; Girma Biruk; Melaku Birhanu
    Background:-Physical Trauma/Injury is defined as a physical damage to a human being caused by intolerable transfer of energy. It can be mechanical, thermal, electrical, chemical, or radiation energy or by the sudden absence of heat or oxygen. Objective: - The objective of this study is to assess the knowledge andpractice of acute trauma care among health professionals working at selected government health centers in Addis Ababa Ethiopia, 2019 from March 11-April 8/2019. Methods:-Institutional based cross sectional study design was utilized to assess knowledge and practice of emergency unit health professionals found in ten sub cities of Addis Ababa towards acute trauma care. Structured, Pretested and self-administered questionnaire was used for data collection. Data were imported into Epidata 4.4 and analyzed using SPSS version 20.0. The alpha level was set at 0.05 to determine statistical significance. Result: - There were 118 participants. From these, majority of the participants73 (61.9 %) were Nurses and females‟ accounts for 72 (61.0 %). Majorities; 77(65.3 %) of health professionals had college degree and among them 73 (61.9%) had more than 4 years‟ work experience. About 90(76%) of the respondent had trauma related training once in their clinical career. Nearly half of the respondents (47.5%) had good knowledge scores, with the mean score of 10.81 (SD = 2.86) and Majority, 82(69.5%) of respondents scored poor in practical assessment with Mean score of3.65(SD= 1.6).Those who have work-experience for more than four years [p=.011, (CI= (037,0.653)] were significantly associated with poor knowledge of health professionals related to acute trauma care. Conclusion: - In conclusion, emergency unit health professionals in these health centers demonstrated overall unsatisfactory levels of knowledge and practice. It is clear that ongoing education on how to manage trauma victim must be periodically under taken to enhance and update health professionals‟ knowledge about current and emerging acute trauma care practice
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    Assessment of Knowledge and Practice of Intensive Care Unit Nurses Towards Open Endotracheal Suctioning for Mechanically Ventilated Patient in Four Selected Government Public Hospitals in Addis Ababa,Ethiopia
    (Addis Ababa University, 2017-06) Esayas Abinet; Girma Biruk
    BackgroundEndotracheal suctioning (ETS) is considered one of the most common procedures in intensivecare unit to maintain a patent airway in artificially ventilated patients. However, there are manyassociated risks and complications like trauma, infection, bleeding, hypoxia, dysrhythmias and,in extreme cases, cardiac arrest and death. Knowledge and practice of Intensive care unit nurses towards endotracheal suctioning is directly related to minimize the above complications, improve standard care, to promote effective/safe suctioning and to reduce length of stay in ICU. So,assessing knowledge and practice of ICU nurses towards endotracheal suctioning is baseline to improve well-being of intubated patients. Objective:This study was conducted to assess knowledge and practice of Intensive care unit nurses towards open endotracheal suctioning for mechanically ventilated patient in four selected public hospitals Addis Ababa, Ethiopia, 2017. Methods:Institutional based cross sectional descriptive study was conducted. Data was collected using structured questionnaire and observational check list. Descriptive statistics included frequency,percentage, mean and standard deviation. Odds ratio was used to determine association between variables. Data analysis was done using SPSS version 20. Result: A total of 100 participants were involved in the study with 59% female. The mean age of the participants’ was between 26-30 years and the mean scores of knowledge and practice nurses were 11.14 and 16.11 respectively. Nearly half (51.0%) of nurses had poor knowledge and 41.0% of them had fair knowledge on endotracheal suctioning. and 80.0% had poor practice regarding ETS. Sex had statistically significant association with knowledge (p=.008, AOR and 95% CI 3.336, 1.364- 8.161).Training on ETS had statistically significant association with practice of nurses (p=.025, AOR & 95% of CI 3.372, 1.162-9.788). Conclusion and Recommendation: More than half 51% of nurses had poor knowledge and almost all 80% of nurse’s practice towards ETS was poor. Teaching intervention (especially for females) and training to improve nurse’s knowledge and practice in the care of patients requiring ETS is indicated. Key word: Endotracheal suctioning, knowledge and practice
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    Assessment of knowledge, Attitude and Practice of Nurses towards Documentation among Nurses Working in Emergency Department of Selected Governmental Hospitals in Addis Abeba, Ethiopia, 2019.
    (Addis Abeba University, 2019-06) Tesfaye Birhanu; Wubetie Andualem; Girma Biruk
    Introduction: Nursing documentation is a required aspect of care which provides written confirmation of discussions and actions that have been done as well as missed for specific reasons. However it draws criticism from professionals, community and different regulatory organization due to incomplete, substandard documentation. However, little has been explored about nursing documentation practice in health care facilities of Addis Ababa,Ethiopia. Therefore; this study was conducted to assess documentation knowledge, attitude,and practice among nurses working in selected public hospitals of Addis Ababa, Ethiopia. Objectives: the objective of this study was to assess knowledge, attitude and practice of nurses towards documentation among nurses working in emergency departments at Black lion specialized Hospital, Zewditu memorial Hospital and AaBET Hospital, Addis Ababa,Ethiopia, 2019. Methods and material: Cross-sectional design; structured self-administered questionnaires were used to assess knowledge, attitude and practice of nurses. The collected data was analyzed using SPSS version 21. Frequency table, graphs and pie chart was used to describe the result. Result: A total of 243 nurses completed the survey 65% of participants were female with the mean age of 29.5 (SD± 0.86). The score of respondents’ knowledge and practice towards nursing documentation was added up and dichotomized into two based on the mean knowledge score which was 3.3(D± 0.47), and 7.45 (SD ± 2.07) respectively. Attitude was assessed using likert scale and the mean score was 30(SD±0.45). Accordingly the knowledge, attitude and practice of the respondents 33.3%, 27.6%, 50.21% were poor respectively. Conclusion: The study indicated that knowledge and attitude of nurses towards documentation fall in good and favorable range of mean score respectively. But the practice was poor among nurses working in emergency departments of selected governmental hospitals. Recommendation: Based on the finding of this study, employing institutions need to create awareness and provide training to enhance knowledge, attitude and practice of the nurses regarding documentation. Researchers also need to carry out large scale studies in order to address the problem.
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    Assessment of the Magnitude and Associated Factors of Turnover Intention among Nurses Working in Emergency Departments of three Selected Governmental Hospitals in Addis Ababa, Ethiopa, 2018.
    (Addis Abeba University, 2018-06) Taye Biniam; Girma Biruk; Wubetie Adualem
    Back ground: Nurses’ turnover is defined as resignation of a licensed nurse from a hospital due to various factors. However Nurses’ turnover from Emergency department can be nurses’preference of working in other departments within the same hospital or totally to leave the hospital. Actual turnover is expected to increase as the intention increases. Emergency Department nurses are especially vulnerable to turnover because of their increased potential for developing burnout and compassion fatigue in which work environment has a great role. Objective: To assess the magnitude and associated factors of turnover intention among nurses working in emergency departments of selected governmental hospitals in Addis Ababa, Ethiopia. Methods: Institution based cross-sectional study was carried out on 102 nurses conveniently in three selected governmental hospitals, Addis Ababa from February 19 to march 31 2018, using structured pre tested self-administered questionnaire. Logistic regression model was fitted and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors. Result: A total of 102 respondents were involved with a response rate of 91.1%. Among them,46(45.1%) respondents had intention to leave the hospital. three significant predictors of nurses working in emergency departments ’ intention to leave their jobs: holding diploma rather than master (adjusted Odds ratio (OR) =4.700, 95% confidence interval (CI)=1.033, 590.772;p<0.048), having Less than 3145 ETB monthly income more highly (adjusted OR=6.049, 95%CI=1.056,34.641; p<0.043) and professional autonomy (adjusted OR=0.191, 95% CI=0.040, 0.908; p<0.037). Conclusion and recommendation: Nearly half of the respondents had been intention to leave the organization. Educational status; monthly income and autonomy were significantly associated with nurses‟ turnover intention in three governmental hospitals. Ward managers,ENA and MOH might have made efforts to enhance nurses‟ independent decision making for patient care activities and shared decision over work or unit related activities.
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    Assessment of the Magnitude and Associated Factors of Turnover Intention among Nurses Working in Emergency Departments of three Selected Governmental Hospitals in Addis Ababa, Ethiopia, 2018
    (Addis Ababa Universty, 2018-06) Taye Biniam; Girma Biruk
    Back ground: Nurses’ turnover is defined as resignation of a licensed nurse from a hospital due to various factors. However Nurses’ turnover from Emergency department can be nurses’ preference of working in other departments within the same hospital or totally to leave the hospital. Actual turnover is expected to increase as the intention increases. Emergency Department nurses are especially vulnerable to turnover because of their increased potential for developing burnout and compassion fatigue in which work environment has a great role. Objective: To assess the magnitude and associated factors of turnover intention among nurses working in emergency departments of selected governmental hospitals in Addis Ababa, Ethiopia. Methods: Institution based cross-sectional study was carried out on 102 nurses conveniently in three selected governmental hospitals, Addis Ababa from February 19 to march 31 2018, using structured pre tested self-administered questionnaire. Logistic regression model was fitted and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors. Result: A total of 102 respondents were involved with a response rate of 91.1%. Among them,46(45.1%) respondents had intention to leave the hospital. three significant predictors of nurses working in emergency departments ’ intention to leave their jobs: holding diploma rather than master (adjusted Odds ratio (OR) =4.700, 95% confidence interval (CI)=1.033, 590.772;p<0.048), having Less than 3145 ETB monthly income more highly (adjusted OR=6.049, 95%CI=1.056,34.641; p<0.043) and professional autonomy (adjusted OR=0.191, 95% CI=0.040,0.908; p<0.037). Conclusion and recommendation: Nearly half of the respondents had been intention to leavethe organization. Educational status; monthly income and autonomy were significantly associated with nurses‟ turnover intention in three governmental hospitals. Ward managers,ENA and MOH might have made efforts to enhance nurses‟ independent decision making for patient care activities and shared decision over work or unit related activities.
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    Pattern of Head Injury among Patients Presented to Adult Emergency Department of Jimma University Teaching Hospital, Jimma, South West Ethiopia
    (Addis Ababa University, 2015-07) Ketema Indeshaw; Girma Biruk
    Background: Trauma, especially head trauma, is an expanding major public health problem and the leading cause of death of the young and productive part of the world’s population. Globally,head injury is a substantial cause of mortality and morbidity across all age groups, with a disproportionately greater burden borne by low- and middle-income countries (1). Objective: To assess the pattern of head injury among patients presented to adult ED of JUTH,Jimma, South West Ethiopia, from January 01, 2014 to December 30, 2014. Methods: Institutional based retrospective, cross sectional study was conducted at JUTH, Jimma town, South West Ethiopia, from January 01, 2014 to December 30, 2014.All head injury patients who fulfills inclusion criteria and visited JUTH during the period from January 01, 2014 to December 30, 2014 were selected for the study. Data was collected using pretested structured check lists through reviewing of patient chart retrospectively. The collected data was encoded to Microsoft Excel and was analyzed using SPSS Version 20.0. The obtained result was displayed by using frequency tables, graphs and charts. Results: Out of 135 patients, 121 (89.6%) were males and the remaining 14 (10.4%) were females. The mean age was 30.34 years (SD=14.01). Interpersonal violence 73 (54.1%) and road traffic accidents 42 (31.1%) were the most common causes of head injury. More than half of the patients sustained mild head injury which accounts 87 (64.4%) and 20 (14.8%)sustained severe head injury. The initial GCS had a significant correlation with the outcome and of all patients 98 (73%) were managed conservatively. Conclusion: Prevention of road traffic accidents and improvement of conservative care were identified as major methods to reduce the burden of head injury in a set-up similar to Jimma. Key words- head injury, pattern, Jimma University teaching hospital, Southwest Ethiopia.
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    A Study on Effectiveness of Selected Human Resource Management Practices in Panafric Global Plc
    (Addis Ababa University, 2019-06) Girma Biruk; Tesfaye Atsede
    Maintaining effectiveness in HRM practice is a primary objective for all freight forwarding company to stay in the profitability track. The purpose of this study was an attempt to understand the opinion and attitude of various categories of employees in PAG, towards the effectiveness of recruitment and selection practice, training and development program, and reward and compensation system. Descriptive research method was adopted for this study using 44 valid questionnaires which were completed by selected employees in PAG using simple random sampling technique. The data collected were carefully analyzed using descriptive statistics to represent the raw data in a meaningful manner; percentage, frequency and mean analysis were used for analyzing and interpreting the opinions of the employees. The study has found high level of effectiveness on recruitment and selection practice, and training and development program while medium level of effectiveness achieved for reward and compensation system. From the analysis it was found that right employees are not assigned at the right position. As a result, employees are demotivated and their job satisfaction declined over time. Even though the company provide extensive training program; some improvement needs to be done on training program need assessment and post training program evaluation in order to increase the effectiveness level of training and development program. Although effective compensation and reward system are essential for attracting, retaining and motivating employees towards the achievement of freight forwarding companies; the finding shows that compensation and reward scheme in PAG need improvement to meet the desired target, as a result, PAG management need to work hard to achieve high level of effectiveness