Browsing by Author "Mengistu, Daniel (PhD)"

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    Assessment of Self-Reported Practice of Nursing Documentation and Associated Factors Among Nurses in Selected Public Hospitals, Addis Ababa, Ethiopia, 2017
    (Addis Ababa University, 2017-06) Hailu, Hanna; Mengistu, Daniel (PhD)
    Introduction: Nursing documentation is an essential component of nursing practice that has a potential to improve the patient outcome besides developing the nursing profession. 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 practice among nurses working in selected public hospitals of Addis Ababa, Ethiopia. Objective: The objective of this study was to assess the self-reported practice of nursing documentation and associated factors among nurses working at Yekatit-12 , Ras Desta Damtew, Zewditu and Black Lion Specialized hospitals which are all located in Addis Ababa, Ethiopia. Method: A quantitative descriptive cross sectional survey was employed to assess self-reported practice of nursing documentation and associated factors among nurses working in selected public Hospitals. Data was collected using a structured self- administered questionnaire that was developed and pre-tested on 32 (10 %) of sampled nurses working in Minillik II Hospital. The study was conducted from April 3 – 17/2017 and the study participants were selected randomly. SPSS version 22 was used for both data entry and analysis. Descriptive statistics was used to describe the data and binary logistic regression to test statistical association of documentation practice against the knowledge, attitude and organizational factors. Result: Among all nurses who have participated in the study, good self-reported nursing documentation practice was 47.8 %. Work setting, adequacy of documenting sheets, adequacy of time, availability of motivation from supervisors, lack of skill and familiarity with operational standard of nursing documentation were significantly associated with practice of nursing care documentation [AOR=0.570(95% CI (0.345, 0.940), [AOR=3.610(95% CI (1.516, 8.595), AOR =4.891, 95% CI (2.425, 9.863), AOR =4.081, 95% CI (1.054, 15.806), AOR =0.109, 95% CI (0.013, 0.908) [AOR=1.947(95% CI (1.159, 3.269) respectively. Conclusion: Nursing documentation practice was poor among nurses under the study. Work setting, adequacy of documenting sheets, adequacy of time, availability of motivation, lack of skill and familiarity with operational standard of nursing documentation were significantly associated with practice of nursing care documentation Recommendation: Based on the finding of this study, employing institutions need to create awareness and provide training to enhance knowledge and skill of the nurses regarding documentation. Nursing leaders should motivate the employees to enhance the practice of documentation, avail the necessary documenting materials besides adequate staffing which may be related to time shortage. Researchers also need to carry out large scale studies in order to address the problem. Key words: Documentation, Self-reported practice, Nurses
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    Assessment of Knowledge, Practice and Associated Factors of Adult Intensive Care Nurses‘ on Prevention of Ventilator Associated Pneumonia in Selected Hospitals in Addis Ababa, Ethiopia
    (Addis Ababa University, 2014-06) Alemu, Girma; Mengistu, Daniel (PhD)
    BACKGROUND- Ventilator-associated pneumonia (VAP) is the most common nosocomial infection, with the prevalence rates ranging from 10% to 70% in critical/ Intensive care units. It is a sub-type of hospital-acquired pneumonia which occurs in people who are on intubation or mechanical ventilation that was not present at the time of admission to hospital or that occurs 48 hours after intubation and mechanical ventilation through an endotracheal or tracheotomy with reported incidence of 6–20 times higher in these patients. OBJECTIVE: To assess knowledge, practice and associated factors of Adult Intensive Care nurses‘ on prevention of Ventilator Associated Pneumonia (VAP) in selected Hospitals in Addis Ababa, Ethiopia. METHODS AND MATERIALS- A facility based cross-sectional and observational study was conducted on 129 Adult Intensive Care nurses to assess their knowledge, practice and other associated factors by using self-administered questionnaire and observational checklist. Information letters, consent forms and questionnaires were handed to nurses working in the Adult ICU; by data collectors. Data was coded and entered into EPI INFO 3.5.4 and Analyzed using SPSS version 16.0 for descriptive and inferential statistics. RESULTS: Out 129 respondents, 78 (60.5%) were females, 73 (56.6%) had diploma, Majority of Adult Intensive Care nurses 79 (61.2%) had no ICU training, and 87 (67.5 %) had been working in the ICU for less than 6 years, 66 (51.2%) scored below mean score, had inadequate knowledge. There was a significant difference in knowledge between respondents with ICU training as found (p value = 0.04) and between participants with different educational level (p value = 0.021). Significant difference in practice was found between ICU nurses who had ICU training (p value = 0.038) and between nurses with different years of Experiences (p value = 0.041) CONCLUSION: The study reveals that majority of nurses working in the Adult Intensive Care Units had inadequate knowledge and practice. Nevertheless, those nurses who trained and had high educational level have adequate knowledge than those nurses who had more years of experience, where as those experienced and trained nurses were practicing more adequately than those nurses who hold first and second degree. RECOMMENDATIONS: I would like to recommend those program efforts working towards prevention of VAP, and improving Knowledge and practices of Intensive care nurses‘. Key words: knowledge, practice, nurse(s), Adult intensive care unit, Ventilator associated pneumonia
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    Assessment of Nurses’ Preparedness (KNOWLEDGE, Attitudes and Skill) and Identify Barriers to Care Women Expose to Ipv Attending at Governmental Health Care Institution, In East Gojjam Zone, Amhara Regional State, Ethiopia, 2014
    (Addis Ababa University, 2014-06) Zeleke, Haymanot; Mengistu, Daniel (PhD)
    Introduction: Intimate partner violence (IPV) is a pattern of purposeful coercive behaviors that may include inflicted physical injury, psychological abuse, sexual assault, progressive social isolation. This violence can be considered a leading public health problem with serious health consequences for Women exposed to IPV. Due to, the nurse is often an early point of contact, no information of nurses‟ preparedness (knowledge, attitude and skill, and barriers) regarding to IPV care in Ethiopia, high prevalence and impact on women health, these make it problem. Objectives: To assess nurses‟ knowledge, practice and attitude, and identify barriers to care women exposed to intimate partner violence in East Gojjam, Amhara region, Ethiopia. Method: Quantitative study design was conducted to assess nurses‟ preparedness (knowledge, practice and attitude) to care women exposed to IPV and qualitative design for barriers to care Women exposed to IPV. East Gojjam has 18 woredas. Required sample size was 448 nurses. From 18 woredas, nine woredas were randomly selected through proportionate sampling method then the study sample was selected randomly. The collected data was cleaned, coded and entered in EpiData version 3.1 then transferred to SPSS version 16.0 for analysis. Descriptive statistics like frequency and percentage was used to summarize the socio-demographic characteristics‟, knowledge, attitude and skill. To know whether there is association or not between factors and nurses‟ care of, multivariate regression was used. Then odds ratio was used to find which variable was the most significant to affect of care women exposed to IPV. The strength of statistical association measured by adjusted odds ratios with 95% confidence intervals and 0.5% marginal error. Three groups of nurses from emergency, OPD and Obygynacology wards nurses purposely were selected. Total nurses who were participating in focus group discussions were 24. nurses‟ conversation auto taped, transcribed, translated and analyzed through open code soft ware 6.3 version. Finally, integrated according to emerging themes and then narriated. Result: Just over 94% of all respondents had not received training. More than the half of nurses was not knowledgeable. Around 60% of nurses had negative attitude to IPV cases. In addition, almost 60% of nurses were not skillful. A logistic regression analysis indicated that there was a significant association between being male to care to Women exposed to IPV. Males were 7.899 times more likely to give care to Women exposed to IPV. Nurses who had experience on the care of women exposed to IPV were more give care than who never had experience. Barriers described by nurses were; related to social, institutional, nurses and victim/ women exposed to intimate partner violence/ that affect nurse care to women exposed to IPV were addressed. Conclusion:. Training was significantly affecting the care of women exposed to IPV. Many of nurses had no skill/experience to care women exposed to IPV and majority of nurses could not ask sign of women exposed to IPV like eating disorders, hypertension, headaches and irritable bowel syndrome. Majority of nurses were not knowledgeable and not skillfull thus affect nursing care of women exposed to IPV. Generally, the majority of the nurses did not provide nursing care to women exposed to IPV. Recommendation: East Gojjam zone health offices to open the opportunity of getting nursing care training regarding to women exposed to IPV. At higher institutions like university r training before and afte graduation, expanding education opportunity, expanding education opportunity and incorporating in nursing curriculum is recommended. Strengthening of health services in promoting early nurses‟ training and experience sharing and special emphasis to information on signs and what next action shall be done is recommended. Key words: Preparedness to care, readiness to care, barriers to care and IPV care
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    Premarital Sexual Practice and Perception of Sexual and Reproductive Health Risks Associated With It Among in-School Youths In Shoa Robit Town, North Shoa Zone, Amhara Region, Ethiopia
    (Addis Ababa University, 2014-06) Tadesse, Nigussie; Mengistu, Daniel (PhD)
    Introduction: More than one billion people in the world are between the ages of 15 and 24, and most live in developing countries. Unsafe sex is a major threat to the health and survival of millions of adolescents. Each year, one in 20 adolescents worldwide contracts an STI including HIV/AIDS. Objectives: to assess premarital sexual practices and perception of sexual and reproductive health risks associated with it among in-school youths of Shoa Robit town, North Shoa Zone, Amhara National Regional state, Ethiopia Method of the study: An Institution based cross-sectional study design including both quantitative and qualitative surveys was used. To determine number of students to be included in the study, a single population proportion formula was used based on the assumption of 19% prevalence (p) in school youth premarital sex by using design effect 1.5 and at 95% confidence interval with marginal error of 4%, and finally the sample size would be 540. Result: Of the calculated sample size, total of 508 respondents completely filled to the questionnaire in the study with response rate of 94.1%. Among a total participants 274(53.9%) were females and 234 (46.1%) were males. Among the study subjects, 224 (44.1%) of them reported that they had premarital sexual intercourse at the time of the survey, of which 106 (47.3%) for males and 118(52.7%) for females. The mean age of sexual intercourse was 17.5± 1.5 years for males and 16.8± 1.4 years for females. Youths who come from urban were more likely experience sex than youths from rural (AOR=3.432; 95%CI=1.971, 5.965). Youths who drink alcohol, smoke cigarette, chew chat and watch pornographic films were more likely experience sex than who did not (AOR= 2.538; 95%CI=( (1.378-4.674), (AOR= 6.715; 95%CI=1.422,31.711), ( AOR= 5.946; 95%CI=0.998, 35.445) and (AOR= 5.119; 95%CI=2.983, 8.784) respectively. Conclusion and recommendation: In general, from this particular study, we can conclude that the level of sexual and reproductive health risk perception towards STI including HIV/AIDS, among in school youths is generally minimal. Consequently, risky sexual practices are widely prevalent. School based information, education and behavioral change communication intervention including life skill training should be given
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    Prevalence and Associated Factors of Low Birth Weight Among Newborn Babies in Dessie Town Health Institutions Amhara Region, Ethiopia, 2017
    (Addis Ababa University, 2017-06) Abebaw, Desalegn; Mengistu, Daniel (PhD)
    Introduction: Globally, more than 20 million infants are born with Low Birth Weight and a larger proportion of these concentrating in Asia and Africa. Africa has a reported incidence of 14.3 %.Children born with low birth weight are more likely to die prematurely compared to infants of normal birth weight. Likewise, these children experience more morbidity, both in the short and long term. Therefore, it is clear that low birth weight represents a heavy burden for healthcare services worldwide. Objective: The aim of this study was to assess the prevalence and associated factors of low birth weight among newborn babies in Dessie town health institutions, Amhara region, Ethiopia. Method: An institutional based cross sectional study design was conducted to assess the prevalence and associated factors of low birth weight among newborn babies in Dessie town health institutions. The data was collected using a semi-structured pre-tested interviewer guided questionnaire. Data was cleaned manually, coded and entered into Epi -info version 7 and analysed by SPSS version 20 statistical software.Bivariate and multivariate logistic regression analyses were employed to identify associated factors for low birth weight.After bivariate regression analysis, variables with P value less than 0.2 were included in multivariable logistic regression. Adjusted odd ratio along with 95% CI was calculated to see strength of association and P<0.05 was taken as level of statistical significance. Result: Data were collected from 358 mothers who had new born babies with 97% response rate. In this study the prevalence of LBW was 15.6%. Maternal age AOR:3.78,95% CI,(1.02,13.97),residing in rural area AOR: 3.49, 95% CI, (1.48,8.24), ANC follow up AOR: 3.79, 95% CI (1.08, 13.23), gestational age AOR:3.82 95% CI,(1.55,9.42) Sex AOR:3.37,95% CI,(1.17,9.72)were found to be predictor of low birth weight. Conclusion and Recommendation: The prevalence of low birth weight in this study was high. With regard to this high LBW prevalence, there is need for health care providers in Dessie town health institutions to put more emphasis on Focused ANC to ensure risk of LBW is detected early and treated appropriately. Key words: low birth weight, associated factors, Dessie town, North East Ethiopia