Browsing by Author "Mitiku Tilahun"

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    Breaking Bad News Knowledge and Attitude of Junior Physician Practicing at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.
    (Addis Abeba University, 2021-12) Mitiku Tilahun; Merkebu Ermias
    Introduction: Breaking bad news to patients or discussing a serious case with a patient is part of the daily activity of many healthcare professionals and it is an inevitable clinical duty. In a Medical setting bad news is any information likely to alter drastically a patient's view of his or her future perspectives and vision of life. Effective communication skills of delivering bad news are very important to develop good patient-physician relationships. Objective; To assess the Knowledge, and Attitude of TASH Junior physicians about breaking bad news. Methods: An institutional-based cross-sectional study at Tikur Anbessa specialized hospital,Addis Ababa Ethiopia from August to October 2021, and comprised 286 postgraduate residents of different specialties making a 98% response rate. Their knowledge and attitude were assessed by using a specifically-designed questionnaire based on SPIKES protocol. It is a six-step protocol of Setting, Perception, Invitation, Knowledge, Empathy, and Summarizing model. Data were collected through self-administered questionnaires and online surveys. The collected data were entered into Microsoft excel, then it was exported to SPSS of version 26.0 for analysis.Bivariate and multivariate analysis using logistic regression models was used to determine the association between different predictor variables with the dependent variable Results: Among 286 respondents, 201 (70.3%) were males and 85(29.7) were females and the mean age of the participants was 29.69 years (SD±2.205) years).98.3% of participants have been involved in breaking bad news, (37.1%) admitted bad experience in breaking bad news and87.6% did not have any specific teaching or training on BBN. The mean and median score of the participants' knowledge about breaking bad news in this study was 5.94 (SD ± 1.100) and 6respectively. Among participants, 70.3% had good knowledge, followed by a poor knowledge(16.4%) and a Moderate level of knowledge (13.3%). From self-reported breaking bad newsskills majority of participants (57.7%) of participants were only fairly satisfied with their BBN skills. Conclusion: Most of the participating physicians didn’t receive any training on BBN, a substantial number of residents didn't follow BBN protocol. Even though a majority of participants had good knowledge they had little satisfaction regarding their BBN skills Recommendation :Education and training for trainees during their residency programs to improve their BBN skills should be considered and adoption of BBN protocol
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    Determinants of Credit Risk Management Effectiveness in Private Commercial Banks in Ethiopia
    (A.A.U, 2022-03) Mitiku Tilahun; Teklu Tilahun
    Risk management involves a set of tool and models for measuring and controlling risk. There is a research gap in risk understanding, risk identification system, risk assessment and analysis, risk monitoring system, and risk evaluation determinants in the Ethiopian context in general and in the study area in particular. The main objective of this study is to examine determinants of credit risk management effectiveness in Ethiopian private commercial banks in Addis Ababa city. A quantitative research and explanatory research method is used. The data was collected using self-administered close ended structured questionnaires from 166 respondents by using nonrandom sample technique called convenience sampling technique. Descriptive statistics and multiple linear regressions were used for analysis. Assumptions are tested to check the appropriateness of multiple linear regressions for analysis. The descriptive statistics result of (risk understanding, risk assessment and analysis, risk monitoring system, and risk evaluation) mean score is high which is above the mean score of point 3 and risk identification system has medium value. The multiple regression analysis result revealed that the four predictors risk understanding, risk identification system, risk assessment and analysis, and risk evaluation have significant and positive coefficient of beta values indicating that they have positive effect on credit risk management effectiveness under the study while one predictor risk monitoring system has insignificant alpha valve which indicated that it has no any effect on credit risk management effectiveness under the study. It is recommended that the managers of each bank had better to maintain current established risk management techniques and that employees are expected to perceive in the bank; the management of each bank also set up proper risk identification mechanism to minimize occurrence of high risk in the bank; they had better asses and analysis their effectiveness related to loan and repayment performance in the bank ; each private commercial bank in Ethiopia had better continue the timely evaluation of financial risks to find out measurements to be taken in order to maintain safe balance of loan in the bank. Key Words: Credit risk management effectiveness, Risk understanding, risk identification system, risk assessment and analysis, risk monitoring system, and risk evaluation