Browsing by Author "Tachbele, Erdaw (PhD)"

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    Assessment of Clinical Decision Making Among Nurses Working in Hospitals of Addis Ababa, Ethiopia, 2017
    (Addis Ababa University, 2017-06) Negash, Fikirte; Tachbele, Erdaw (PhD)
    Background: - Decision making at clinical level is the way in which nurses perceived to arrive at appropriate decisions in practical nursing situations. And these decisions have a direct impact on the health status of the patients, poor clinical reasoning skill leads to increasing numbers of adverse patient outcomes. Nurses are required to make decisions with multiple foci for example, diagnosis, intervention, interaction and evaluation in dynamic contexts, using a diverse knowledge base decisional pattern. However, inability to recognize clinical situation is the major cause of errors in decisions. Objectives: - To assess nurse’s clinical decision making approach in hospital settings, Addis Ababa, Ethiopia, 2017. Methods: - Institution based cross-sectional descriptive study was conducted on 390 nurses. To determine the sample size a single proportional formula was used. Self-administered English version questionnaire (theoretical framework developing instrument by Lauri and Sanna Salanterä, included Hammond’s CCT) was used. The instrument used to investigate nurses’ clinical decision making patterns at clinical practice level. To explain study population in relation to relevant variables, descriptive statistics like: frequencies and percentages were calculated. Multi nominal logistic regression was used to show the association between CDM and associated factors among nurses. Permission was obtained from IRB. Information obtained from participants was kept secured and confidential. Result: Clinical decision making score in this study ranges from 46 to 82 (mean = 65.5, SD = 4.5). Two hundred sixty two (67.2%) of the participant scored in analytical decision making category. One hundred twenty five of respondents (32.1%) scored in the category of quasi decision making which is a combination of both analytic and intuitive decision making process. Out of the total 390 respondents only three (0.8%) of them categorized as using intuitive decision making method when dealing with patient. Organizational type/private sectors (p=0.021), clinical simulation (P=0.031) and ICU department (P=0.025) were factors associated with clinical decision making Conclusion and recommendation: This study found that there was clinical nurses inclination to the use of analytical decision making to the most part, So, health delivery organizations to encourage nurses in particular clinical situation enable them to make decision that is timely and accurate as possible and also the use of quasi rational decision making method in there day today nursing practice with only a very few of them making intuitive decision making method. Organizational type (private sector), clinical simulation and ICU department were factors associated with CDM. Keys Words: - Clinical decision making, Nurses, Intuition, and Analytical, Quasi-rational.
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    Assessment of Health Seeking Behavior and Associated Factors For General Danger Signs Among Mothers of Under Five Children In Bishoftu Town, East Shoa Zone, Oromiya, Ethiopia, 2016.
    (Addis Ababa University, 2016-05) Wondwossen, Kalkidan; Tachbele, Erdaw (PhD)
    Background: Adequate recognition of danger signs is an important parenting tool in preventing the child from preventable morbidities and mortalities. Many child deaths are attributed to delays in seeking care, a timely care seeking practice has a great importance in areas with limited health access. The world health organization estimates that seeking appropriate and on time care by care givers could reduce child death by 20%. Objective: The objective of the study was to assess health seeking behavior and associated factors for general danger signs among mothers of under-five children in Bishoftu town, East Shoa Zone, Oromiya. Methods: A community based cross sectional study was conducted from March – April 2016. A total of 422 mothers were included in the study. The collected data were entered into computer using Epi data version 3.5 and analyzed using SPSS version 23. Logistic regression was fitted to assess possible association and the strength of association was measured using odds ratio with 95% CI. Results: The study revealed that health seeking behavior was exhibited among 200 (49%) of mothers who took their child to hospital/health facility immediately without any home intervention. Educational level of the mother (OR=5.6, 95% CI: 1.6-20.1), monthly income (OR=9.0, 95% CI: 3.8-21.9), previous child illness (OR=6.3, 95% CI: 3.2-12.3) and mothers’ knowledge of general danger signs (OR=2.6, 95% CI: 1.3-4.5) were found to have statistically significant association with health seeking behavior. Conclusion: This study showed that almost half of the mothers sought appropriate health care from both government and private health institutions. Although this number seemed appreciable, given the positive phase of change in health sector of the country and the immediate need to seek care for general danger signs, the number is still not sufficient. Hence, continuous education of mothers on recognition of danger signs in children and the need to seek appropriate and immediate medical care in health facilities should be implemented. Key words: General danger signs, Health seeking behavior,Bishoftu town, Mothers of the under- five child
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    Assessment of Knowledge and Practice on Birth Preparedness and Complication Readiness Among Antenatal Clients in Selected Health Centers in Addis Ababa, Ethiopia
    (Addis Ababa University, 2011-06) Araya, Luchia; Tachbele, Erdaw (PhD)
    Background- Birth preparedness and complication readiness is a strategy to promote the timely use of skilled maternal and neonatal care, especially during childbirth. Based on the theory that preparing for childbirth, and being ready for complications reduces delays in obtaining this care. Lack of advance planning for use of a skilled birth attendant for normal births, and particularly inadequate preparation for rapid action in the event of obstetric complications, are well documented factors contributing to delay in receiving skilled obstetric care. Birth preparedness has been globally endorsed as an essential component of safe motherhood programs to reduce delays for care, so reduced maternal mortality rate and neonatal mortality rate. Objective: To assess knowledge and practices with respect to birth preparedness and complication readiness among antenatal clients in selected Addis Ababa Health Centers. Methods: A cross-sectional institution based study was conducted to examine knowledge and practice of birth preparedness and complication readiness among clients at five selected health centers by using pretested standard questioner in Addis Ababa. The sampling technique was systematic sampling and the sample size was 290. Results: Data were obtained from 290 mothers, yielding a response rate 100%.Taking into account identifying danger sign during pregnancy, labor and during postnatal, and place of delivery identification, means of transportation and saving money. About 42%, 17.2%, 27.7% of the respondents were knowledgeable about danger sign during pregnancy, delivery, and postpartum period respectively. Regarding to knowledge to birth preparedness 46% of the respondents were knowledgeable and 68.0% stated that they were prepared for birth and its complication. In this study educational status of mothers and their knowledge about danger sign during pregnancy was associated. Illiterate mothers were 0.48 times less knowledgeable about danger sign during pregnancy as compared to those who were secondary and above (OR=0.42(95%CI=0.21, 0.82). Mothers with the income of 500-1000 Birr per month were 2.86 times more likely to have knowledge about danger sign during pregnancy as compared to those who were with no income(COR=2.86 (95% CI=1.41,5.78)) but the significant association between educational status, income and danger sign during pregnancy was not retained in the multivariate analysis. Conclusion and recommendation-The study identified poor comprehensive knowledge and practices on preparation for birth and its complication in the study area. Community education about preparation for birth and its complication and empowerment of women through expansion of educational opportunities are recommended for improving birth preparedness and consequently the effects of pregnancy related complications. The individual woman, her family and the community as a whole should have to be well informed on birth preparedness and complication readiness.
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    Assessment of Knowledge, Attitude and Practice of Obstetric Danger Signs During Pregnancy Among Mothers in Debre Birhan City Administration, North Shewa, Amhara Region, Ethiopia
    (Addis Ababa University, 2014-06) Nurgi, Sodere; Tachbele, Erdaw (PhD)
    Background: Pregnancy complications are the major health problems among women in developing countries. Approximately 529,000 women die from pregnancy related causes annually and almost all (99%) of these maternal deaths occur in developing countries. Objective: To assess knowledge, attitude and practice of mothers towards obstetric danger signs during pregnancy in Debre Birhan City Administration, April, 2014. Methods: A community based cross-sectional quantitative study was conducted in April,2014, on a sample of 634 mothers who are at least 4 months pregnant for primi gravid and delivered in the past 24 months selected from, 4 urban and 2 rural Kebeles of Debre Birhan city Administration. Multistage sampling technique was employed to select the study participants. Results: A total of 634 mothers were enrolled in the study giving a response rate of 99.7%. The study participants from selected urban kebeles constituted 76.7%. Most (68.2%) of the study participants were found to have poor knowledge. Respondents who got obstetric danger signs information from media had 2.8 times good knowledge than those respondents who didn‟t get information from the same source [AOR=2.8, 95%CI (1.7- 4.65)].52.7% of the study participants had negative attitude. Participants who had formal education have 2.2times positive attitude than a participants who had informal education [AOR=2.2, 95% CI (1.1- 4.4)].Out of 51(8.1%) who experienced obstetric danger signs 44(7.0%) had Good practice. Conclusion: Knowledge and attitude of study participants are not satisfactory (68% poor knowledge and 52.7%) the practice of the study participants who had experienced obstetric danger signs during pregnancy was good. Recommendation: Awareness of key danger signs needs to be given priority as it prepares women and their families for timely and appropriate decisions and action in case of obstetric danger signs. Key words: Danger signs, Pregnancy, Obstetric care
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    Assessment of Knowledge, Attitudes and Practices Regarding Maternal Nutrition Among Pregnant Women Attending Antenatal Care Clinics In Public Hospitals in Addis Ababa, Ethiopia, 2015
    (Addis Ababa University, 2015-06) Arega, Mikyas; Tachbele, Erdaw (PhD)
    Background: Nutrition is a fundamental pillar of human life, health and development throughout the entire life span. Especially Pregnancy is a time of increased energy and nutrient needs for a woman in order to meet the needs of the growing fetus and of maternal tissues associated with pregnancy. However, little has been explored about nutritional knowledge, attitudes and practices among pregnant women attending antenatal clinics in Addis Ababa, Ethiopia. Therefore; this study was conducted to describe the nutritional knowledge, attitudes and practices among pregnant women attended selected public hospitals of Addis Ababa, Ethiopia. Objective: The objective of this research was to assess Knowledge, Attitudes and Practices regarding maternal nutrition among pregnant women attending Antenatal care (ANC) clinics in selected Public Hospitals, Addis Ababa, Ethiopia, 2015. Methods and Materials: An institutional based cross sectional study was complemented to collect relevant data among 322 pregnant women attended ANC clinics in selected public Hospitals in Addis Ababa, Ethiopia. A simple random sampling procedure was used to select public Hospitals and systematic sampling was used to select pregnant mothers using the hospitals registration list. The data was collected with Interview using a pre tested semi- structured questionnaire from April to May, 2015 Result: The data were analyzed using SPSS version 21. Multiple logistic regressions were run to assess factors that were associated with the dependent variables at P< 0.05 and to control the confounders. This study revealed that among 322 pregnant women only 87(27%), 156(48.4%) and 111(34.5%) of pregnant women had knowledge, favorable attitude and good practices of nutrition during pregnancy. There was a positive significant association between educational status of women, family income, attitude, number of pregnancies and nutrition knowledge during pregnancy. Knowledge had positive significant association with attitude of respondents towards nutrition during pregnancy. Knowledge, family income, husband education and occupation had a positive association with good practices of nutrition during pregnancy Conclusion and Recomendation: The knowledge, attitude and practices of nutrition during pregnancy were relatively low in the study area. The government and the concerned bodies should focus on education and to eradicate poverty. Keywords: Knowledge; Attitude; Practice; Nutrition; Malnutrition; Pregnancy
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    Assessment of Reproductive Health Service Utlization and Associated Factors Among High School Youths in Addis Ababa, Ethiopia, 2015
    (Addis Ababa University, 2015-02) Tefera, Tigist; Tachbele, Erdaw (PhD)
    Background: According to WHO, youths is between 15-24 years of age. Reproductive health (RH) is critical for youths and adults because it does not only set the stage for health beyond the reproductive years; it also affects the health of the next generation. Objective: The purpose of this study is to determine factors affecting reproductive health service utilization among high school youths in Addis Ababa. Methodology: School-based quantitative cross sectional study was carried out among selected secondary and preparatory students, in Addis Ababa city. Using the random sampling a total of 694 school youths (aged 15-24 years) were proportionally allocated and interviewed. Total of Ten facilitators and a nurse supervisor was recruited to assist the data collection process. A pretested structured questionnaire was employed to obtain the necessary information after getting both written and verbal consent from the concerned bodies. The collected data was interred in to Epidata and analysed using SPSS version 20 statistical package and the degree of association between dependent and independent variables were assessed using bivariate and multivariate analysis. Result: From the total of 694 school youths responded, 199(28.7%) of the respondents utilized reproductive health services in the past one year. Voluntary counselling testing of HIV and Family planning were utilized by 127(18.3%) and 124 (17.9%) of youths respectively. The likely hood of RH service utilization was 2.04 times higher among male‟s than female‟s [AOR=2.04 (1.41, 3.00)]. Youths with age of 15 to 17, youth who prefer to get service during usual working hour and who prefer getting service by any provider were 0.60[AOR 0.60(0.41,0.89)], 0.61 [AOR 0.61(0.41, 0.90)] and 0.39 [AOR= 0.39(0.20,0.76)] times less likely to utilize RH services respectively Conclusion: Proportion of youths reporting RH services were generally low, slight higher than one fourth. Sex, Age, preference of the same sex service provider and convenience of service time were significant predictors of youth RH services.
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    Patient Satisfaction with Nursing Care in Medical and Surgical Wards of Government Hospitals, Addis Ababa, Ethiopia, May 2009
    (Addis Ababa University, 2009-05) Bekele, Solomon; Tachbele, Erdaw (PhD)
    Background: patient satisfaction with nursing care has been found to be the most important predictor of over all patients’ satisfaction with hospital care. Nursing practice is patient driven and patient centered. Accordingly, patient satisfaction has been strongly advocated by nursing professionals to be an important indictor of quality of nursing care delivery. Objective: The objective of this study was to assess patient’s satisfactions with nursing care provided in medical and surgical wards of government hospitals in Addis Ababa. Methods: A cross sectional study was conducted in three governments hospitals namely Back lion, St. Paul and Yekatit 12, in Addis Ababa, Ethiopia from July 2008 to June 2009, The study population was adult patients who were admitted to the medical and surgical words of the study hospitals and stayed for at least seven days. The data coactions tool was a modified Newcastle satisfaction with Nursing scale (NSNS). Data analysis was computed by SPSS. Ethical clearance was secured from medical faculty, IRB office A.A.U. and study hospitals. Participation in this study was voluntary and based on patient’s ability to given informed consent. Result: A total of 450 adult patients from medical and surgical wards were approached from the study hospitals and 435 of them participated in this study (non-response rare was (3.4%). Participants who were males, age group 18-30 years old, stayed in the ward of for 7-15 day and have no history of previous admission were more satisfied. The overall rating of satisfaction was 56.3%. The top aspects that patients scored highest for their satisfaction with nursing care were the amount of privacy nurses gave to patients, the amount of freedom given on the ward and nurses manner in going about their work. The aspects with which patients least scored were the amount of time nurses spent with patients’, nurses awareness of patient needs the amount and type of information nurses gave to patients about their condition and treatment. Income and having other disease in addition to cause of admission were the significant predictors of patient satisfaction with nursing care (P<0.05). Implementation of individual nursing care plan and improving therapeutic nurse-patient communication were recommended. JEY WORDS: Nursing care, patient satisfaction.