Browsing by Author "Zergaw, Ababi(Dr.)"

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    Assessing knowledge management practice at EFMoH and its affiliate organizations, Ethiopia
    (Addis Abeba University, 2015-01) Amenashewa, Eskedar; Zergaw, Ababi(Dr.); Meshesha, Million(Dr.)
    Introduction: Knowledge management is the planning, organizing, motivating, and controlling of people, processes and systems in an organization to ensure that organizational knowledge related assets are improved and effectively employed. The study aims, to assess knowledge management practice, at the Federal Ministry of Health and its affiliate organizations in Ethiopia so as to design a mechanism for effective and efficient management of knowledge. Methodology: a descriptive cross-sectional study design employed to assess knowledge management practice in purposively selected organizations of Ethiopian Federal Ministry of Health and its affiliate organization by further correlating the existing knowledge management practices with the standard knowledge management practices that one institution need to have through structured self administered questions. The study included technical staffs in the target organization which would be selected randomly using lottery method from the total 99 case teams equivalent to one program staff from each case teams included in the study. Results: The study reviled that most of participants (78.2%) mentioned the organizations don‘t have knowledge management strategy and 92.2% of respondents mentioned there is no responsible person who can manage knowledge. Majority of the knowledge was existed in the form of tacit knowledge. The study also showed experiences of information technology in some of the organizations that need to be shared for other organizations where information technology infrastructure is important for knowledge sharing and capturing. Further the study indicated there is no statistical relation between socio-demographic factor and knowledge management practices in the organization which needs to be further studied. Conclusion: The study indicates the Federal Ministry of Health and its affiliate organizations needs to give emphasis on the importance‘s of knowledge management system to design and incorporate the strategies with other health sector . Recommendation:EFMoH and affiliate organization managers should create awareness about knowledge management, develop knowledge management strategy and guidelines and use mechanism for effective management of knowledge and tools which is suggested by this research.
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    Improving the Implementation Status of Nursing Care Standards Process at Medical& Surgical Wards in Jogel General Hospital, Harar,Ethiopia.
    (Addis Abeba University, 2019-06) Dawied, Aynie Ali; Tasew, Birhan(BSC, MPH); Zergaw, Ababi(Dr.)
    Background:-Despite the important role of nursing care standard practice plays for the betterment of the health care, its implementation status is far below expected, particularl y in developing countries. Similarly, the baseline assessment in this study showed that the implementation of Nursing Care Process in Jogel general hospital is poor. Thus, in light of the national and regional efforts to improve health care deliver y& improve a health care Quality. it is critically important to improve the implementation status of the Nursing care Process in Jogel General Hospital. Objectives: To improve implementation of Nursing/midwifery Care Standard Practice from 42 % to 70% in Medical & surgical wards of Jogel Hospital, by the end of June, 2019. Methodology: A facilit y based pre- post interventional study will be conducted from March to June, 2019 in Jogel General Hospital, Harar, Ethiopia. The interventions include give in service training for ward nurses; strengthening internal supportive supervision, nursing audit committee, and provide the update nursing care format preparation .observational questionnaires about the challenges in implementation of the standards for a total of 80 staff nurse(40 pre-40post).A total of 60 Medical Records (MR) have been reviewed ( 30 at baseline and 30 will be at the end of the study) to assess & compare the medical record completeness about t he at t ached & complete document at i on of necess ar y format s during pre and post-intervention periods respectivel y. The proportion of standard checklists which wi l l me et Nursing Care Standard Practice with complete services, and observational self prepared questionnaires with10 item total of 100 inpatient admitted(50 pre-50 post intervention) about the nursing care quality and client satisfactions documentation a addition reviews standard 10item contain checklists fill and conduct focus discussion with a total of 14 staff (CEO, Matron, 2director of nurses and 1 2 s t a f f n u r s e ) of formats, and Chi-square test is calculated to test the difference in the outcome of interest between the pre –and post –intervention periods. Result:- The percentage of patient cards with complete Nursing Care Process increased from 42% in baseline to 70% after intervention. This change was statistically significant at (df = 1.44, P =0.0403). Similarly, the implementation of all components of the Nursing Process has increased: Nursing Admission Assessment (from 56% to 82% / P =0.0201), Nursing Diagnosis (from 38% to 78%, P =.0.0301); Nursing Care Plan (from 54% to 66% / P =0.0225); Nursing Implementation (from 47% to 64% / P =0.0152) and Nursing Evaluation (from 31% to 59%/ P = 0.0173), with all changes showing statistically significant at P < 0.05. Conclusion and Recommendations: - continuous on job training continuous flow of related forms can improve the implementation of the Nursing Process followed by. Continuous internal Supportive Supervision of Nurses in wards. Jogel general hospital managers should consider strengthening the internal Supportive Supervision to improve their health facility.