School of Medicine

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Browsing School of Medicine by Subject "acceptance"

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    Parents acceptance of medical students and factors affecting medical students’ involvement in their child’s health care at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia
    (Addis Ababa University, 2024-02) Aman,Muktar; Mekasha,Amha(MD, MSC, Prof.)
    Background: Direct patient interaction is one of the most effective educational strategies for fostering clinical reasoning, professional attitudes, decision-making, empathy, communication skills and patient management. Although many medical schools have begun to incorporate simulations into their curriculum, actual patients are frequently the sole option for students to get practical clinical experience. However, the practice of patient-centered clinical activity relies heavily on the willingness and comfort of the parents to actively involve medical students in their child’s health care. Objective: This study aimed to assess parents acceptance of medical students’ and factors affecting medical students’ involvement in their child’s health care from November 11, 2023 to January 9, 2024 at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods: Facility based cross-sectional study was done from November11, 2023 to January 9, 2024 at TASH, Department of Pediatrics and Child Health in pediatric emergency unit and pediatric wards. A total of 422 patients were studied. The data was gathered through the utilization of a structured questionnaire and analyzed employing the SPSS version 27. Categorical data were described using frequency and percentage. Bivariable and Multivariable logistic regression analyses were conducted to assess the factors impacting the acceptance of medical students. This study used an adjusted odds ratio (AOR) with 95% confidence interval to estimate the strength of the association at a statistical significance level of 5%. Result: A survey of 422 parents of pediatric patients found that 83.9% of the respondents showed positive attitude towards medical students and 262 were aware of medical students practising at TASH. However, 29.4% and 36% of respondents refused clinical examinations and procedures on their child without presence of supervising physician. Meanwhile, 17.8% and 28.2% of respondents refused clinical examinations and procedures on their child in the presence of a supervising physician. The study found that the absence of a supervisor during a medical procedure and negative previous interactions significantly impacted medical student acceptance, with (AOR = 0.24[0.082–0.73]; 95% CI) with a P value of 0.01 and (AOR = 0.16 [0.05-0.48]; 95% CI) with a P value of 0.001, respectively. Conclusion: Nearly one-thirds of parents whose child was admitted to Tikur Anbessa Specialized Hospital objected to clinical examinations and procedures on their children in the absence of supervising physician. Therefore, medical students may find it difficult to develop clinical skills at Tikur Anbessa Specialized Hospital. Recommendation: To improve the low acceptance rate in clinical practice, TASH should raise the awareness of parents about the importance and necessity of clinical practice, address their concerns, and enhance the use of simulation-based practice.