Emergency Medicine

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http://etd.aau.edu.et/handle/123456789/71

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Browsing Emergency Medicine by Subject "Addis Ababa"

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    Burnout and Associated Factors Among Nurses Working in Intensive Care Units of Selected Public Hospitals of Addis Ababa,Ethiopia, 2023.
    (Addis Ababa University, 2023-06) Hailu,Yealemsew; Tuli,Wagari (BSc, MSc); Kebede,Sofia(MD)
    Introduction: Nurse burnout is a public health problem, with global prevalence estimates ranging from 15-60%. Intensive care unit nurses are exposed to much pressure from varying stressors in their environment. It is important to gain a greater understanding of burnout, since it may lead to poor patient care, poor communication with relatives, and high staff turnover. Despite this fact, there is a scarce of literature in developing countries, including Ethiopia. Objective: The objective of the study is to asses burnout and associated factors among nurses working in the intensive care unit of selected public hospitals in Addis Aaba, Ethiopia, 2023. Method: Institutional-based mixed methods were employed. All nurses who fillfiled the inclusion criteria and worked in the Intensive Care Unit of selected public hospitals were included in the study. The quantitative data was collected at randomly selected public hospitals and entered in to Epi data version 4.6, and analyzed using SPSS version 26.0. the qualitative data were collected by using in-depth nterviews and thematic analysis done manually to supplimet the quantitative results. Result: The mean age the respondents was 29.66±5.2 years. More than half 118(56.2%) of the study participants had worked in Intensive care unit for less than 2 years. The greater part 198(94.3%) of the study participants reported they had work overload in their working unit. 49 (23.3%) of the participants were found to have burnout syndrome. Among those, 33(15.7%) had high emotional exhaustion, 116(56.2%) experienced depersonalization and 56(26.7 %) of them had low personal achievements. Marital status(AOR 2.23; 95% CI, 1.03-4.80) and perceived quality of life( AOR, 3.34; 95% CI, 1.09-10.24) were independatly associated with burnout. Conclusion: Approximately one-quarter of Intensive care unit nurses have experienced burnout syndrome. The intention to leave Intensive care unit is also high. Marital status and perceived quality of life were found to be independently associated with the level of burnout. It is crucial to invest in burnout prevention actions and health promotion in critical care context.
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    Clinical Profile & Mortality of Louse-Borne Relapsing Fever Among Patients Seen at Zewditu Memorial Hospital and Tikur Anbessa Specialized Hospital from July 2022 To July 2023 -Addis Ababa, Ethiopia Retrospective Chart Review
    (Addis Ababa University, 2024-01-13) Zenebe Kalkidan
    Relapsing fever is a vector-born acute recurrent febrile illness caused by Borrelia recurrentis. LBRF is an important re-emerging disease that remains a significant public health concern globally but is currently prevalent in developing countries like the highlands of Ethiopia, Kenya, and Sudan, however, there is limited research on relapsing fever, therefore, it is to assess the clinical profile, and mortality rate in patients with relapsing fever in Addis Ababa.
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    Knowledge, practice and associated factors towards neonatal resuscitation among midwives working in delivery room of public health centers in Addis Ababa Ethiopia
    (Addis Ababa University, 2023-06) Yitayih,Tsegaye; Debebe, Finot (Asso. Prof.); Tdele,Achamyelesh (Asso. Prof.)
    Background: Neonatal resuscitation is simple and life-saving intervention for birth asphyxia, a leading cause of neonatal mortality. Worldwide, four million neonate deaths happen annually, and birth asphyxia accounts for one million deaths. Increasing providers’ knowledge of neonatal resuscitation and improving its practice is critical for delivering quality care and for morbidity and mortality reduction. Objective: To assess knowledge, practice and associated factors towards neonatal resuscitation among midwives working in delivery room of public health centers at Addis Ababa city, Ethiopia 2023. Methods: Institutional based cross-sectional study design was employed among 141 study population selected by simple random sampling method. Self-administered questionnaire and interview guide were used to collect data. Data was entered to Epidata 4.6 and exported to Statistical Package for Social Sciences (SPSS) version 26 for analysis. The association between the dependent variable and independent variables were analyzed using binary logistic regression. Adjusted odds ratio with 95% CI was computed and variables with p-value ≤ 0.05 were considered as statistically significant. Result: A total of 134 participants were included in the study with a response rate of 95%. Only 42.5% and 26.9 % of the participants had the appropriate level of knowledge and practice towards neonatal resuscitation respectively. Lack of training (AOD=2.47, 95% CI: 1.086-5.640, P-value=0.031), unavailability of guidelines (AOD=4.34, 95% CI: 1.78-10.59, P-value=0.001) and absence of supportive supervision (AOD=3.27, 95% CI: 1.38-7.74, P-value= 0.007) were significantly associated with poor knowledge. While educational level (AOD=3.34, 95% CI: 1- 11, P-value= 0.048), lack of training (AOD=3.32, 95% CI: 1.17-9.4, P-value= 0.024) and unavailability of guidelines (AOD=4.57, 95% CI: 1.47-14.12, P-value= 0.009) were significantly associated with poor practice. Conclusion and Recommendation: Overall knowledge and practice of midwives were inadequate. Strengthening training and supportive supervision needs to improve knowledge and practice of midwives