Adult Health Nursing
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Item Evidence-Based Practice Utilization and its Associated Factors among Nurses Working at Emergency Department of Selected Public Hospitals, Addis Ababa, Ethiopia, 2024(Addis Ababa University, 2023-06-20) Kassie Mekuanint; Aklilu AzazhEvidence-based practice utilization (EBPU) is described as the use of up-to-date, reliable, and pertinent evidence in healthcare decision-making practice, such as study findings, professional experience, and updated standard guidelines. EBPU is designed to prevent biases and to support clinical utilization of the latest and most recent, comprehensive studies for understanding clinical decision makingItem Implementation of Integrated Management of Neonatal and Childhood Illness And Its Associated Factors In Health Centers of East Shawa Ethiopia, 2023(Addis Ababa University, 2023-05) Bedassa Meti; Tewodros TesfayeIntegrated Management of Neonatal and Childhood Illnesses (IMNCI) is a child health program that provides an integrated approach to the well-being of the whole child. IMNCI is provided by health facilities to aid children under-five years of age from preventable and treatable conditions. IMNCI has been successful in reducing under-five mortality, but there is little research on its implementation process in Ethiopia.Item Psycho-Social Experiences and Coping Strategies of Infertile Couples Attending at Infertility Clinics in Saint Paul’s Hospital, Addis Ababa, Ethiopia, 2024: a Qualitative Study(Addis Ababa University, 2024-06-13) Yidnekachew Tekle; Hana HailuOne of the most challenging life experiences among couples is infertility, which can have a negative psychological and social impact on a relationship. Many couples are suffering from the psychological and social impacts of infertility, yet there has been a lack of information and less well understood information on the psychological and social experiences as well as coping mechanisms among infertile couples, and it lacks information on the implementation of appropriate interventions to effectively manage infertility and couplesItem Comparison of Adverse Neonatal outcomes and its Associated Factors among Women with Adult and Advanced Aged Pregnancy at the Public Hospitals of Addis Ababa City, Ethiopia. Hospital-Based Comparative Crosssectional Study(Addis Ababa University, 2024-09-10) Yonas Mengistu; Luel DeribePregnancy at advanced maternal age (>35 years old) is considered a risk factor for different adverse neonatal outcomes. Adverse neonatal outcomes are the leading cause of neonatal and infant mortality worldwide. In Ethiopia, studies were conducted to identify adverse neonatal outcomes, however, having updated information on the status of adverse neonatal outcomes could be helpful in future effective policy and program formulationItem Assessment of Factors Affecting Implimentation of Health Extention Program in Selected Subcities of Addis Ababa, Ethiopia(Addis Ababa University, 2014-06) Ayele,Tsedale Tilahun; Aregaw,Zeleke(Dr.); Areaya, Tekebash(Dr.)Back ground;The Urban Health extension program (UHEP) is introduced in 2010 as a new initiative community based health care delivery systems. The main objective of the program was to address essential health services to the people at grass root level. Urban Health Extension Program (UHEP) is expected to benefit approximately 2.6 million Ethiopians living in 19 cities and towns in the Amhara, Oromia, SNNPR and Tigray regions, and was considered as the most important institutional framework for achieving the Millennium Development Goals. In Ethiopia urban health extension program UHEP is under studied, the present matched cross sectional study was conducted to evaluate factors affecting program implementation. Objective: - The overall objective is to assess factors affecting implementation of health extension program in selected sub cities, Addis Ababa, Ethiopia. Method and Materials: These HEWs based cross - sectional study was conducted from March 11/2014 to April 10/2014 in five sub-cities of Addis Ababa. A total of 235 HEWs were included in the study by using self administered questionnaire. Result :In the study area the main responsibility of the health extension workers is awareness creation and social mobilization. 228 (97%) of HEWs are capable of doing their work independently, while 7 (3%) of them need coaching support. Results indicate that antenatal care, delivery service and curative treatment for mothers, children, and adults are not provided in the study area. One hundred seven (45%) of the study participants implement postnatal care service and 128(54.5) didn’t. Out of the total respondents 220(93.6%) gave counseling service on essential nutrition action, family planning, treatment of anemia and others. Polio vaccination service was delivered by 101(43%) during polio campaign alone. One hundred seventy five (74.4%) of the HEWs give health education on essential nutrition action and 46(19.6%) demonstrated vitamin A and iron complementation. Growth monitoring (only MUAC) is performed by 157(66.8%) during home visit. Thirty seven percent (87) of the study participants give only condom distribution service and created awareness on methods and types of contraceptives; while 148(63%) of UHEWs gave only the education service. Adolescent and reproductive health services were given by 64(27.7%) of the HEWs focusing mainly on sexuality, HIV/AIDS counseling and condom provision. Discussion In this study, it was found that the success of HEP in achieving its set goals and objectives could be affected by a number of complex factors.Among which the capacity of HEWs take the lion share in proper implementation of the HEP. To this end, more than 50% of the HEWs should implement the packages independently was taken as a bench mark. This was evidenced by the positive response of 228(97%) of the HEWs in selected sub-cities of Addis Ababa that they commit independently. However the remaining 7(3%) did not materialize the package independently and need technical backstopping or training. This proportion really should not be undermined and neglected. Conclusion :The overall implementation of HEP was found to be encouraging. The majority, 228(97%) of the HEWs implement the packages independently where as 7(3%) were not implementing it independently. Health extension workers are doing better on HIV/AIDS related services, hygiene and environmental sanitation and health education service. But, family health service and disease prevention and control services needs more effort. Specifically, they have limited contribution with respect to health promotion and preventive measures of major packages such as family planning, TB, leprosy, and rabies management. Recommendation The 3% of health extension workers not implementing the full packages independently in Addis Ababa selected sub-cities should not be undermined. Therefore the Addis Ababa region health bureau in collaboration with stakeholders should conduct need assessment and respond accordingly to prevent non-functionality of the program and dropout rate of the health extension workers.Item Survival Status and Predictors among ovarian Cancer Patients at Oncology Centers, Addis Ababa, Ethiopia, 2024(Addis Ababa University, 2024-06-05) Abrham Tesfaye; Jembere TesfayeOvarian cancer is the leading cause of death and has the worst prognosis among gynaecologic malignancies worldwide. In Ethiopia, ovarian cancer is the third most prevalent gynaecologic malignancy, following breast and cervical cancers. One of the key aspects of the strategic framework of the Ethiopian Federal Ministry of Health is to minimize the incidence and mortality of cancer as well as improve the quality of life of cancer patients. The survival rate of ovarian cancer has improved significantly with early detection and treatment. Despite extensive studies on the subject, studies on survival rate of ovarian cancer patients are still scarceItem Lived Experience of Women with Gestational Trophoblastic Neoplasia Treated with Chemotherapy in Selected Hospitals, Addis Ababa, Ethiopia, 2023/24: Qualitative Study(Addis Ababa University, 2024-06-23) Ashebir Tufa; Semarya BerheGestational trophoblastic neoplasia (GTN) is a cancer related to pregnancy that contributes to maternal morbidity and increases the risk of maternal mortality if not detected and treated early. GTN is generally curable with chemotherapy; however, patients may experience different adverse effects of chemotherapy, including physical and nonphysical adverse effects. In Ethiopia, there are different studies done on the magnitude of GTN, but the experiences of women with GTN treated with chemotherapy about the life changes they faced, supportive care conditions, and coping techniques used are not explored.Item Intention Towards Antenatal Physical Exercise among Pregnant Women at Health Center in Gulele Sub City, Addis Ababa, Ethiopia, 2024; Cross-Sectional Study(Addis Ababa University, 2024-05-05) Gedefaye Tesfahun; Haweni AdugnaRegular physical activity throughout pregnancy provides advantages for women's bodies and minds as well. It is well documented that its effect is in the risk reduction of pre-eclampsia, diabetes, and other sedentary-related health problems. The intention to engage in prenatal physical exercise is a strong predictor of physical activity throughout pregnancy, which is a beneficial behavior for prenatal mothersItem HIV Sero_Status Outcomes and Associated Factors among Hivexposed Children at Selected Public Hospitals in Addis Ababa, Ethiopia, 2024. Retrospective Cross-Sectional Study(Addis Ababa University, 2024-06-13) Habtamu Walle; Mekonen AdimasuHIV/AIDS can impact any age group and it is the major cause of pediatric morbidity and mortality worldwide. A substantial number of children are exposed to the virus through vertical transmission from their HIV-positive mothers. Government programs are aimed at eliminating new HIV infections in children. However, challenges persist in identifying and linking all HIV-exposed infants to early infant diagnosis and care. Objective: To assess HIV Sero_status outcomes and associated factors among HIV-exposed children in Addis Ababa selected public hospitals 2024Item Perception, Intention and Barriers to Breast Self Examination Practice among Women of Reproductive Age Attending Maternal and Child Health Services at Dilla Public Health Facilities; Dilla, Ethiopia A Qualitative Study(Addis Ababa University, 2024-06-05) Hana Bekele; Semarya BerheThe ultimate purpose of breast self-examination is detection and treatment of breast cancer in its early stage. Early identification of breast cancer through breast self examination and diagnosis plays an important role in reducing morbidity from breast cancer. But most women do not perform breast self examination in low income countries because of different reasons such as misperception and lack of knowledge of breast self examinationItem Long-Term Cardiovascular Adverse outcomes of Covid-19 among Patients Admitted to Public Hospitals in Addis Ababa, Ethiopia: A Retrospective Cohort Study(Addis Ababa University, 2024-05-23) Hiwot Desyalew; Niguse TadeleCOVID-19 posed a serious threat to the world and presented more than 200 governments with difficult decisions. A significant percentage of hospitalized COVID-19 patients had a lower left ventricular ejection fraction. The focus of disease reporting has shifted primarily to the number of cases and deaths associated with the COVID-19 pandemic.Item Time to Recovery and its Associated Factors Among Preterm Neonates With Necrotizing Enterocolitis Admitted To Neonatal Intensive Care Unite In Selected Hospitals, Addis Ababa, Ethiopia, 2024(Addis Ababa University, 2024-05-23) Juhar Seid; Habtamu AberaNecrotizing enterocolitis (NEC) is a complex multifactorial disease that results in ischemia, pneumatosis, necrosis, and perforation. It remains the leading cause of gastrointestinal disease-related mortality in preterm babies. However, there is a paucity of data regarding recovery time and associated factors. Thus, this study aimed to determine the time to recovery and associated factors among preterm neonates with NEC admitted to the NICU in selected public hospitals in Addis Ababa.Item Experience of Women with Utero Vaginal Prolapse in Selected Public Hospitals, Addis Ababa, Ethiopia, 2024: Aqualitative Study(Addis Ababa University, 2024-06-19) Mihret Debebe; Addishiwot FantahunGlobally, 2-20% of women are affected by Utero-vaginal prolapse (UVP). It is a major women‟s health concern throughout the world. It can lead to obstacles in daily life and work and harm women physically, psychologically, and socially. To date, the majority of research on UVP has been quantitative, primarily concentrating on prevalence studies and placing less emphasis on the experiences of women who live with this conditionItem Nursing Students’ Perception and Associated Factors to wards Nursing Profession at Selected Health Science Colleges Inaddis Ababa, Ethiopia,2024: A Cross-Sectional Study(Addis Ababa University, 2024-05-05) Rahmet Hassen; Teshome HabtePerception plays a key role in preparing the shape of an individual as a person and as a professional. Nursing students’ perceptions in the image of the nursing profession have a visible impact on their self-concept, self-esteem, recruitment, retention, and performanceItem Health-Seeking Behavior and Associated Factors among First Diagnosed Patients for Hypertension Attending at Outpatient Department of Selected Government Hospitals, Addis Ababa Ethiopia(Addis Ababa University, 2024-05-15) Momina Siraj; Tigistu GebreyohannisIn Ethiopia, hypertension is a major public health concern, with a growing number of patients first diagnosed with hypertension. Many individuals first diagnosed with hypertension may not engage in appropriate health-seeking behaviors. Health-seeking behavior (HSB) is any action or inaction undertaken by individuals who perceive themselves to have a health problem or illness to find an appropriate remedy.. Understanding the underlying reasons for and barriers to seeking healthcare is essential for developing effective interventions and improving the overall management of hypertensionItem Survival Status, Pre-post Treatment Quality of life, Sexual and Psychosocial Experience among Cervical Cancer Patients(Addis Ababa University, 2024-06-19) Roza Teshome; Irene YangIn 2020, there were over 604,000 new cases of cervical cancer worldwide and over 342,000 deaths from the disease. In Eastern and Middle Africa, cervical cancer is the most common cancer. In Ethiopia, current statistics indicate that cervical cancer is the second most commonly diagnosed cancer and is the leading cause of cancer-related death in women. Cervical cancer survival rates vary throughout the world and are commonly associated with the country’s development status. As survival rates of cervical cancer patients increase, their quality of life becomes a more important issue. Understanding the experience and recovery process of cervical cancer survivors is essential to bring attention to their sexual and psychosocial needsItem Physical Activity Status and Factors Affecting it Among Nurses Working at Selected Public Hospitals, Addis Ababa, Ethiopia, 2024: A Cross-Sectional Study(Addis Ababa University, 2024-05-13) Samrawit Tariku; Yohannes AyalewThese days, engaging in sufficient regular physical activity is strongly recommended for good health and physical functioning. Physical activity can increase the self-confidence of the health professionals and they would become fit for daily activities with patientsItem Health-Related Quality of Life and Associated Factors among Adult Patients with Heart Failure in Public Hospitals, Addis Ababa, Ethiopia: A Cross-Sectional Study(Addis Ababa University, 2024-05-05) Seblewengel Fita; Tefera MulugetaHealth- related quality of life’ (HRQoL) narrows QoL to aspects relevant to health. The influence of critical factors such as medication taking adherence and heart failure (HF) knowledge on the health-related quality of life among heart failure patients has not been thoroughly studied in previous research conducted in EthiopiaItem Cervical Cancer Screening Intention among Health Care Professionals Working at the College of Health Sciences of Addis Ababa University: Applying Psychometrically Tested Health Belief ModelInformed by the trans-theoretical model: 2020(Addis Ababa University, 2024-06-23) semarya Berhe; Zewetir AshebirScreening for cervical cancer at least once between the ages of 30-40 lowers the risk of cervical cancer in women by 25—36%. In Ethiopia. over 27 million women are at risk for cervical cancer yet cervical screening occurs in less than % of women. Even when cervical (CC) is in LMIC's free of charge various studies have shown that women eligible for screening have an even lower participation rote. Understanding of the knowledge and health benefits that influence CC screening and participation behaviors among women are essential in order to increase demand screening for CC. Several theoretical perspectives could be used to explore the determinants of health care professional behavior to this end. Several behaviors and beliefs may have a significant impact on the females decision to take perspective actions against cervical cancer. it is well documented that intention to cervical cancer screening predicts actual attendance how ever intention is volatile with time time. we used the Trans-Theoretical Model (TTM) to determine the stages of change and the intentions of cervical cancer screening. Healthcare providers can serve as role models to facilitate a supportive environment that encourages women to utilize screening fat cervical cancer. An understudying of factors that predict cervical cancer behaviors may contribute to the development of more effective screening. Studies using the Health Belief Model (HBM) to explain women's screening behaviors have been inconsistent and psychometric properties of modified health belief model tool was validated among population under study. In addition. in Ethiopia studies evaluating the predictability of the HBM towards intention to screen for cervical cancer very limited.Item Level of Anxiety and its Predictors among Cardiac Patients Undergoing Cardiac Catheterization at Selected Cardiac Center Hospitals, Addis Ababa, Ethiopia 2024(Addis Ababa University, 2024-06-23) Sumeya Tofik; Berhanu Wordofa