scholarly journals Determinants of occupational stress among health care professionals working at a setting of a specialized mental hospital, Addis Ababa, Ethiopia, 2017: a hospital-based cross-sectional study

2019 ◽  
Author(s):  
Simret T/tsadike ◽  
haregewoin mulat ◽  
mogesie necho ◽  
tsigereda waja

Abstract BACKGROUND: Stress at workplace among health professionals predisposes to an inefficient organization, absenteeism from work, job dissatisfaction, and various physical, psychological as well as behavioral health problems. Despite this, little has been done into this health issue. So, this study assessed occupational stress and its determinants among health care professionals. METHODS: Hospital-based cross-sectional study was implemented among 398 participants from May 1 to June 1, 2017, at Amanuel hospital, Addis Ababa, Ethiopia. A pretested and self-administered questionnaire was used to collect data. Nursing stress scale was used to asses occupational stress. Data was entered to Epi-info-version-7 and analyzed with SPSS-20. Descriptive statistics were also utilized. Binary logistic regressions with odds ratios and 95% confidence interval were used. P-value < 0.05 in final model was significant. RESULTS: Among 398 participants included in the study, 393 provided complete information which gives a response rate of 98.7%. This study showed that 46.8% (95%CI: 41.7, 51.7) of health professional were having occupational stress. Multivariable binary logistic regression analysis showed that working in emergency department (AOR=3.48; 95% CI: 2.12, 12.08), forensic psychiatry unit (AOR=3.48; 95% CI: 1.25, 35.06) and job dissatisfaction (AOR=2.606; 95% CI: 1.563, 4.345) were risk factors for occupational stress. CONCLUSION: Occupational stress among health professionals was high. Work-related variables (working in the emergency department and dissatisfaction with the job) were its risk factors. Attention has to be given for such an important public health issue. KEYWORDS: Health workers, occupational stress, Mental hospital, Ethiopia.

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0251815
Author(s):  
Solomon Shitu ◽  
Getachew Adugna ◽  
Haimanot Abebe

Background Blood/body fluid splash are hazards to health care professionals in their working area. Around twenty bloodborne pathogens are known to be transmitted through these occupational injuries. This problem alters the health status of health care professionals in different ways, including physically, mentally, and psychologically. Even though health professionals especially midwives who are working in delivery rooms are highly affected, little is known about the exposure. So, this study was aimed to assess the prevalence of exposure to blood/body fluid splash and its predictors among midwives working in public health institutions of Addis Ababa city. Methods Institution based cross-sectional study was conducted among 438 study participants in public health institutions in Addis Ababa. Data was collected from March 1–20, 2020 by a self-administered questionnaire. The data were entered into Epi data version 3.1 and then exported to SPSS version 24 for analysis. All variables with P<0.25 in the bivariate analysis were included in a final model and statistical significance was declared at P< 0.05. Results In this study, a total of 424 respondents respond yielding a response rate of 97%. The prevalence of blood and body fluid splashes (BBFs) was 198 (46.7%). Not training on infection prevention, working in two shifts (> 12 hours), not regularly apply universal precautions, job-related stress, an average monthly salary of 5001–8000 were independent predictors of blood and body fluid splashes. Conclusion The study revealed that nearly half of midwives were exposed to BBFS. This highlights the need for key stakeholders such as policymakers and service providers to design appropriate policies to avert this magnitude and making the environment enabling to comply with standard precautions. We recommend that this study may be done by including rural setting institutions and by including other health professionals that are susceptible to BBFS at work. Formal training on infection prevention and safety practice to apply universal precautions will be needed from the concerned bodies to prevent exposures to blood/body fluid splash.


2021 ◽  
Author(s):  
Zelalem Mekuria ◽  
Abdu Mengesha ◽  
Girma Seyoum

Abstract Background: Uterovaginal prolapse (UVP) is a major women’s health concern throughout the world. Globally, 2-20% of all women are affected by UVP. The mean prevalence of pelvic organ prolapse in developing countries is 19.7%. The prevalence of UVP in Ethiopia is 18.55% among all gynecological operations. UVP is a source of severe morbidity and psychological upheaval to the patient, who is often socially withdrawn and stigmatized. UVP negatively affects socioeconomic and reproductive activity of affected women. It is, therefore, of interest to study its prevalence and factors associated with the condition.Methodology: Institution-based retrospective cross-sectional study was conducted in selected Addis Ababa city governmental hospitals and the medical record charts of women admitted in the respective gynecology wards were reviewed. The medical records included in this study were those from March 2017 to February 2019 G.C. and 400 records of admitted women were randomly selected. The data were analyzed using SPSS version 24 statistical package. Bivariate and multivariate logistic regression analyses were carried out to determine factors associated with UVP. A p-value < 0.05 was considered as significant.Result: Out of the3,949 admitted women, the prevalence of UVP was 12.8%. The leading determinants of UVP were menopause (OR = 2.611 (at 95 % CI: 1.531, 3.838), age > 40 years (OR = 2.143 (at 95 % CI:1.496, 6.602), parity of > 4 (OR = 4.201 (at 95 % CI 1.652, 10.685), age at first delivery of < 20 years old (OR = 7.988(2.682, 23.792) and home delivery (OR = 1.380 (at 95 % CI:1.212, 2.572). Conclusion: The prevalence of UVP in this study was relatively high. The major risk factors of UVP were menopause, having > 4 deliveries, age > 40 years, age at first delivery < 20 years old and home delivery. Therefore, the findings of this investigation, especially identification of risk factors of UVP, could serve as a basis for taking steps for preventing or reducing the prevalence of UVP and related complications.


2021 ◽  
Author(s):  
Bezina Damtew ◽  
Yoseph Tsige ◽  
Ketema Bizuwork ◽  
Sosina Workineh

Abstract Background cardiovascular related disorders are a major public health challenge in globally as well as in Ethiopia. It is crucial to improve the life style of the community at the same time it is a key for health care policy to give emphasis for prevention by educating the community by different ways. Therefore, the current study patient’s knowledge about risk factors related to those diseases. Method A facility-based descriptive cross-sectional study design was conducted. 420 Participants selected by systematic random sampling technique from April 01, 2021 until Jun 28, 2021 and met the criteria were included. Data was collected by interviewer-administered questionnaire. Level of knowledge was assessed by the Heart Disease Fact Questions. Bivariate and multivariate logistic regression was done to identify factors associated with identified class of knowledge. P-value less than 0.05 was considered as to indicate statistical significances. Result The result showed that most of the study subjects were in the age range of >54. The mean age was 48.7 ± 13 years. 255(62.7%) were females. 300(71.6%) of participants have sufficient knowledge toward cardiovascular diseases risk factors. Age, Sex, Place of residence, Status of education and Marital status was significantly associated with Participant’s knowledge (p<0.05, 95% C. I). Conclusion The majority of participants had sufficient knowledge regarding cardiovascular diseases risk factors. Maintaining good status, implementation of innovative interventions and structured, nurse-led lifestyle counseling would be required to effectively guide patients.


Author(s):  
Alenka Skerjanc ◽  
Metoda Dodic Fikfak

Background and objectives: Presenteeism is a relatively new phenomenon that people, despite complaints and ill health that should prompt them to rest and take sick leave, go to work in any case. The highest sickness presence is largely to be found in the care and welfare and educational sectors. The aim of the study is to investigate the relations between different factors and sickness presence among health care professionals. Materials and Methods: A cross-sectional study was conducted at the largest hospital in Slovenia involving 5865 health care professionals employed at the University Medical Centre Ljubljana in the period between 1 January 2010 and 31 December 2010. Logistic regression methods were used to assess the associations between risk factors and their interactions and sickness presence. Results: Besides high odds for sickness presence in multivariate modelling for acute (OR = 359.7; 95%CI = 89.1–1452.8) and chronic disease (OR = 722.5; 95%CI = 178.5–2924.5) the highest odds were calculated for poor self-related health (OR = 3.0; 95%CI = 1.9–4.8), no possibility of replacement (OR = 1.9; 95%CI = 1.5–2.3), sickness absence > two times a year (OR = 1.6; 95%CI = 1.2–2.1), disabled workers (OR = 1.6; 95%CI = 1.0–2.5), and lower salary when on sick leave (OR = 1.5; 95%CI = 120–1.9). Risk factors interactions were not found to be associated with sickness presence among health care workers. Conclusions: The pre-requisite for higher sickness presence is workers’ bad health. The results indicate that sickness presence was associated with psycho social risk factors at work and their economic consequences. Continued sickness presence might have negative rather than positive consequences on work and health care professionals’ health in the future. Sickness presence needs to be taken into account for health care organizers.


2020 ◽  
Author(s):  
Shimelis Adugna Elemo ◽  
Bereket Mihretu Awoke

Abstract Background: Metabolic syndrome and obesity are risk factors for developing type 2 diabetes mellitus and/or cardiovascular disease, especially stroke. Obesity-associated diseases account for a large portion of public health challenges. Among obesity-related disorders, a direct and independent relationship has been ascertained for colorectal cancer. Objective: The aim of this study was to determine the prevalence of metabolic syndrome and other cardiovascular risk factors, including dyslipidemia, hypertension, dietary and exercise practices, tobacco use and body mass index in individual with colorectal cancer patients attending Tikur Anbessa Hospital Oncology department, Addis Ababa.Methods: A comparative cross-sectional study was conducted from February, 2016 to Jun 2017 on 79 patients attending the Oncology clinic at Tikur Anbessa Hospital. Components of metabolic syndrome, including fasting serum glucose, serum triglyceride, serum high density lipoprotein, blood pressure and waist circumference, was measured in all of the patients. In addition, serum total cholesterol, serum low density lipoprotein was measured with 5010 photometers, and information gathered on smoking and other lifestyle practices, including diet and exercise.Result: Of 79 patients, 23 had metabolic syndrome (MS); 58.2% males; mean-age 48.6 years with range (26 to 78) and 41.8 % Female; mean age 44.6 years with range (20 to 78). Among the MS group, 45.6 % had high blood pressure, 26.6 % had increased waist circumference, 67.1% had serum blood glucose level greater than 100 mg/dL, 68.3 % had low high-density lipoprotein cholesterol level, 57 % had increased triglyceride level, and 3.8 % were obese [body mass index (BMI) >30 kg/m2]. 29 % presented 3 criteria of MS. From total colorectal cancer patients 53.2 % had colon cancer, 46.8 % had rectal cancer and 12.7 % had stage I,40.5 % had stage II (IIa,IIb & IIc), 25.3 % had stage III (a,b,c) and 21.5 % had stage IV disease.CONCLUSION: MS is positively associated with adenomas and colorectal cancer. However, there is not enough information in Ethiopia to justify screening in patients with MS. To our knowledge, no previous study has evaluated this association in Ethiopian patients.


2021 ◽  
Vol 6 (2) ◽  
pp. 1549-1555
Author(s):  
Shyam Prasad Kafle ◽  
Mukesh Bhatta ◽  
Namu Koirala ◽  
Anupam Koirala

Introduction: Trends are changing to allow parents and families to be with their child during invasive procedures. Because of the intense workload, there is a tendency to overlook the parents’ feelings. Attitudes of physicians and nurses are the common obstacles for this. Objective: To determine health care professionals’ attitudes toward parental presence during invasive procedures. Methodology: A cross-sectional study was conducted among the health professionals in the department of Paediatrics and Adolescent Medicine of a tertiary care center in Eastern Nepal. Ethical clearance was obtained from the Institutional Review Committee of the institute. Total sample size was 112 (83 nursing staff and 29 physicians). Attitudes of physicians and nursing staff towards parental presence during various invasive procedures were recorded in the predesigned proforma. Data was entered in MS Excel and analysed using SPSS version 21.0. Frequency, percentage, mean, standard deviation, chi-square test, independent t-test and one-way ANNOVA were used for data analysis at p<0.05. Results: Simple procedures like intravenous blood sampling and the simple wound repair or suture majority of the health professionals (71.1% to 79.3%) agreed for parental presence. Other major procedures including resuscitations, majority (69.0 % to 85.5%) disagreed for the parental presence. The most important factors considered was the child’s request (62.1% to 80.7%) for parental presence. The major likely reason for declining was unjustly blaming the medical staff for common/ simple complications (69.9%). Only for the simple wound repair, statistically significant differences were noted between the physicians and the nursing staff (p= 0.033) on the basis of years of experiences where the physicians preferred for the parental presence. Conclusion: Both the physicians and the nursing staff preferred not to allow the parents in the major invasive procedures including resuscitations whereas when the level of invasiveness decreased, the rate of approval increased in both the groups.


Author(s):  
Mohamed Tanveer Ahmed ◽  
Jyothi Jadhav ◽  
Ranganath Timmanahalli Sobagaiah

Background: India is facing a new challenge of epidemiological health transition where the disease spectrum has changed from communicable diseases to non-communicable diseases. Diabetes mellitus, hypertension, stroke and cardiovascular diseases have emerged as major public health problems. Health care workers considered as mentors to general public are becoming victims to these life style disorders. Hence this study was conducted to assess the risk factors of non-communicable diseases among health care workers.Methods: A cross sectional study was carried out for a period of 2 months- October to November 2016 among 120 health care workers working under the primary health centre’s of Nelamangala. Data was collected by interview method using NCD’s risk factors survey India questionnaire.Results: Among 120 study subjects, males were 14 (11.7%) and females were 106 (88.3%). The mean age of study subjects was 39.19 (8.62). Anganwadi workers were 57 (47.50%), 35 (29.10%) were ASHA workers, 8 (6.60%) were senior health assistants and 20 (16.66%) were junior health assistants. Among these 11 (9.2%) had hypertension. 75 (62.5%) had abnormal waist-hip ratio. 33.3% were overweight and 8.3% were obese.Conclusions: There was an association between physical activity and development of risk factors of NCD’s. Most of them are exposed to second hand smoke i.e. passive smoking. Improved literacy status and creation of awareness about the risk factors and sedentary lifestyle among the health care professionals can protect them for Non communicable diseases. 


Sign in / Sign up

Export Citation Format

Share Document