scholarly journals Working Environment of Nurses in Public Referral Hospitals of West Amhara, Ethiopia, 2021

2021 ◽  
Author(s):  
Chanyalew Worku Kassahun ◽  
Addisu Taye Abate ◽  
Zewdu Baye Tezera ◽  
Debrework Tesgera Beshah ◽  
Chilot Desta Agegnehu ◽  
...  
Keyword(s):  
Work Environment ◽  
Patient Outcomes ◽  
Data Entry ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Outcome Variable ◽  
Negative Effects ◽  
Cross Sectional ◽  
Work Index ◽  
Referral Hospitals

Abstract Background: Safe working environment is a key part, and professional right of nurses. But findings indicated nurses work environment as stressful and complex. The negative effects of a negative nurses’ work environment lead to poor nurse-sensitive patient outcomes, such as increased mortality, pressure ulcers, medication errors, and complications. It has also an effect on their professionalism, practice of patient’s handover. Studies have shown working conditions, professionalism, patient handover and nurse-sensitive patient outcomes are interrelated and form a critical foundation for promoting patients’ and nurses’ safety in hospitals. However, in Ethiopia, there is scarcity of data on this issue. Therefore, the objective of this study was to assess the working environment of nurses in Public Referral Hospitals in Public Referral Hospitals of West Amhara Regional State, Ethiopia, 2021.Methods: An institution based cross-sectional study was conducted among 423 nurses from January to February 2021. Random sampling was used to select nurses from each hospital. Structured, self-administered questionnaires were used to collect the data. EPI- DATA 3.1 was used for data entry and SPSS version-23 software for data analysis. Descriptive statistics were made using statistical measurements. Frequency, percentages, means, and standard deviations were calculated. Practice Environment Scale of the Nursing Work Index tool was used to measure the outcome variable. Binary and multivariable logistic regression analyses were computed to identify associated factors. Finally, texts, tables and graphs were used to report findings. Results: The response rate for the study was 96.2%. One hundred eighty eight (46.2%) nurses perceived that their working environment was conducive, while 219 (53.8 %,) perceived it as not conducive. Nurses who were working in pediatrics wards (AOR= 0.13, 0.02, 0.1) and nurses who gave care for 7-12 patients per day (AOR =0.21, 0.05, 0.98) were less likely to have a conducive working environment, respectively. Nurses who perceived the Ministry of Health to give focus to the nursing profession were 0.27 more likely to have a conducive environment (AOR= 0.27; 0.09, .82).Conclusion and recommendations: More than half of nurses reported that their working environment was not conducive to appropriate practice. Hence, introducing systems to improve participation of nurses in hospital affairs and patient care is essential. It is also important to give attention to nurses who are working at pediatrics wards, and for nurses who give care more than the standards.

scholarly journals Determinants of Self-referral among Outpatients at Referral Hospitals in East Wollega, Western Ethiopia

2019 ◽  
Author(s):  
Edosa Tesfaye Geta ◽  
Yibeltal Siraneh Belete ◽  
Elias Ali Yesuf
Keyword(s):  
Health Care Providers ◽  
Data Entry ◽  
Severity Of Illness ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Quality Of Services ◽  
Care Providers ◽  
Cross Sectional ◽  
Referral Hospitals

BackgroundPatient self-referral is a condition when patients refer themselves to higher level health facilities without having to see anyone else first or without being told to refer themselves by health professional. Despite the expansion in the number of health facilities, it has been seen when patients routinely accessed referral hospitals. The study aims to determine the magnitude and identify determinants of outpatient self-referral at referral hospitals.MethodsFacility based cross sectional study design was used to collect data from December 01- 30; 2017.The sample size was determined by using single population proportion formula. Data entry and analysis were made using SPSS version 20. Descriptive statistics of frequency, bivariate and multivariate logistic regression were performed.ResultsA total of 404 outpatients were included making response rate 96.8%. Among 391 outpatients interviewed 330(84.4%) were self-referred.The factors significantly associated with outpatient self-referral were referral information (AOR and 95%CI=0.324(0.150-0.696), illness severity (AOR and 95% CI=3.496(1.473-8.297), confidence of patients to get providers (AOR and 95 CI=3.027(1.510-6.070), availability of laboratory (AOR and 95%CI=4.966(2.199-11.216) and drugs (AOR and 95%CI=2.366(1.013-5.526) and quality of services (AOR and 95%CI=2.996(1.418-6.328).ConclusionThe proportion of outpatients’ self-referral was high and that associated with referral information, patient confidence to get health care providers, severity of illness, availability of laboratory and drugs, and quality of services. There should be monitoring system of referral linkage of health facilities at all levels and the health facilities should create awareness in the community about referral linkages of health facilities.

scholarly journals Professional nursing practice in critical units: assessment of work environment characteristics

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Luiz Felipe Sales Maurício ◽  
Meiry Fernanda Pinto Okuno ◽  
Cássia Regina Vancini Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Angélica Gonçalves Silva Belasco ◽  
...  
Keyword(s):  
Intensive Care ◽  
Work Environment ◽  
Intensive Care Units ◽  
Organizational Support ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Critical Care Units ◽  
Work Index ◽  
Brazilian Culture

ABSTRACT Objective: assess the autonomy, control over environment, and organizational support of nurses' work process and the relationships between physicians and nurses in critical care units. Method: cross-sectional study conducted with 162 nurses working in the intensive care units and emergency service of a university hospital. The workers' satisfaction with their work environment was assessed using Brazilian Nursing Work Index - Revised, translated and adapted for the Brazilian culture. Results: average age was 31.6 ± 3.9 years; 80.2% were women; 68.5% Caucasians and 71.6% worked in intensive care units. The nurses considered autonomy (2.38 ± 0.64) and their relationship with physicians (2.24 ± 0.62) to be characteristics of the work environment that favored professional practice. Control over environment (2.78 ± 0.62) and organizational support (2.51 ± 0.54), however, were considered to be unfavorable. No statistically significant differences were found between the units based on the scores obtained by the professionals on the Brazilian Nursing Work Index - Revised. Conclusion: autonomy, relationship between physicians and nurses, and organizational support were considered by the units to be characteristics that favored nurses' professional practices. On the other hand, control over environment and organizational support were considered unfavorable.

scholarly journals Why Telecommuting Became Redundant During the COVID‐19 Pandemic?

2021 ◽  
pp. 35-48
Author(s):  
Wasantha Rajapakshe
Keyword(s):  
Work Environment ◽  
Banking Sector ◽  
Virtual Work ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Cross Sectional ◽  
Virtual Training ◽  
New Normal ◽  
Virtual Work Environment ◽  
Executive Level

This paper reveals the facts that necessitated telecommuting in the 'new normal' virtual work environment. This is a cross-sectional study with a sample of executive-level employees working in the banking sector. Data were analyzed using the Pearson Product Moment Correlation Coefficient (PPMC). The findings reveal that the success of telecommuting during the COVID-19 pandemic depends on the nature of family responsibility, virtual work environment, virtual training, and self-management of the employees affected, while the work-life balance (WLB) is not significant.  The decision-makers need to implement psychological training, skills-based training for managers, employees, and family members, and provide incentives to handle difficulties encountered in the pandemic situation. The present study proposes formulating a long-term policy that can successfully align with the new normal working conditions.  This should encompass fundamental working rights under the virtual working environment, career development, and welfare of workers.  To date, previous studies are based on the advantages of traditional telecommuting. However, this study considers employees’ perception of telecommuting in the COVID-19 pandemic; thus, the study fills the empirical gap in the research on telecommuting in the new normal working condition.

scholarly journals Radiological protection in the perspective of health professionals exposed to radiation

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 9-16 ◽  
Author(s):  
Vinícius Martins Dias Batista ◽  
Monica Oliveira Bernardo ◽  
Flávio Morgado ◽  
Fernando Antonio de Almeida
Keyword(s):  
Work Environment ◽  
Health Professionals ◽  
Professional Training ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Radiological Protection ◽  
Cross Sectional ◽  
Training Courses ◽  
Work Accidents ◽  
Safe Working

ABSTRACT Objective: To evaluate the knowledge of health professionals about radiological protection and to implement educational actions to promote a safe working environment for professionals, patients and companions. Method: An exploratory cross-sectional study, applying a questionnaire to 59 participants from different sectors of a teaching hospital. Open-ended questions were analyzed through the discourse of the collective subject and closed-ended questions were analyzed through quantitative analysis. Results: In the opinion of the participants, their professional training did not offer radioprotection class or the training was insufficient for the practice. In addition, the work environment does not provide regulatory norms and training on radioprotection. Most participants do not have solid knowledge and do not present safe behavior in radioprotection. In the internal week for the prevention of work accidents, a lecture and a theatricalisation about the topic of radioprotection were conducted and a booklet was distributed. Conclusion: Radiation protection education is necessary in the curricula of the training courses for health professionals and in the work environment.

scholarly journals Housing Satisfaction of Psychiatric Patients in Different Forms of Housing—A Cross-Sectional Study in Berlin, Germany

2021 ◽  
Vol 12 ◽  
Author(s):  
Stefan Gutwinski ◽  
Ella Westerbarkey ◽  
Meryam Schouler-Ocak ◽  
James K. Moran ◽  
Stefanie Schreiter
Keyword(s):  
Mentally Ill ◽  
Psychiatric Patients ◽  
Large Body ◽  
Cross Sectional Study ◽  
Outcome Variable ◽  
Sectional Study ◽  
Housing Satisfaction ◽  
Negative Effects ◽  
Cross Sectional ◽  
Housing Status

The growing social problem of homelessness and precarious housing situations has negative effects on psychological outcomes and quality of life (QoL) for mentally ill people. Despite a large body of research on QoL among homeless mentally ill people, research on housing satisfaction as a specific QoL domain and important outcome variable for treatment interventions is scarce. The purpose of this cross-sectional study is to investigate housing satisfaction among psychiatric patients in various housing situations. Out of 1,251 patients that were treated in the targeted facilities during the admission period, 540 agreed to participate (43.2%). 123 participants were excluded from the analysis due to missing data, resulting in a sample of N = 417. Housing satisfaction data was assessed in a subjective screening and differences in satisfaction levels between housing status groups were analyzed. As hypothesized, more normative housing situations reported higher housing satisfaction. Homeless participants and those living in socio-therapeutic facilities were associated with more psychological and physical distress resulting from their housing situation than domiciled and flat-sharing participants. Problems of reducing homelessness and improving housing support are highlighted, as well as opportunities for improving support, particularly in therapeutic facilities.

scholarly journals Environment, workload, and nurse burnout in public hospitals in Chile

2021 ◽  
Vol 55 ◽  
Author(s):  
Marta Simonetti ◽  
Ana María Vásquez Aqueveque ◽  
María Alejandra Galiano
Keyword(s):  
Work Environment ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Organizational Strategies ◽  
Cross Sectional ◽  
Organizational Perspective ◽  
Work Index ◽  
Nurse Burnout

ABSTRACT Objective: To analyze, from an organizational perspective, the problem of nurse burnout in highly complex public hospitals in Chile. Method: Multicenter, observational, cross-sectional study. According to established inclusion criteria, the universe of hospitals and nurses was the object of work. Data collection was carried out through a nurse survey. Work environment was measured with the instrument Practice Environment Scale of the Nursing Work Index, staffing through the nurses’ report on patient load, and burnout with the Maslach Burnout Inventory emotional exhaustion subscale. Results: Thirty-four hospitals (92%) and 1,395 nurses (75.3%) participated in the study. The prevalence of burnout was 34.7%, being higher in Santiago than in other regions of the country (p = 0.001). The logistic regression analyses showed a significant association between work environment and burnout (OR 0.57, 95% CI 0.41–0.79, p = 0.001). No association was established between staffing, skill mix and burnout. Conclusion: A high percentage of nurses in Chile has burnout, which is significantly associated with the quality of the environment. The implementation of organizational strategies to improve work environments could reduce burnout and improve the quality of care.

Characteristics and risk factors associated with stroke subtypes among adult patients admitted to stroke unit of JUMC

2019 ◽  
Vol 15 ◽  
Author(s):  
Bekalu Getachew Gebreegziabher ◽  
Tesema Etefa Birhanu ◽  
Diriba Dereje Olana ◽  
Behailu Terefe Tesfaye
Keyword(s):  
Risk Factors ◽  
Stroke Unit ◽  
Medical Center ◽  
Data Entry ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Stroke Subtypes

Background: Stroke is a great public health problem in Ethiopia. According to reports, in-hospital stroke mortality was estimated to be 14.7% in Ethiopia. Despite this, in this country researches done on factors associated with stroke sub-types were inadequate. Objective: To assess the Characteristics and risk factors associated with stroke sub-types among patients admitted to JUMC. Methods and materials: A retrospective cross sectional study was conducted from May 2017 to May 2018 in stroke unit of Jimma University Medical Center. A total of 106 medical charts of patients diagnosed with stroke were reviewed. Checklist comprising of relevant variables was used to collect data. SPSS version 21 was employed for data entry and analysis. Chi-square test was used to point-out association and difference among stroke sub-types. The data was presented using text, tables and figures. Result: From a total of 106 patients, 67(63.2%) were men. The mean ± SD of age was 52.67±12.46 years, and no significant association was found. Of all the patients, 59(55.6%) had ischemic strokes and 47(44.4%) had hemorrhagic strokes. The most common risk factor in the patients was alcohol use with a prevalence of 69.9%. Of all the risk factors, only sex, cigarettes smoking and dyslipidemia were significantly associated to sub-types of stroke. Conclusion: Ischemic stroke was the most common subtype of stroke. Sex of patient, cigarette smoking and dyslipidemia are significantly associated with the two stroke subtypes.

scholarly journals Discrimination and Health: The Mediating Effect of Acculturative Stress

2021 ◽  
Vol 18 (10) ◽  
pp. 5312
Author(s):  
Alfonso Urzúa ◽  
Alejandra Caqueo-Urízar ◽  
Diego Henríquez ◽  
David R. Williams
Keyword(s):  
Mental Health ◽  
Racial Discrimination ◽  
Acculturative Stress ◽  
Short Form ◽  
Cross Sectional Study ◽  
Ethnic Discrimination ◽  
Mediating Effect ◽  
Physical And Mental Health ◽  
Negative Effects ◽  
Cross Sectional

There is not much evidence on the effects of south–south migration and its consequences on physical and mental health. Our objective was to examine the mediating role of Acculturative Stress in the association between ethnic discrimination and racial discrimination with physical and mental health. This research is a non-experimental, analytical, cross-sectional study. A total of 976 adult Colombian migrants living in Chile were interviewed. We used the Everyday Discrimination Scale, the acculturative stress scale, and the Medical Outcomes Study Short Form (SF-12) for health status; we found that racial and ethnic discrimination had a negative effect on physical and mental health. In the simultaneous presence of both types of discrimination, racial discrimination was completely absorbed by ethnic discrimination, the latter becoming a total mediator of the effect of racial discrimination on mental and physical health. Our findings are consistent with the literature, which suggests that there are various types of discrimination which, individually or in their intersectionality, can have negative effects on health.

scholarly journals Maternal healthcare utilsation and complete childhood vaccination in sub-Saharan Africa: a cross-sectional study of 29 nationally representative surveys

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e045992
Author(s):  
Eugene Budu ◽  
Bright Opoku Ahinkorah ◽  
Richard Gyan Aboagye ◽  
Ebenezer Kwesi Armah-Ansah ◽  
Abdul-Aziz Seidu ◽  
...  
Keyword(s):  
Healthcare Utilisation ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Childhood Vaccination ◽  
Outcome Variable ◽  
Service Utilisation ◽  
Sectional Study ◽  
Maternal Healthcare ◽  
Cross Sectional ◽  
Sub Saharan

ObjectiveThe objective of the study was to examine the association between maternal healthcare utilisation and complete childhood vaccination in sub-Saharan Africa.DesignOur study was a cross-sectional study that used pooled data from 29 countries in sub-Saharan Africa.ParticipantsA total of 60 964 mothers of children aged 11–23 months were included in the study.Outcome variablesThe main outcome variable was complete childhood vaccination. The explanatory variables were number of antenatal care (ANC) visits, assistance during delivery and postnatal care (PNC).ResultsThe average prevalence of complete childhood vaccination was 85.6%, ranging from 67.0% in Ethiopia to 98.5% in Namibia. Our adjusted model, children whose mothers had a maximum of three ANC visits were 56% less likely to have complete vaccination, compared with those who had at least four ANC visits (adjusted OR (aOR)=0.44, 95% CI 0.42 to 0.46). Children whose mothers were assisted by traditional birth attendant/other (aOR=0.43, 95% CI 0.41 to 0.56) had lower odds of complete vaccination. The odds of complete vaccination were lower among children whose mothers did not attend PNC clinics (aOR=0.26, 95% CI 0.24 to 0.29) as against those whose mothers attended.ConclusionThe study found significant variations in complete childhood vaccination across countries in sub-Saharan Africa. Maternal healthcare utilisation (ANC visits, skilled birth delivery, PNC attendance) had significant association with complete childhood vaccination. These findings suggest that programmes, interventions and strategies aimed at improving vaccination should incorporate interventions that can enhance maternal healthcare utilisation. Such interventions can include education and sensitisation, reducing cost of maternal healthcare and encouraging male involvement in maternal healthcare service utilisation.

scholarly journals Timely Initiation of Breast Feeding and Associated Factors among Caesarian Section Delivered Mothers in Health Facilities of Dessie City Administration, North Eastern Ethiopia

2020 ◽  
Vol 13 (1) ◽  
pp. 1-8
Author(s):  
Roza Shiferaw ◽  
Sisay Eshete Tadesse ◽  
Tefera Chane Mekonnen ◽  
Aregash Abebayehu Zerga
Keyword(s):  
Cesarean Section ◽  
Breast Feeding ◽  
Associated Factors ◽  
Statistical Significance ◽  
Data Entry ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Eastern Ethiopia

Objective: To assess the magnitude and associated factors of timely initiation of breastfeeding among cesarean section delivered mothers. Methods: A health facility-based cross-sectional study was employed among 421 systematically selected mothers from February to June, 2017. Data were collected by a structured questionnaire. Data entry and analysis was done using Epi Data and SPSS version 24. Binary logistic regression was computed to identify factors. Adjusted odds ratio with a 95% confidence interval was used to declare statistical significance. Result: The magnitude of timely initiation of breast feeding (among mothers who gave birth by cesarean section was 57%. Counseling during antenatal care (AOR = 3.32; 95% CI: 1.80, 6.13), facility where cesarean section (CS) was performed (AOR = 2.55; 95% CI: 1.57, 4.14), and post-CS counseling (AOR = 6.93; 95% CI: 3.99, 12.02) were factors that contributed for the practice of timely initiation among cesarean section delivered mothers. Conclusions: The magnitude of TIBF was good. Counseling during ANC, the facility where CS was performed and post-natal advice were factors associated with TIBF. Implementation of baby-friendly hospital initiatives should be strengthened in order to promote timely initiation of breast feeding.

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