scholarly journals Nurse–Physician Communication in Patient Care and Associated Factors in Public Hospitals of Harari Regional State and Dire-Dawa City Administration, Eastern Ethiopia: A Multicenter-Mixed Methods Study

2021 ◽  
Vol Volume 14 ◽  
pp. 2315-2331
Author(s):  
Mehammedamin Jemal ◽  
Mohammed Abdurke Kure ◽  
Tesfaye Gobena ◽  
Biftu Geda
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Asmare Getie ◽  
Biftu Geda ◽  
Tadesse Alemayhu ◽  
Agenehu Bante ◽  
Zeleke Aschalew ◽  
...  

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0206546
Author(s):  
Mengistu Tiruneh Alemu ◽  
Yadeta Dessie ◽  
Tesfaye Gobena ◽  
Yohannes Teka Mazeingia ◽  
Abdu Oumer Abdu

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259723
Author(s):  
Yimer Mohammed Beshir ◽  
Mohammed Abdurke Kure ◽  
Gudina Egata ◽  
Kedir Teji Roba

Background Induction of labor (IOL) is an essential intervention to reduce adverse maternal and neonatal outcomes. It is also improved pregnancy outcomes, especially in resource-limited countries, where maternal and perinatal mortality is unacceptably high. However, there is a scarcity of evidence regarding the outcome of induction of labor and its predictors in low-income countries like Sub-Saharan Africa. Therefore, this study was aimed at assessing the outcome of induction of labor and associated factors among mothers who underwent labor induction in public Hospitals of Harari Regional State, Estern Ethiopia. Methods A facility-based cross-sectional study was conducted from 1 to 30 March, 2019 in Harari Regional State, Eastern Ethiopia. A total of 717 mothers who underwent induction of labor in public Hospitals of Harari Regional State, Eastern Ethiopia from January 2017 to December 2018 were enrolled in the study. Data were collected using a pretested structured questionnaire. The collected data were entered into Epi-data version 3.1 and exported to SPSS version 24 (IBM SPSS Statistics, 2016) for further analysis. A multivariable logistic regression analysis was performed to estimate the effects of each predictor variable on the outcome of induction of labor after controlling for potential confounders. Statistical significance was declared at p-value <0.05. Results Overall, the prevalence of success of induction of labor was 65% [95% CI (61.5, 68.5)]. Pre-eclampsia/eclampsia was found to be the most common indication for induction of labor (46.70%) followed by pre-labor rupture of fetal membrane (33.5%). In the final model of multivariable analysis, predictors such as: maternal age < 24 years old [AOR = 1.93, 95%CI(1.14, 3.26)], nulliparity[AOR = 0.34, 95%CI(0.19, 0.59)], unfavorable Bishop score [AOR = 0.06, 95%CI(0.03, 0.12)], intermediate Bishop score [AOR = 0.08, 95%CI(0.04, 0.14)], misoprostol only method [AOR = 2.29, 95%CI(1.01, 5.19)], nonreassuring fetal heart beat pattern [AOR = 0.14, 95%CI (0.07, 0.25)] and Birth weight 3500 grams and above[AOR = 0.32, 95% CI (0.17, 0.59)] were statistically associated with the successful outcome of induction of labor. Conclusion The prevalence of successful of induction of labor was relatively low in this study area because only two-thirds of the mothers who underwent induction of labor had a successful of induction. Therefore, this result calls for all stakeholders to give more emphasis on locally available induction protocols and guidelines. In addition, pre-induction conditions must be taken into consideration to avoid unwanted effect of failed induction of labour.


2021 ◽  
Author(s):  
Kirubel Eshetu ◽  
Belete Gelaw ◽  
Tadele Lankrew ◽  
Tiwabwork Tekalegn ◽  
Andualem Assefa ◽  
...  

Abstract Background: Intent to stay in nursing profession becomes a critical issue across a globe and lack of nurses represent problems of health care system in terms of cost, ability to care for patients and quality of care. Many nurses are departing from their profession. There is scarce data about the level and factors associated with intent to stay.Objective: To determine the level of intent to stay in nursing profession and associated factors among nurses working at public hospitals of Harari regional state and Dire Dawa Administration, Eastern Ethiopia. Methods: Institutional based cross-sectional study was conducted among 413 nurses working in public hospitals, Harar and Dire Dawa Administration from March 1 to 30/2020. Participants were selected by simple random sampling methods. Interviewer guided pre-tested and structured self-administered questionnaire were used to collect data. Data were entered using EpiData Version 4.6 and exported to SPSS Version 20 for analysis. Descriptive statistics were carried out. Bivariable and multivariable analysis were used. The association between dependent and independent variables was determined using adjusted odds ratio with 95% confidence interval. Finally, the variables that have p-value of <0.05 were considered as statistically significant. Goodness of fit was tested by Hosmer Lemeshow statistic which was 0.254 and omnibus test, which was 0.00.Results: The results showed that level of Nurses’ intent to stay in the profession was 49.3% (95%CI: 46-55.9). Having dependent family members (AOR=1.908, 95%CI:1.142-3.188), overall job satisfaction (AOR=6.54, 95%CI, 2.774-15.41) and overall organizational commitment (AOR=0.301, 95%CI, 0.127-0.713) and normative commitment (AOR=3.617,95%CI, 1.879-6.963) were significantly associated with intent to stay.Conclusion: This study showed that the level of intent to stay was low among nurses. Having dependent family members, job satisfaction, organizational commitment and having a high normative commitment showed association with intent to stay. This kind of instability in nursing staffs might compromise the nursing service quality. Therefore, enhancing nurses’ job satisfaction, autonomy, professional opportunity, and organizational commitment are key for improving nurse’s intent to stay.


2020 ◽  
Author(s):  
Takla Tamir Melkie

Abstract Background: Nursing documentation is an integral and vital professional nursing practice, deals the process of recording nursing activities concerned with the care given to individual clients to assure continual effective, safe, qualified, evidence-based and individualized care. Despite of this, in Ethiopia there is a paucity of information on nursing documentation practice and its associated factors due to limited studies with methodological limitations. So this study aimed to assess documentation practice and identify its associated factors among nurses in six Governmental Hospitals of Harari Regional State and Dire Dawa Administration, Eastern Ethiopia. Methods: Institutional based cross-sectional study was conducted among 430 nurses and 421 medical records. Simple random sampling was employed for the selection of nurses and charts after the total sample size had allocated proportionally for each hospital. Data were collected by using self-administered questionnaire and review of records; entered and analyzed by using Epi data version 3.1 and statistical package for social sciences version 20.0 respectively. Logistic regression was used to identify the associated factors. Result: In this study, 47.5% of nurses were found to have good nursing documentation practice whereas good nursing documentation was found to practiced on 38.5% of medical records. Age, attitude, in-service training, nurse to patient ratio, availability of motivation and familiarity with standards of nursing documentation were found to had statistically significant positive association with documentation practice with AOR and 95%CI of 3.54 (1.170-10.8), 5.66 (3.17- 10.11), 2.53(1.477-4.35), 2.24(1.24-4.047), 4.60 (2.721-7.76) and 1.98 (1.137-3.44) respectively. Conclusion: Documentation was practiced poorly due to the identified factors. Therefore, it is better to put further effort towards improving documentation practice through providing training on standards of documentation and enhancing favorable attitude of nurses towards documentation by motivating them for their documentation activities.


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Haile Tilahun ◽  
Nefsu Awoke ◽  
Biftu Geda ◽  
Firehiwot Mesfin

Introduction. Globally, depression is one of the three leading causes of disease and it will be the second leading cause of world disability by 2030. The prevalence of depression in Sub-Saharan Africa ranges from 15 to 30%. In Ethiopia, depression was found to be the seventh leading cause of disease burden and its prevalence has been increased in hospital compared to community setting because hospital environment itself is stressful. Yet, no study was done in Eastern Ethiopia, where substance use like Khat is very rampant. Objective. To assess depression and associated factors among adult inpatients at public hospitals of Harari Regional State, Eastern Ethiopia, from February 01 to 28, 2017. Methodology. Hospital based cross-sectional study design was employed on 492 admitted adult patients in Harari region hospitals. Consecutive sampling method was used to include study population. The data were collected by interviewee and analyzed by SPSS version 20.0. Bivariate and multivariate logistic regression analyses were employed. p value of 0.05 or less was considered to be statistically significant. Result. A total of 489 patients were interviewed with response rate of 99.4%. Having duration of 1-2 weeks in the hospital [AOR = 2.02, 95% CI: (1.28, 3.19)], being diagnosed with chronic morbidity [AOR = 4.06, 95% CI: (2.23, 7.40)], being users of psychoactive drugs [AOR = 2.24, 95% CI: (1.18, 4.24)], and having been admitted to surgical ward [AOR = 0.50, 95% CI: (0.31, 0.81)] were significantly associated with depression. Conclusion and Recommendation. Prevalence of depression among admitted inpatients was high. Therefore, increasing the awareness of benefits of early diagnosis of patients to prevent major form of depression and strengthening the clinical set-up and establishing good referral linkage with mental health institutions was considered to be cost-effective method to reduce its prevalence.


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