Assessment of Knowledge and Attitude towards Palliative Care and Associated Factors among Nurses Working in North Wollo Hospitals

BACKGROUND: Palliative care improves the quality of life of patients facing a life-threatening illness. Nurses should improve their caregiving capacity. In Ethiopia, palliative care is underestimated. The availability of data regarding the knowledge and attitude of nurses towards palliative care is critically important. Thus, this study aimed to assess the level of knowledge and attitude of nurses towards palliative care.METHODS: Institution-based, cross-sectional study was conducted in North Wollo hospitals. A simple random sampling technique was used. The data was collected using structured selfadministered questionnaires from February to March 2019. The analysis was done using a binary logistic regression model. P-value < 0.05 was considered as statistically significant.RESULTS: The result revealed that 59.7% of the respondents had good knowledge and 44.2% had a favorable attitude towards palliative care. Level of education, experience in caring for chronically ill patients, and experience in caring for dying family members within the last 6 months had a significant association with the knowledge of nurses. Monthly income, experience in caring for chronically ill patients, formal palliative care education, and knowledge were found statistically significant with the attitude of nurses towards palliative care.CONCLUSION: More than half of the nurses had good knowledge, but less than half of the respondents had a favorable attitude towards palliative care. Attention should be given towards palliative care by the health policy and needs to be incorporated into the national curriculum of nursing education.

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Knowledge and Attitude Towards Preconception Care and Associated Factors Among Health Care Providers in North Wollo Zone, Amhara Region, Ethiopia, 2020

10.21203/rs.3.rs-136347/v1 ◽

2020 ◽

Author(s):

Teketay Debalkie Belay ◽

Mulunesh Alemayehu ◽

Nakachew Mekonen ◽

Tesfaye Birhane Tegegne

Keyword(s):

Health Care ◽

Health Care Providers ◽

Associated Factors ◽

Preconception Care ◽

Sampling Technique ◽

Favorable Attitude ◽

Good Knowledge ◽

Care Providers ◽

Knowledge And Attitude ◽

North Wollo

Abstract Introduction: preconception care is provision of biomedical, behavioral, and social health interventions to reproductive age women and their partners before pregnancy to improve maternal and child health. Its package was developed in 2012. Preconception care not well studied in Ethiopia particularly in the study area. Objective: The aimed to assess the level of knowledge and attitude towards preconception care and associated factors among healthcare providers in North Wollo Zone, 2020. Methods: institution based cross sectional study on 536 health care providers was conducted. Multi stage sampling technique was used. Simple random sampling technique was employed to select the health institutions and study participants. Data were collected; structured, pre tested and self-administered questionnaire. Binary logistic regression used to compute descriptive statistics. P-value < 0.05%, OR with 95% CI used for presence and strength of significant association. Result: This study revealed that 49.1% and 44.2% of health care providers had good knowledge and favorable attitude towards preconception care, respectively. Variables; higher monthly salary [AOR 1.9: 95% CI: 1.1-3.2)], midwifery as profession [AOR: 2.1(95% CI: 1.1-3.7)], library in the institution [AOR: 2.6 (95% CI: 1.2-5.8)], ever heard about preconception care [AOR: 5.6 (95% CI: 3.0 - 10.4)] on knowledge and degree & above educational status [(AOR: 2.1 (95% CI: 1.4-3.1)], good knowledge [AOR: 2.3 (95% CI: 1.3-3.3)] and ever read guideline [AOR: 2.0 (95% CI: 1.2-3.3)] on favorable attitude of preconception care were significantly associated factors respectivelyConclusion and recommendation: nearly half of the participants had poor knowledge and unfavorable attitude on preconception care due to mentioned factors and can be averted by making the institutions to have library, health care providers should to read about preconception care.

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Hypoglycemia Prevention Practice and Associated Factors Among Diabetic Mellitus Patients on Follow-up at Public Hospitals of Central Zone, Tigray, Ethiopia, 2018.

10.21203/rs.2.11704/v2 ◽

2019 ◽

Author(s):

Gebrewahd Bezabh Gebremichael ◽

Teklewoini Mariye Zemichael

Keyword(s):

Diabetes Mellitus ◽

Associated Factors ◽

Central Zone ◽

Public Hospitals ◽

Favorable Attitude ◽

Good Knowledge ◽

P Value ◽

Binary Logistic Regression Model ◽

Cross Sectional ◽

At Home

Abstract Background Hypoglycemia is an acute medical situation that occurs when blood sugar falls below the recommended level. Even though, hypoglycemia prevention practice in the management of diabetes mellitus is one cornerstone in controlling the effect of hypoglycemia, hypoglycemia prevention practice among patients with diabetes mellitus is insufficiently studied. Moreover, the existed scarce literature in Ethiopia revealed hypoglycemia prevention practice is inadequate. Thus, this study tried to assess hypoglycemia prevention practices and associated factors among diabetic patients.Methods Hospital-based, cross-sectional study design was employed from April one to March one 2018 in Central Zone of Tigray Regional state of Ethiopia. A total of 272 diabetes mellitus patients were selected by systematic random sampling method from study area. The collected data was checked for its completeness and then entered into Epi data version 3.1 then cleaned and analyzed using SPSS version 23. Binary logistic regression model (AOR, 95% CI and p-value < 0.05) was used to determine the predictors of hypoglycemia prevention practice.Results the mean age of respondents was 52.19 years and about 100 (63.2%) had good hypoglycemia prevention practice. Good knowledge regarding hypoglycemia [AOR = 10.34; 95% CI [5.41, 19.89]], having a glucometer at home [AOR = 3. 02; 95% CI [1.12, 8.12]], favorable attitude towards diabetes mellitus [AOR = 2.36 CI [1.26, 4.39]], and being governmental employee [AOR = 5.19, 95% CI [1.63, 16.58]] were positive predictors of good hypoglycemia prevention practice. However, being divorced [AOR =0.13, 95% CI [0.32, 0.53]] was found negatively associated with good hypoglycemia prevention practice.Conclusion Around two third of the study participants were found to have good hypoglycemia prevention practice. Good knowledge and favorable attitude toward diabetes mellitus, having glucometer at home, being governmental employee and divorced were found to be the predictors of good hypoglycemia prevention practice.

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Knowledge Of Glaucoma And Associated Factors Among Adults In Gish Abay Town, Northwest Ethiopia, Jun 2018

10.21203/rs.2.436/v1 ◽

2019 ◽

Author(s):

Zewdu Yenegeta Bizuneh ◽

Ayanaw Tsega ◽

Yezinash Addis ◽

Fisseha Admassu

Keyword(s):

Associated Factors ◽

Public Health Problem ◽

Educational Status ◽

Northwest Ethiopia ◽

Good Knowledge ◽

P Value ◽

Global Public Health ◽

Binary Logistic Regression Model ◽

Younger Age ◽

Eye Examination

Abstract Introduction: Glaucoma is a global public health problem and it is the leading cause of irreversible blindness worldwide and the fifth cause of blindness in Ethiopia. Even though public knowledge of glaucoma is a key for early case identification and prevention of blindness, it is unknown in the study area, making provision of interventions difficult. Objective: To assess knowledge of glaucoma and associated factors among adults in Gish Abay town, Northwest Ethiopia, 2018 Methods: A Community based cross - sectional study design with systematic random sampling technique was used to select 630 adults. The study was conducted from April 25-May 05, 2018. Data was entered into Epi Info version 7 and was analysed by Statistical Package for Social Sciences version 23. Binary logistic regression model and adjusted odds ratio with 95% confidence level was used to identify the significant factors associated with knowledge of glaucoma. P–value ≤ 0.05 was considered statistically significant. Results: About 594 adults were participated with a response rate of 94%. Nearly 52% of the participants were females with median age of 28 years. The proportion of good knowledge was demonstrated in 68.9% [95% CI; 61, 75.9]. Educational status: secondary education [AOR; 4.01: 1.15, 13.94], college and above [AOR; 4.49: 1.31, 15.32], history of eye examination [AOR; 2.86: 1.05, 7.79] and younger age (18-22) [6.39: 1.82, 22.41] were positively associated with good knowledge of glaucoma. Conclusion and recommendation: The proportion of good knowledge of glaucoma was high. Better educational status, younger age, eye examination at least once in life and higher income level were associated with better knowledge of glaucoma. Recognizing the severity of glaucoma, enhancing knowledge is paramount at the community.

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Humanistic Medicine, a Forgotten Concept? The Correct Approach in Palliative Care of Chronic Patients

Journal of Interdisciplinary Medicine ◽

10.1515/jim-2016-0063 ◽

2016 ◽

Vol 1 (3) ◽

pp. 300-302

Author(s):

Sorin Albu ◽

Septimiu Voidăzan

Keyword(s):

Palliative Care ◽

Chronically Ill ◽

Medical Specialty ◽

Theory And Practice ◽

Chronic Patients ◽

Medical Specialties ◽

Total Pain ◽

Humanistic Medicine ◽

Human Side ◽

Chronically Ill Patients

Abstract Palliative care in Romania is a relatively new emerging field. Challenges of this specialty, its uniqueness and the several problems posed by a particular category of patients, the chronically ill patients, make this medical specialty a particularly complex one in certain situations, requiring a multidisciplinary team well-prepared in terms of theory and practice. Unlike in the case of most medical specialties, particular emphasis is laid on the “human” side of medical care, this specialty introducing the concept of “total pain”.

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The role of mass media exposure on Tuberculosis knowledge and attitude among migrant and seasonal farmworkers in Northwest Ethiopia

10.21203/rs.2.21516/v3 ◽

2020 ◽

Author(s):

Kassahun Alemu Gelaye ◽

Getu Debalkie ◽

Tadesse Awoke Ayele ◽

Sintayehu Daba Wami ◽

Malede mequanent sisay ◽

...

Keyword(s):

Mass Media ◽

Media Exposure ◽

Northwest Ethiopia ◽

Favorable Attitude ◽

Good Knowledge ◽

Urban Residence ◽

Migrant And Seasonal Farmworkers ◽

Seasonal Farmworkers ◽

Knowledge And Attitude ◽

Mass Media Exposure

Abstract Background: Globally, tuberculosis (TB) is the 10 th leading cause of death. Despite no country achieved its target, the world health organization (WHO) proposed a 90-90-90 approach to fastening the end TB strategy. Improvement and progression of TB control need good knowledge and a favorable attitude towards the disease. However, interventions designed don’t take migrants and seasonal farmworkers into account. Therefore, this study aimed at estimating the level of knowledge and attitude on Tuberculosis among migrant and seasonal farmworkers in northwest Ethiopia. Methods: Community-based cross-sectional study was conducted in the West Gondar zone from October to November 2018. A two-stage cluster sampling was used to select 949 migrant and seasonal farmworkers. Both bivariate and multivariable logistic regression analyses were performed. A p-value of <0.05 was used to declare statistical significance. The goodness of fit was checked using Hosmer and Lemeshow test. Results: In this study, (41.8%), (95% CI: 38.73, 45.01) and (50.5%), (95% CI: 47.29, 53.65) of migrants and seasonal farmworkers had good knowledge and a favorable attitude, respectively. The odds of good knowledge among mass media exposed migrants were AOR=1.42, 95% CI: (1.02, 2.01). Moreover, urban residence and having good knowledge increase the odds of favorable attitude by 1.66, (AOR=1.7; 95% CI: 1.05, 2.62) and 4.3 (AOR=4.3, 95%CI: 3.26, 5.75), respectively. Conclusion: In this study, the overall knowledge and attitude of migrant and seasonal farmworkers on TB were low. Family size and mass media exposure significantly affect knowledge of the migrants on TB. On the other hand, the attitude was affected by urban residence, health information, and having good knowledge. Health promotion interventions, focused on TB cause, mode of transmission, prevention, and treatment are important to migrant and seasonal farmworkers to improve the knowledge and attitude of migrants and seasonal farmworkers.

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Identifying needs and improving palliative care of chronically ill patients

Current Opinion in Supportive and Palliative Care ◽

10.1097/spc.0b013e328356aaed ◽

2012 ◽

Vol 6 (3) ◽

pp. 371-378 ◽

Cited By ~ 68

Author(s):

Xavier Gómez-Batiste ◽

Marisa Martínez-Muñoz ◽

Carles Blay ◽

Jose Espinosa ◽

Joan C. Contel ◽

...

Keyword(s):

Palliative Care ◽

Chronically Ill ◽

Chronically Ill Patients

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Factors Related to Nurses and Physicians’ Knowledge of and Attitudes Towards Palliative Care

10.21203/rs.3.rs-1037441/v1 ◽

2021 ◽

Author(s):

Hadis Ashrafizadeh ◽

Leila Khanali-Mojen ◽

Salman Barasteh ◽

Samira Beiranvand ◽

Azam Shirinabadi Farahani ◽

...

Keyword(s):

Palliative Care ◽

Work Experience ◽

General Medicine ◽

Teaching Hospitals ◽

P Value ◽

Practical Training ◽

Care Providers ◽

The Mean ◽

Nurses And Physicians ◽

Knowledge And Attitude

Abstract Background With the increase of the elderly population, the need for palliative care has increased, which is one of the requirements of effective palliative care services, sufficient knowledge and positive attitude of nurses and physicians towards this care approach. The aim of this study was to determine the factors related to the knowledge and attitudes of nurses and physicians about palliative care. Methods This descriptive correlational study was performed in 2021 on 277 nurses and physicians working in selected teaching hospitals in Iran who were selected by convenience sampling method. The data collection tool was an online and researcher-made questionnaire consisting of three sections: demographics and occupation, knowledge (30 items) and attitude (37 items) that were designed and validated in the present study. To analyze the data, spss-v24 software was used for descriptive statistics tests (means and frequency tables) and inferential tests (correlation and univariate regression). Results The mean scores of knowledge and attitude of care providers were 19.36 ± 2.73 and 140.90 11 11.56, respectively. There was a positive relationship between knowledge and attitude variables (P-value = 0.000, r = 0.378). Meaning of relationship between the mean score of attitude and knowledge with age ranges of 31-60 and 60-51 years, level of education, workplace, work experience in palliative care, need for formal education in palliative care and need to pass palliative care course there was. Conclusion Based on the results of this study, the level of knowledge and attitude of palliative care providers was moderate. Therefore, in order to further promote the knowledge and attitude of nurses and physicians, it is recommended to hold theoretical and practical training courses in the form of skill and retraining courses, reviewing the curricula of general medicine and bachelor's degree in nursing.

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The role of mass media exposure on Tuberculosis knowledge and attitude among migrant and seasonal farmworkers in Northwest Ethiopia

10.21203/rs.2.21516/v2 ◽

2020 ◽

Author(s):

Kassahun Alemu Gelaye ◽

Getu Debalkie ◽

Tadesse Awoke Ayele ◽

Sintayehu Daba Wami ◽

Malede mequanent sisay ◽

...

Keyword(s):

Mass Media ◽

Media Exposure ◽

Northwest Ethiopia ◽

Favorable Attitude ◽

Good Knowledge ◽

Urban Residence ◽

Migrant And Seasonal Farmworkers ◽

Seasonal Farmworkers ◽

Knowledge And Attitude ◽

Mass Media Exposure

Abstract Background: Globally, tuberculosis (TB) is the 10th leading cause of death. Despite no country achieved its target, the world health organization (WHO) proposed a 90-90-90 approach to fastening the end TB strategy. Improvement and progression of TB control need good knowledge and a favorable attitude towards the disease. However, interventions designed don’t take migrants and seasonal farmworkers into account. Therefore, this study aimed at estimating the level of knowledge and attitude on Tuberculosis among migrant and seasonal farmworkers in northwest Ethiopia. Methods: Community-based cross-sectional study was conducted in the West Gondar zone from October to November 2018. A two-stage cluster sampling was used to select 949 migrant and seasonal farmworkers. Both bivariate and multivariable logistic regression analyses were performed. A p-value of <0.05 was used to declare statistical significance. The goodness of fit was checked using Hosmer and Lemeshow test. Results: In this study, (41.8%), (95% CI: 38.73, 45.01) and (50.5%), (95% CI: 47.29, 53.65) of migrants and seasonal farmworkers had good knowledge and a favorable attitude, respectively. The odds of good knowledge among mass media exposed migrants were AOR=1.42, 95% CI: (1.02, 2.01). Moreover, urban residence and having good knowledge increase the odds of favorable attitude by 1.66, (AOR=1.7; 95% CI: 1.05, 2.62) and 4.3 (AOR=4.3, 95%CI: 3.26, 5.75), respectively. Conclusion: In this study, the overall knowledge and attitude of migrant and seasonal farmworkers on TB were low. Family size and mass media exposure significantly affect knowledge of the migrants on TB. On the other hand, the attitude was affected by urban residence, health information, and having good knowledge. Health promotion interventions, focused on TB cause, mode of transmission, prevention, and treatment are important to migrant and seasonal farmworkers to improve the knowledge and attitude of migrants and seasonal farmworkers.

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Knowledge and Attitude of Primary Care Physicians towards Palliative Care. Is it time for integration?

10.21203/rs.3.rs-240274/v1 ◽

2021 ◽

Author(s):

Ameena Mohammed Al-Ansari ◽

Wafaa Mostafa Abd-El-Gawad ◽

Saleem Nawaf Suroor ◽

Sobhi Mostafa AboSerea

Keyword(s):

Primary Care ◽

Palliative Care ◽

Primary Care Physicians ◽

Health Care Systems ◽

Knowledge Score ◽

P Value ◽

Care Services ◽

Palliative Care Services ◽

Care Systems ◽

Knowledge And Attitude

Abstract Background Although the primary care physicians’ role in delivering the majority of care with high-quality service for patients under palliative care is unquestionable, it is not clear what their current level of knowledge and attitude toward palliative care is. Aim To recognize the primary care physicians’ knowledge and attitude toward palliative care in Kuwait. Design and Setting: National survey using stratified random sampling was performed. A total of 25 primary care clinics in Kuwait were selected and 284 primary care physicians were recruited. Method: Palliative Care Attitude and Knowledge questionnaire (PCAK) were distributed to them. Their attitude and knowledge were measured. predictors of better attitude were assessed. Results The response rate was 79.2%(n = 225). 53.3%(n = 120) of primary care physicians had an uncertain attitude towards palliative care while only 15(6.7%) had good knowledge. Only 5.7% and 25.5% reported excellent or very good experience in the management of pain and other symptoms respectively. Moreover, 141(62.7%) and 119(52.9%) were not familiar with palliative care services in their community or length and types of coverage under palliative care benefits. Less than 50% responded correctly to the questions regarding the proper management of catastrophic bleeding, opioid initiation, types, toxicity and its role in refractory dyspnea. Higher knowledge score was a positive predictor for more positive attitude scores (OR:1.088, 95% CI: 1.012–1.170,P value: 0.023). Conclusion The majority of primary care physicians had uncertain attitude and poor knowledge towards palliative care. Integrating palliative care into primary health care systems is urgently needed to alleviate the suffering of those patients.

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HUBUNGAN PENGETAHUAN DENGAN KEPERCAYAAN DIRI PERAWAT NICU MELAKUKAN PERAWATAN METODE KANGURU DI RUMAH SAKIT X JAKARTA

Jurnal Ilmiah Pamenang ◽

10.53599/jip.v3i2.84 ◽

2021 ◽

Vol 3 (2) ◽

pp. 21-27

Author(s):

Tuti Asrianti Utami ◽

Novi Diah ekawati ◽

Rosa Nora Lina

Keyword(s):

Nursing Education ◽

Birth Weight ◽

Low Birth Weight ◽

Quantitative Research ◽

Treatment Method ◽

Cross Sectional Study ◽

Good Knowledge ◽

P Value ◽

Chi Square ◽

Cross Sectional

Abstrak Bayi berat badan lahir rendah merupakan bayi yang perlu mendapatkan perhatian dan perawatan yang optimal. Perawatan bayi di ruang NICU menggunakan inkubator membuat adanya pemisahan antara ibu dengan bayinya. Perawatan metode kanguru menawarkan suatu kedekatan antara ibu dengan bayinya untuk membantu meningkatkan pertumbuhan dan perkembangan bayi dengan berat badan lahir rendah. Perawat NICU harus memiliki pengetahuan dan kepercayaan diri yang baik dalam mendukung kegiatan Perawatan Metode Kanguru. Tujuan penelitian ini untuk menganalisa hubungan antara pengetahuan dengan kepercayaan diri perawat NICU melakukan PMK. Metode penelitian kuantitatif ini, dengan desain studi potong lintang (cross sectional), telah dilakukan di RS X pada bulan Desember 2020 – Maret 2021. Populasi seluruh perawat ruang NICU dengan pengambilan sampel secara total sampling, pengumpulan data menggunakan kuisioner yang dibagikan kepada 40 responden. Hasil penelitian menjelaskan bahwa sebagian besar responden terdiri dari usia 26-35 tahun 30 (75%) responden, berpendidikan D3 keperawatan 24 (60%) responden, lama bekerja selama 1-5 tahun 16 (40%) responden, belum mengikuti pelatihan PMK 31 (77,5 %) responden, memiliki pengetahuan cukup 22 (55%) responden, memiliki kepercayaan diri 20 (50%) responden dan tidak percaya diri sebanyak 20 (50 %) responden. Berdasar hasil Analisa (Chi Square) tidak terdapat hubungan antara pengetahuan dengan kepercayaan diri perawat NICU dalam melakukan Perawatan Metode Kanguru dengan p value 0,438 ( p value > 0.05). Perawat di ruang NICU menjadi lebih baik jika memiliki rasa percaya diri dalam melakukan asuhan keperawatan metode kanguru, sehingga bayi dengan berat badan lahir rendah dapat bertumbuh lebih sehat. Penelitian ini merekomendasikan perawat NICU untuk memiliki pengetahuan yang baik tentang PMK sehingga perawat mempunyai percaya diri dalam pelaksanaan PMK. Kata kunci : berat badan lahir rendah, kepercayaan diri perawat, perawatan metode kanguru Abstract Low birth weight babies are babies who need optimal attention and care. Baby Care in the NICU using an incubator creates a separation between mother and baby. The kangaroo method of care offers a close relationship between the mother and her baby to help promote the growth and development of babies with low birth weight. NICU nurses must have good knowledge and confidence in supporting Kangaroo Method Care activities. The purpose of this study was to analyze the relationship between knowledge and confidence in NICU nurses doing PMK. This quantitative research method, with a cross-sectional study design, was carried out at X Hospital in December 2020 – March 2021. The population of all NICU room nurses with total sampling, data collection using questionnaires distributed to 40 respondents. The results of the study explain that most of the respondents are aged 26-35 years, 30 (75%) respondents, have D3 nursing education, 24 (60%) respondents, have worked for 1-5 years, 16 (40%) respondents, have not attended PMK training 31 (77.5%) respondents, 22 (55%) respondents had sufficient knowledge, 20 (50%) respondents had self-confidence and 20 (50%) respondents were not confident. Based on the results of the analysis (Chi-Square) there is no relationship between knowledge and confidence of NICU nurses in performing the Kangaroo Treatment Method with a p-value of 0.438 (p-value > 0.05). Nurses in the NICU will be better off if they have confidence in performing kangaroo nursing care, so babies with low birth weight can grow up healthier. This study recommends NICU nurses have good knowledge about PMK so that nurses have confidence in implementing PMK. Keywords: low birth weight, nurse confidence, kangaroo method care

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