Jimma Zone Public Hospitals Research Articles

Community-based health insurance beneficiaries' satisfaction on laboratory services and associated factors in selected public hospitals in Jimma Zone, Oromia Region, Southwest, Ethiopia.

The community-based health insurance (CBHI) scheme is a growing initiative aimed at enhancing healthcare access for the most impoverished members of the community. The Ethiopian CBHI scheme aims to enhance access to essential healthcare services, including medical laboratory services, for the poorest members of the community, but there is limited evidence on satisfaction levels. The aim of this study was to assess the satisfaction level of CBHI beneficiaries with laboratory services and their associated factors among selected public hospitals in Jimma Zone, Oromia Region, Ethiopia. A facility-based cross-sectional study was conducted on selected public hospitals in the Jimma Zone from September to October 2023. A total of 421 CBHI beneficiaries were enrolled in the study using a convenient sampling technique, and interviewers administered structured questionnaires to collect data. Data were entered into Epi-data and analyzed using the Statistical Package of Social Sciences version 25. Descriptive analysis was used to summarize independent variables; bivariate and multivariable logistic regression analyses were done to test the association between independent and dependent variables; and statistical significance was declared at P<0.05. More than half (55.8%) of the 419 study participants were female. Above half, 57.5% of the respondents were satisfied by the clinical laboratory services at public hospitals in Jimma Zone. Components with a higher satisfaction rate were providers' professional appearances (98.3%), procedures for specimen collection (87.6%), and availability of entertainment facilities at the waiting area (67.8%). On the contrary, longer waiting times to receive the test results (76.6%), inefficiency of the reception area (74.7%), and the inability of professionals to explain diagnostic procedures (58.0%) were associated with higher rates of dissatisfaction. Educational status and the number of hospital visits were found to have a statistically significant association with level of satisfaction with laboratory services. CBHI beneficiaries' satisfaction with laboratory service was at a moderate level in Jimma Zone public hospitals. Therefore, attention should be given to continuous monitoring of patients' satisfaction with services, improving reception areas, and practicing routine explanations about the purposes and procedures during specimen collection to improve the beneficiaries' satisfaction level with clinical laboratory services.

Overall time spent by clients from entry to exit and associated factors in out-patient departments in public hospitals of Jimma Zone southwest, Ethiopia.

The overall time refers to the amount of time a patient spends in a health care facility, from the time he or she enters to the time he or she leaves. As a result of the imbalance between supply and demand, waiting times occur. Ethiopian hospitals are being reformed to improve the quality of care they provide. The time a patient spends in the hospital is one of the most important indicators of quality of care, as it provides insight into customer satisfaction and provider success. However, the overall time patients spend in hospitals was not studied. The study aimed to assess the overall time spent by clients from entry to exit and associated factors in the outpatient departments of Jimma zone hospitals. An institution-based cross-sectional study was conducted. Patients from outpatient units at Jimma zone public hospitals participated in the study from March 15 to May 17, 2018. Data were collected using a time and motion tool coupled with an interviewer-administered structured questionnaire on 249 samples. Participants in the study were selected using the consecutive sampling method. Overall time, in terms of waiting and service times at each section unit, and the relationship of socio-demographic and clinical factors with overall time was the main outcome variables. Data were analyzed using descriptive and linear regression analysis. Simple linear regression analysis was used to determine the relationship between the dependent and explanatory variables. Variables were considered significantly associated with the overall time if they had a p-value of less than 0.05 at the 95% confidence interval (CI). The overall response rate was 94.8%. Overall, patients spent a median time of 342.5 minutes. Patients spent 12.7% of the total time as service time and 86% of the time waiting for care. The longest overall times were spent in the laboratory (170 minutes), imaging (95 minutes), other diagnostic units (84 minutes) and examination (83 minutes). The average overall time was increased by 52.03 minutes (95%CI 21.65, 82.412), 4.65 minutes (95%CI 3.983, 5.324), and 96.43 minutes (95%CI 52.076, 140.787) when the patient was referred, the number of patients at the queue was increased by one unit, and patients who had other diagnostic tests performed respectively with P <0.005 &adjusted R2 = 0.522. The majority of patients stayed for a longer period. Most time was spent waiting for services, particularly in the examination, laboratory, and imaging units. This is strongly related to high patient load, an absence of some services, being referred patients, and patients who had other diagnostic tests. To reduce the number of patients in the queues, hospitals should work hand in hand with the Ministry of Health to enforce policies that are understood and adopted by all workers in the lower healthcare facilities. And hospital administrators are working to strengthen the triaging system to screen patients with minor illnesses. This is because most patients with minor illnesses queue with those with more complicated illnesses. Finally, we recommend that researchers conduct further research on service quality.

Assessment of the extent and monetary loss in the selected public hospitals in Jimma Zone, Ethiopia: expired medicine perspectives.

Medicine plays a crucial role in the field of healthcare as a therapeutically significant pharmaceutical product. By effectively preventing diseases, medicine has the power to save countless lives and improve the quality of life for people worldwide. However, despite hospitals' efforts to provide medical care to patients, a significant issue arises from the substantial amount of drugs that go unused due to expiration dates. This problem is particularly prevalent in resource-limited countries like Ethiopia, where the pharmaceutical supply system fails to adequately address the issue of expired drugs in public hospitals, leading to an unsatisfactory situation. Hence, the objective of this study was to assess the economic impact and volume of expired medicines in the selected public hospitals in Jimma Zone, Southwestern Ethiopia. A hospital-based cross-sectional study design was conducted to assess the economic impact and volume of expired medicines available in the public hospitals in Jimma Zone. All available hospitals that fulfilled the EFDA guidelines were included. The medication expiration rate was calculated by dividing the total monetary value of expired medicines in a year by the total value of medicines received in the same year multiplied by 100. Then, the collected data was cleared, filtered, coded, and quantitatively analyzed using the Microsoft Excel 2010 version. The average medicine waste rate was 4.87% in the fiscal year of 2019/2020 and 2020/2021 in Jimma Zone public hospitals worth 32,453.3 US$. Additionally, the facility wasted an estimated of 2711.44 US$ on the disposal of expired medicines. The expiration of medicines has been linked to several issues, including near-expiry, irrational prescribing practices, and weak participation of clinicians in medicine selection and quantification of the facility. Additionally, only two hospitals had relatively good storage and handling practices. Overall, the expiration rate of medicines in the public hospitals in Jimma Zone was greater than the allowed level of 2%. In order to optimize the allocation of healthcare funds and ensure the appropriate use of pharmacologically significant medications it is vital to conduct a comprehensive examination at the national level within a regional hospitals.

Effect of Inhalational Anesthetics Exposure on Reproductive Outcomes and Its Predictors Among Healthcare Personnel in Jimma Zone Public Hospitals: A Comparative Cross-Sectional Study.

Emerging of anesthetics opens a new era to medical discipline in relieving patients' pain and stress when undergoing surgery but simultaneously exposes the healthcare personnel working in areas of anesthetics exposure to many adverse health effects including reproductive outcomes effects. Thus, this study aimed to assess the effect of inhalational anesthetics exposure on reproductive outcomes and its predictors among health care personnel in hospitals of Jimma zone public hospitals. A comparative cross-sectional study was conducted from May 01 to 30, 2021. We approached 483 healthcare personnel in Jimma zone public hospitals to partake in this study. Of this number, we recruited 292 healthcare personnel, comprising 146 exposed healthcare personnel and 146 unexposed healthcare personnel. Structured questionnaires were used to assess the reproductive outcomes. Data were entered into EPI-data version 4.6.1 and exported to SPSS version 24 for analysis. Binary logistic regressions were carried out to identify associated factors with reproductive outcomes. Statistical significance was declared using a p value <0.05. The overall prevalence of bad reproductive outcome status was high (30.8%) and the prevalence was much higher among exposed HCPs (20.9%) when compared to unexposed HCPs (9.9%). Among a total of 292 HCPs the likelihood of occurred bad reproductive outcomes was higher among an exposed group (AOR=3.17, 95% CI: 1.40-7.16) and those who smoke cigarettes (AOR=8.44, 95% CI: 1.93-36.91). The occurrence rate of bad reproductive outcome was higher among 30-45h/week exposure (AOR=11.94, 95% CI: 1.25-24.95) if separately analyzed among exposed and age of couple above 41 years among unexposed (AOR=5.87, 95% CI: 1.56-22.06) were significantly associated with bad reproductive outcomes. Prevalence of bad reproductive outcomes was higher among exposed HCPs. Hence, it requires attention to create awareness about the danger of anesthetics exposure in the study setting, suggesting the need to further minimize the exposure.

Late initiation of antenatal care and associated factors among pregnant women in Jimma Zone Public Hospitals, Southwest Ethiopia, 2020

BackgroundLate antenatal care initiation is linked to a higher risk of maternal death. Women who do not start ANC at an early stage may experience the effects of pregnancy-related health difficulties, as well as long-term health issues and pregnancy complications. Therefore, our study aimed to determine the prevalence of late initiation of antenatal care and associated factors among pregnant women in Jimma Zone public Hospitals.MethodsA facility-based cross-sectional study design was employed in Jimma zone public hospitals from February 1 up to 30 March 2020 and 409 pregnant women were participated in the study by using a systematic random sampling method. Structured questionnaire was used to collect data that contain socio demographic variables, socio cultural variables, pregnancy related factors and predisposing factor related variables. The data was entered into EPI data version 3.1 and exported to SPSS version 20 for statistical analysis. Binary and multivariable logistic regression analysis were performed by using 95%CI and significance was declared at P < 0.05.ResultForty-eight percent of pregnant women were initiated their first ANC late. Primary education (AOR = 0.242; 95% CI, 0.071–0.828) and college diploma and above was (AOR = 0.142; 95% CI, 0.040- 0.511), mothers with an unplanned pregnancy (AOR = 11.290; 95%CI, 4.109–31.023), time taken to arrive the health facility greater than sixty (60) minutes (AOR = 8.285; 95% CI, 2.794–24.564) and inadequate knowledge about ANC service (AOR = 4.181; 95%CI, 1.693–10.348) were associated with late first Antenatal care initiating.ConclusionThe prevalence of late initiation of ANC still remains a major public health concern in the study area. Level of education, unplanned pregnancy, distance from house to health facility, and lack of understanding about ANC services were all found to be significant variables in late ANC starting. As a result, healthcare workers can provide ongoing health education on the need of starting antenatal care visits early to avoid unfavorable pregnancy outcomes by considering all identified factors.

Health care manager commitment towards implementation of citizen charter standards and associated factors in public hospitals of Jimma zone, Southwest Ethiopia

BackgroundManagerial commitment is important for effective design and implementation of citizen charter to assure the quality of health service delivery as per the standards depicted in the document. Hence the objective of this study is to assess the level of managerial commitment towards implementation of the citizen charter standards and associated factor in Jimma zone public hospitals.MethodsA Facility based cross-sectional study design was employed in Jimma zone public hospitals from March 14 to May 16, 2019 and 422 health managers who were currently working at all levels of management were participated in the study. After checking its completeness, the data was entered into EPI data version 3.1 and exported to SPSS version 20 for statistical analysis. Factor analysis was conducted. Simple and multiple linear regression were done using 95%CI and significance was declared at P < 0.05. All assumptions of linear regression and principal component analysis were checked.ResultsThe percentages mean score of managerial commitment for health managers working in jimma zone public hospitals was 58%. Perceived value and care for managers (β = .329,95% CI,.245,.413, p-value<.001), Interaction between staff and managers’ (β = 0.077,95%CI,.032,.122, p-value< 001),involvement during implementation of citizen charter(β = 0.061,95%CI,.010,.112,p-value = 018) and positional level(β = − 122,95%CI,-.242,-.002,p-value = .046) as predictors of managerial commitment towards implementation of citizen charter standards.ConclusionsIn this study, the percentage mean score of managerial commitment for health care managers working in Jimma zone public hospitals was medium. Hence, all levels of managers to consider and maintain factors identified in this study in their management practice to foster a higher level of managerial commitment towards implementation of citizen charter standards in jimma zone public hospitals.

Behavioral Intention towards Dietary Diversity among Adult People Living with HIV in Public Hospitals in Southwest Ethiopia Using Theory of Planned Behavior—An Explanatory Study

Dietary diversity is a crucial element of inclusive care for people living with HIV (PLWHIV). Particularly in resource-limited countries where undernutrition and food insecurity prevail, low intention and poor attitude towards diversified diets are the common challenges. The aim of this study was to assess the intention towards dietary diversity behavior among adult PLWHIV in Jimma Zone public hospitals, Southwest Ethiopia. A hospital-based survey study was carried out in five public institutions among 403 sampled adult PLWHIV. Data were entered into Epi-Data (The EpiData Association, Odense, Denmark) and exported to SPSS version 20 (IBM, Armonk, NY, USA) for analysis. Relationships among variables were assessed using correlation coefficients. A multivariable linear regression model was fitted to assess predictors of behavioral intention towards dietary diversity at p-value ≤ 0.05. The quantitative data were supplemented by qualitative data, which were collected through key informant interviews and analyzed thematically. The significant predictors of intention to use dietary diversity were attitude (β = 0.196, p &lt; 0.01) and subjective norm (β = 0.390, p &lt; 0.01) of the adult PLWHIV. The constructs of theory of planned behavior (TPB) independently explained the variance in intention towards dietary diversity by 25.7%. All the intermediate, proximal and distal components of the theory of planned behavior (TPB) explained the final model finding 32.2% of variance in the intention to use dietary diversity. The qualitative findings indicated that delivery of HIV care requires a sense of livelihood development, economical improvement and creating a sense of ownership for sustainable HIV care by creating behavioral change at the individual level. Conclusion: Dietary inadequacy was strongly correlated with being in the sociodemographic groups that are at heightened risk of adverse clinical outcomes. It is worthwhile to understand behavioral intention as a potential determinant of malnutrition and the Poor ART outcomes rather than symptomatic treatment of malnutrition with food by prescription.

Intention Toward Dietary Diversity Among Adult People Living With HIV in Public Hospitals in Southwest Ethiopia Using Theory of Planned Behavior. A Mixed Methods Study.

Dietary diversity is a crucial element of an inclusive care for people living with HIV (PLWHIV), particularly in resource-limited countries where undernutrition, poor intention, and poor attitude toward diversified diets are the common challenges. The aim of this study was to assess the Intention toward dietary diversity behavior among adult PLWHIV in Jimma zone public hospitals, South West Ethiopia. A hospital-based survey was carried out in 5 public institutions among sampled 403 adult PLWHIV. Data were entered into EpiData, and exported to SPSS version 20 for analysis. Relationships among variables were assessed using correlation coefficients. The multivariable linear regression model was fitted to assess predictors of behavioral inclination toward dietary diversity at P-value ≤ .05. The quantitative data was supplemented by qualitative data, which was collected through key informant interviews and analyzed thematically. The significant predictors of intention to use dietary diversity were attitude (β = .196, P < .01) and subjective norm (β = .390, P < .01) of adult PLWHIV. The constructs of theory of planned behavior (TPB) independently explained the variance in inclination toward dietary diversity by 25.7%. All the intermediate, proximal, and distal components of TPB explained the final model with 32.2% of variance in the intention to use dietary diversity. The qualitative findings indicated that delivery of HIV care requires a drive for livelihood development and economic improvement, creating a sense of responsibility for sustainable HIV care by creating behavioral change at the individual level. Conclusion: Dietary inadequacy was strongly correlated with being in the sociodemographic groups that are at heightened risk of adverse clinical outcomes. It is worthwhile to investigate behavioral intention as a potential determinant of the clinical outcomes rather than choose symptomatic treatment of malnutrition. Conclusion: Dietary inadequacy was strongly correlated with being in the sociodemographic groups that are at heightened risk of adverse clinical outcomes. It is worthwhile to investigate behavioral intention as a potential determinant of the clinical outcomes rather than choose symptomatic treatment of malnutrition.

Diabetes Mellitus and Associated Factors Among Adult HIV Patients on Highly Active Anti-Retroviral Treatment.

BackgroundHighly active anti-retroviral therapy (HAART) prolongs the life span of people living with HIV (PLWHIV) and intensely reduces HIV-related morbidity and mortality. Globally, HIV-associated non-communicable diseases are becoming major public concerns, and chronic comorbidities have appeared as a substantial reason for morbidity and mortality in HIV patients with prolonged use of HAART.PurposeA cross-sectional study design was used to assess the magnitude of diabetes mellitus and risk factors among adult HIV patients exposed to HAART at Jimma Zone Public Hospitals from May to July 30, 2018.Patients and MethodsA convenient sampling technique was used to include a total of 271 adult HIV patients on HAART visiting the selected health facilities at the time of data collection. Socio-demographic and clinical data were collected by interviewer-administered questionnaire and by reviewing patients’ record data. Bivariate and multivariate logistic regressions were used to identify variables that are independent predictors for diabetes mellitus.ResultsThe prevalence of diabetes and pre-diabetes among PLWHIV exposed to HAART was 11.4% and 16.6%, respectively. The prevalence of diabetic dyslipidemia in PLWHIV exposed on HAART was 8.9% (n=24). Government workers (AOR: 0.17, 95% C.I=0.03–0.85, P=0.031), long duration in HAART use (AOR: 11.06, 95% C.I:1.03–18.67, P=0.047), hyper-triglyceridemia (AOR: 2.62,95% C.I:0.82, 8.39, P=0.005), LDL-C <130 mg/dl (AOR: 4.04, 95% C.I=1.33–12.30, P=0.014), and obesity (AOR: 9.62, 95% C.I: 1.01–91.52, P=0.049) were independent risk factors for diabetes mellitus in PLWHIV exposed to HAART.ConclusionExposure to HAART increased the prevalence of diabetes mellitus in PLWHIV although it enhances quality of life, improves immune functions and prevents the onset of opportunistic infections. Therefore, regular screening for blood glucose level for PLWHIV on HAART is advisable.

Sleep quality and its associated factors among nurses in jimma zone public hospitals, Southwest Ethiopia, 2018

Sleep quality and its associated factors among nurses in jimma zone public hospitals, Southwest Ethiopia, 2018

Predictors of Under Nutrition and Its Implication toward HIV Continuum Care among Adult People Living with HIV in Jimma Zone Public Hospitals, Southwest Ethiopia: A Mixed Method Study.

Objectives:The study aimed to see predictors of undernourished and its implication towards HIV continuum care.Study Design:unmatched case-control study was conducted among 678 individuals in Jimma zone, southwest Ethiopia.Methods:Randomly selected data of 339 PLWHA who had poor nutritional outcomes (cases) and 339 without undernourished (controls) were analyzed. Logistic regression was used to identify forecasters of undernutrition. The quantitative results were supplemented from key informants who work closely on HIV care, then data were coded and analyzed thematically.Results:Rural residence (AOR:1.8; 95% CI: 1.2, 6.4), female (AOR: 2.9; 95% CI: 1.1, 4.3), unstable livelihood (AOR: 5.1; 95% CI: 4.2, 19.6), low meal frequency (AOR: 6.6; 95% CI: 5.2, 21.1), less diversified foods (AOR: 3.5; 95% CI: 1.2, 14.3), and advanced WHO clinical stage (AOR: 4.3; 95% CI: 3.6, 13.7) and were found to be independent predictors of undernourishment. No social support advanced clinical stage, and unstable livelihood adversely affect nutritional status of PLWHA from the qualitative data.Conclusions:The socio-cultural, economic, and health-system factors inhibit ideal patient nutritional status. Better tracking, enhanced livelihood and social support along with drug therapy, food aid needs to consider for PLWHA.

Nurses pain management competency and associated factors among nurses working in public hospitals, jimma zone, oromia regional state, southwest Ethiopia

Background: Pain management for hospitalized patient requires nurses’ pain management competency. However; there is paucity of information on nurse’s pain management competency in Jimma Zone public hospitals. Objective: To assess nurses’ pain management competency and associated factors among nurses working in public Hospitals, Jimma zone, Oromia Regional State, South west Ethiopia. Methods: Institutional based cross- sectional study design was conducted on 310 nurses working in public hospitals, Jimma zone, from March 1-28, 2017. The study subjects were selected by simple random sampling technique using lottery method. Data was collected using standardized self-administered questionnaire. SPSS 20.0 version was used for data entry and analysis. Variables with p<0.25 in the bivariate analyses were entered into a multivariable regression analysis to identify the independent factors associated with nurses’ competency. Significant factors reported at P<0.05. Results: Respondents who were working at medical with [AOR=2.05(1,02,4.12)], Nurses’ who were working at surgical ward with [AOR=0.19(0.05,0.64)]and Nurse-Physician work relationship with [AOR=2.36(95%CI:1.36,4.08)] significantly associated with nurses’ pain management competency. Conclusion and Recommendation: The overall nurses’ pain management competency level in Jimma zone, Public hospital is very low. Among many factors contributed to the nurses’ patient pain management competency were nursephysician work relationship, presence of protocol and working unit. Those show that Jimma public hospitals should design strategy to improve pain management competency. Nurses’ pain management competency enhances utilization of protocols, that specifies pain management by unit and promote nurse-physician relation.

English

In spite of all the various programs and strategies to promote the use of research finding, there is still gap between theory and practice. A number of studies from various countries have reported that nurses’ experience of evidence-based practice is low. In Ethiopia, there is an information gap on the extent of evidence based nursing practice and its associated factors. The study aims to assess the implementation of evidence based nursing practice and associated factors among nurses in Jimma zone public hospitals. Institution based cross-sectional study was conducted from March 1-30/2015. A total of 333 sampled nurses for quantitative and 8 in-depth interview of key informants were involved in the study. Semi-structured questionnaire was adapted from funk’s BARRIER scale and Friedman’s test. Pretest was done on 17 nurses of Bedele hospital. Multivariable linear regression was used to determine factors of evidence based nursing practice. Of 333 distributed questionnaires, 302 were completed, giving 90.6% response rate. Of 302 participants, 245 were involved in EBP activities different levels. About 45 (18.4%) had implemented evidence based practice to low level, 42% had implemented evidence based practice to medium level and 39.6% of the respondents had implemented evidence based practice to high level. The first greatest perceived barrier was setting characteristic. Knowledge about research evidence was positively associated with implementation of evidence based nursing practice. Similarly, place of graduation was positively associated with implementation of evidence based nursing practice. Small number of participants had implemented EPB frequently. Evidence-based nursing practice was positively associated with knowledge of research, place where respondents graduated, and the availability of information resources. Organizational factors were found to be the greatest perceived barrier. Intervention programs on awareness creation, training, resource provision, and curriculum issues to improve implementation of evidence based nursing practice by stakeholders are recommended. Key words: Evidence based practice, nursing practice, research utilization Ethiopia.

Birth Asphyxia and Associated Factors among Newborns Delivered in Jimma Zone Public Hospitals, Southwest Ethiopia: A Cross-sectional Study

Background & aim: Birth asphyxia is a serious clinical problem and a leading cause of neonatal mortality and morbidity worldwide. The majority of neonatal deaths arise in low- and middle-income countries. We sought to address birth asphyxia and its associated factors among newborns delivered in Jimma zone public hospitals, Southwest Ethiopia. Methods: A cross-sectional study was conducted on 368 live newborns born at Jimma zone public hospitals, who were enrolled in the study using the systematic random sampling method. Data were collected using a structured questionnaire, an observation checklist, and chart review, which were designed to measure the birth asphyxia and its associated factors. Overall, The data were analyzed using simple and multivariable logistic regression. Results: The prevalence of birth asphyxia was 32.9% in the first and 12.5% in the fifth minute. Accordingly, birth asphyxia was significantly associated with medical complications (AOR: 3.92, 95%CI: 1.62, 9.46), obstetric complications (AOR: 3.76, 95%CI: 1.71, 8.26), prolonged second stage of labor (> 3 h; AOR: 3.72, 95%CI: 1.46, 12.18), low birth weight (AOR: 4.21, 95%CI: 1.5, 12.2), meconium-stained amniotic fluid (AOR: 8.29, 95%CI: 3.6, 18.9), tight nuchal cord (AOR: 7.4, 95%CI: 1.6, 34.1), not attending antenatal care (AOR: 6.4, 95%CI: 2, 20.2), incomplete antenatal care visit (AOR: 4.6, 95%CI: 2.0, 10.5), non-cephalic presentation (AOR: 6.98, 95%CI: 2.66, 18.28), and caesarian section delivery (AOR: 2.3, 95%CI: 1.0, 5.1). Conclusion: Most factors associated with birth asphyxia are manageable by means of good pre-natal care and improving antenatal, intrapartum, and neonatal care services within our limited resources.

Work Related Musculoskeletal Disorders and Associated Factors among Nurses Working in Jimma Zone Public Hospitals, South West Ethiopia

Work Related Musculoskeletal Disorders and Associated Factors among Nurses Working in Jimma Zone Public Hospitals, South West Ethiopia

Perception Towards Patient Safety Practice and Associated Factors among Health Care Providers of Jimma Zone Public Hospitals

Perception Towards Patient Safety Practice and Associated Factors among Health Care Providers of Jimma Zone Public Hospitals

Blood/Body Fluid Exposure and Needle Stick/Sharp Injury among Nurses Working in Public Hospitals; Southwest Ethiopia.

Every health professional around the world is at risk of blood/body fluid exposure and needle stick/sharp injury as a result of exposure to blood or body fluids and needle or sharp injuries. However, the extent of these hazards and their driving forces are not well documented in Ethiopia. Thus, the aim of this study was to assess determinants of blood/body fluid exposure and needle stick/sharp injury among nurses working in Jimma zone, southwest Ethiopia. An institution-based census was conducted among 318 nurses working in Jimma zone public hospitals from March 10 to 30, 2016. Data were collected by using pretested self-administered questionnaire. Epi info and SPSS were used for data entry and analysis, respectively. Descriptive statistics were done. Bivariate and inter multivariate logistic regression analysis was also carried out to identify predictors of occupational hazards. The overall prevalence of blood/body fluid exposure and needle stick/sharp injury was found to be 249 (78.3%). Blood/body fluid exposure and needle stick/sharp injury incidents were reported by 62.6 and 58.8% of respondents, respectively. Majority of the hazards occurred during morning shift. Being male [AOR: 2.20, 95% confidence interval (CI): 1.09, 4.4], being single (AOR: 2.26, 95% CI: 1.09, 4.69), and having no training on infection prevention (AOR: 5.99, 95% CI: 3.14, 11.41) were positively associated with blood/body fluid exposure and needle stick/sharp injury; while working in chronic illness follow-up clinic (AOR: 0.19, 95% CI: 0.05, 0.71) showed negative association at p value of 0.05. Prevalence of blood/body fluid exposure and needle stick/sharp injury was high among the nurses. The safety of nurses depends directly on the degree to which nurses can identify and control the varied occupational hazards specific to jobs. Thus, working unit specific safety precautions and basic infection prevention in-service training might improve nurses' safety practice and thereby decrease the on job hazard.

Predictors of job satisfaction among nurses working in Ethiopian public hospitals, 2014: institution-based cross-sectional study

BackgroundNurses play a pivotal role in determining the efficiency, effectiveness, and sustainability of health care systems. Nurses’ job satisfaction plays an important role in the delivery of quality health care. There is paucity of studies addressing job satisfaction among nurses in the public hospital setting in Ethiopia. Thus, this study aimed to assess job satisfaction and factors influencing it among nurses in Jimma zone public hospitals, southwestern Ethiopia.MethodsAn institution-based census was conducted among 316 nurses working in Jimma zone public hospitals from March to April, 2014. A structured self-administered questionnaire based on a modified version of the McCloskey/Mueller Satisfaction Scale was used. Data were entered using Epi Info version 3.5.3 statistical software and analyzed using SPSS version 20 statistical package. Mean satisfaction scores were compared by independent variables using an independent sample t test and ANOVA. Bivariate and multivariable linear regressions were done.ResultsA total of 316 nurses were included, yielding a response rate of 92.67%. The overall mean job satisfaction was (67.43 ± 13.85). One third (33.5%) of the study participants had a low level of job satisfaction. Mutual understandings at work and professional commitment showed significant and positive relationship with overall job satisfaction, while working at an inpatient unit and work load were negatively associated.ConclusionsOne third of nurses had a low level of job satisfaction. Professional commitment, workload, working unit, and mutual understanding at work predicted the outcome variable.

Intention to Stay in Nursing Profession and Its Predictors among Nurses Working in Jimma Zone Public Hospitals, South West Ethiopia

Background: Hospitals are facing difficulties to providing a consistent level of quality nursing care in a fastchanging health environment due to the shortage of experienced nurses which is a critical global issue. A number of nurses were quitting their profession to continue career in another profession in clinical and non-clinical fields. Factors that cause these problems were not investigated in Ethiopia yet. This study aims to assess the level of intention to stay in the nursing profession and its predictors among nurses working in Jimma Zone public Hospitals.Methods: Institution based cross-sectional study was conducted on 317 nurses. Structured self-administered questionnaires were used to collect data. Data were entered and cleaned by using Epi-data version 3.1 then exported to IBM SPSS version 20 for analysis. Independent sample t-test, one-way ANOVA, and linear regression were done to see mean difference and association of variables. P-value of less than 0.05 was taken as statistically significant.Result: The overall level of intention to stay is 57.75% of which 133 (42%) of them had low, 95 (30%) of them have moderate and the rest 89 (28.1%) have a high level of intention to stay in the profession. Organizational and professional commitment, working hospital, job satisfaction, organizational factor, and job-related stress were identified as predictors of intention of nurses to stay in their profession.Conclusion: The overall level of intention to stay is low. Only less than one-third of nurses have high intention to stay in their profession in this study. Improving this level of intention needs collaborative intervention in related factors which are a big homework for managers on health sectors of Jimma zone public Hospitals.

Job related stress among nurses working in Jimma Zone public hospitals, South West Ethiopia: a cross sectional study.

BackgroundOccupational stress exists in every profession, nevertheless, the nursing profession appears to experience more stress at work compared to other health care workers. Unmanaged stress leads to high levels of employee dissatisfaction, illness, absenteeism, high turnover, and decreased productivity that compromise provision of quality service to clients. However, there is a scarcity of information about nurses’ job stress in Jimma zone public hospital nurses.The aim of the present study was to assess job related stress and its predictors among nurses working in Jimma Zone public hospitals, South-West Ethiopia in 2014.MethodAn institution based cross sectional study was conducted from March 10 to April 10, 2014 through a census of nurses who are working in Jimma Zone public hospitals using a structured self-administered questionnaire. SPSS Statistics Version 20 used. For the outcome variable: overall job related stress, the participant’s responses on each item score summed: a stress score ranging from a minimum of 26 and maximum score of 116. The higher the sum the more the stressed the nurse. The level of stress calculated through tertial the lower to low stress, the middle to moderate & the higher to high stress. Moreover, bivariate and multivariable linear regressions done to see the association between the predictor (sex, age, mutual understanding at work, Job satisfaction and working unit/department) and the outcome variable (Job related stress).ResultsA total of 341 nurses working in Jimma Zone public hospitals were given the questionnaire, and the response rate was 92.3 % (315). This study indicated an average overall job related stress level of 58.46 ± 12.62. The highest level of job related stress was on the sub scale of dealing with death & dying mean score of 62.94 % followed by uncertainty regarding patient treatment 57.72 % and workload 57.6 %. While job related stress from sexual harassment had the lowest mean score of 46.19 %.ConclusionOverall job related stress varies across working unit. Working in a chronic illness follow up clinic, the mutual understanding at work between nurse & physician and job satisfaction were negatively associated predictors of job related stress.