3 research outputs found
Magnitude, Clinical Presentation, and Outcome of Pediatric Burn Injuries at Yekatit 12 Hospital, Addis Ababa, Ethiopia
No full textBack ground: Burn injuries are a global public health problem, accounting for an estimated 195 000 deaths annually. The majority of these occur in low- and middle-income countries and the rate of child deaths from burns is currently over seven times higher in low- and middle-income countries than in high-income countries. Burn injuries are largely considered as being preventable. However, one needs to know the patterns, causes and outcomes of burn injuries if intervention measures are to be effective.. Objective: the aim of this study was to determine the magnitude, clinical presentation and outcome of pediatric burn patients seen in Yekatit 12 hospital from January 2012 – January 2014. Methodology: This study was conducted at Yekatit 12 hospital from December- June 2014 by implementing a retrospective cross sectional study design. A total of 422 burn patients were recruited by simple random sampling method. Data was collected from patients’ medical record cards retrospectively. SPSS version 20 for widows was used for data entry and analysis. Descriptive statistics and logistic regression were used to analyze the data. Result: Burn accounted for 6.4% of patients who had visited the pediatric department of Yekatit 12 hospital during the study period. Children less than 3 years of age had the highest proportion of patients (53.3%) and the median total body surface area (TBSA) burned was 11% with a range of 1-95% . The most frequent burn injuries were scalds, followed by flame burns, electrical burns , contact burns with hot solid object and chemical burns with 60%,32.9%, 3.8%, 2.4% and 0.9% respectively. Most of the burns ( 49%) healed with no or minor sequelae and 7.85% of patients died in the study period. Cause of burn has statistically significant association with death (P= 0.027).
Conclusion and recommendation: The leading causes of burn are scalds which are preventable. Children should not be allowed in the kitchen and they should be kept in their beds or in their room while their mothers are doing housework chores. The most effective way to prevent burns is public education
Quality of basic emergency obstetric and newborn care services from patients' perspective in selected public health centers in Addis Ababa, Ethiopia 2022: A cross-sectional study.
No full textBackgroundThe majority of maternal and neonatal deaths occur within the first 24 hours of birth. To minimize maternal as well as neonatal morbidity and mortality, it is important to supply quality Basic Emergency Obstetric and Newborn Care. Basic emergency obstetric and newborn care services prevent immediate obstetric problems. There have been studies in Ethiopia that have looked at the availability of EmONC services. However, from the clients' perspective and experience, there is insufficient knowledge of quality BEmONC services.ObjectiveTo assess the quality of basic emergency obstetric and newborn care (BEmONC) services and associated factors from the perspective of mothers in selected public health centers in Addis Ababa, Ethiopia, 2022.MethodsA facility-based cross-sectional study was used among mothers receiving at least one of the signal functions of BEmONC services. A total of 377 mothers were enrolled. Eleven public health centers, one from each of the 11 sub-cities, were selected by simple random sampling. Respondents were chosen by a systematic random sampling method. A structured questionnaire from Open Data Kit version 2022.1.2 was used. Finally, it was exported to SPSS version 26 for analysis. Bivariate analysis at a P-value of 0.25 and multivariable analysis at a P-value of 0.05 were applied.ResultsThe overall quality of BEmONC services from the mothers' perspective was 56.9%. Mothers who paid for services had lower odds of rating the quality as good compared to those who received services for free (AOR = 0.564; 95% CI: 0.327-0.971). Additionally, mothers aged 20 to 24 years had a lower likelihood of viewing the quality as good compared to those older than 35 years (AOR = 0.362; 95% CI: 0.157-0.837). However, mothers who were accompanied by relatives had significantly higher odds of rating the quality as good than those who were alone (AOR = 18.557; 95% CI: 3.844-89.588). Regarding monthly income, respondents with an average monthly income of less than 1,500 ETB had higher odds of rating the quality as good compared to those earning more than 6,000 ETB (AOR = 2.429; 95% CI: 1.026-5.753).Conclusion and recommendationThe total quality of BEmONC services from the perspective of mothers was suboptimal. It was predicted by age, monthly income, presence of a companion, and payment. This study strongly recommends that more should be done to ensure that the services given are more client-centered
Evidence-based practice utilization and associated factors among nurses in the emergency department of selected public hospitals, Addis Ababa, Ethiopia, 2024: cross-sectional study
No full textAbstract Background Evidence-based practice use refers to the integration of current, reliable, and relevant evidence into healthcare decision-making. This includes findings from studies, professional experiences, and updated guidelines aimed at minimizing biases and enhancing clinical decisions based on comprehensive research. Objective This study aimed to evaluate the use of evidence-based practices and identify associated factors among nurses working in the emergency departments of selected public hospitals in Addis Ababa, Ethiopia, in 2024. Methods This institution-based cross-sectional study assessed evidence-based practice use among emergency department nurses. A lottery method of simple random sampling was used to select 233 participants from 542 nurses registered in the nurse manager office. Only 233 nurses were invited to participate in the study, and only 225 responded, resulting in a non-response rate of 3.4% (equivalent to 8 nurses). Data were collected using a self-administered questionnaire that was adapted and modified, comprising six sections with 59 items. Binary logistic regression was used to explore the associations between dependent and independent variables. Variables with a P value of less than 0.05 were deemed significantly associated with the utilization of evidence-based practices. Results Among the 225 nurses who participated in the study, 101 nurses (44.9%, 95% CI: 39.0–52.0%) demonstrated good use of evidence-based practice. The analysis revealed several factors associated with the use of evidence-based practice. Female nurses had an adjusted odds ratio (AOR) of 1.4 (95% CI: 1.201–3.923) for evidence-based practice use compared with male nurses. Nurses with a Master’s degree (AOR = 6.786, 95% CI: 1.141–40.352) and coordinator nurses (AOR = 13.191, 95% CI: 1.843–94.414) were also more likely to utilize evidence-based practices than staff nurses. Additionally, nurses with good knowledge of evidence-based practices had an AOR of 3.801 (95% CI: 1.700–8.498), and those who believed that relevant literature was unavailable had an AOR of 3.316 (95% CI: 1.334–8.246). Conclusion This study identified important factors affecting the use of evidence-based practice among nurses. Female nurses, those with advanced degrees, and nurse coordinators are more likely to engage in this practice. Good knowledge of evidence-based methods enhances their utilization, whereas beliefs about limited access to relevant literature can hinder such utilization. These findings suggest that improving education and access to research resources could boost patient care outcomes. Additionally, nursing leaders and administrators can help overcome barriers by providing training, allowing time off for EBP activities, and adjusting work schedules accordingly
