Master of EM & Critical Care Nursing

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    KNOWLEDGE, PRACTICE AND ASSOCIATED FACTORS TOWARDS DISASTER PREPARDNESS AMONG NURSES WORKING IN THE EMERGENCY DEPARTMENT OF PUBLIC HOSPITALS IN SIDAMA REGION, ETHIOPIA,2023.
    (hawassa universty, 2023-11) YUNUKA MARUFA TUNUSHE
    Introduction: According to recent researches, nurses in health-care settings who lack sufficient knowledge and practice in disaster preparedness can lose resources, delay treatments, cause patient unhappiness, and have other negative effects. Little is known regarding nurses’ knowledge, practice, and associated factors towards disaster preparedness in Ethiopia, particularly in this study area. Objective: The aim of this study was to assess the knowledge, practice and associated factors toward disaster preparedness among nurses working in emergency department at Public Hospitals in Sidama region, Ethiopia, 2023. Methods: A facility-based cross-sectional study design was conducted among randomly selected 175 nurses working in the emergency department (ED) from June 15 to July 15, 2023. The collected data was entered into Epi Data Version 4.6 and exported to Statistical Package for Social Science (SPSS) Version 25 for analysis. A logistic regression model was used to assess the strength of the association between the dependent and independent variables. Variables with a p-value <0.05 in the multivariable analysis were considered statistically significant. Results: A total of 175 nurses working in emergency departments participated in the study. The mean age of the respondents was 29 ± 4 years. From all study participants, around 95 (53%) and 114 (65%) of nurses working in the ED had poor knowledge levels and insufficient practice towards disaster preparedness respectively.In multivariate logistic regression, being male(AOR=2.6(CI 95%1.19-5.76 p=0.017), receiving training on subject (AOR=6.42, CI 95% 2.2-15.8, P=0.000), and having experience in disaster management(AOR=2.43, CI 95% 1.02 5.62, p=0.043) were factors significantly associated with the good knowledge of participants, while having disaster guideline(AOR=3.96, CI 95% 1.6-9.5, p=0.002, direct personal or professional exposure to disaster events, receiving training(AOR=4.4, CI 95% 1.7-11.8, p=0.003), and having good knowledge (AOR=3.32, CI 95% 1.7-11.8, p=0.01) were significantly associated with sufficient practices. Conclusion and recommendation: The current study revealed that more than half of the study participants have poor knowledge and insufficient practice in disaster preparedness. It’s advisable to hospitals have to have and distribute disaster guideline in emergency departments, and ongoing professional development training for nurses has to be given to improve the knowledge and practice of nurses working in the emergency department.
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    PALLIATIVE CARE PRACTICE, PERCEIVED BARRIERS, AND ASSOCIATED FACTORS AMONG NURSES WORKING IN SELECTED PUBLIC HOSPITALS IN HAWASSA CITY, SIDAMA ETHIOPIA
    (hawassa universty, 2023-11) BEYENE FELEKE ASHAGRE (BSc)
    Background: Palliative care is a comprehensive approach that enhances the quality of life of patients and their families facing problems related to life-threatening illnesses. Since nurses play an active role in managing patients' disease diagnosis and treatment in clinical palliative care practice, identifying their practice level is critical. However, there is a lack of data regarding palliative care practice, barriers, and associated factors among nurses in the study area. Objective: To assess the palliative care practice, perceived barriers, and associated factors among nurses working in selected public hospitals in Hawassa, Sidama, Ethiopia. Methods: An institutional-based cross-sectional study design using quantitative supplemented by qualitative data collection methods was employed among 319 nurses and 8 key informants, respectively, at a selected public hospital in Hawassa City, Sidama, Ethiopia, from March 15 to July 30, 2023.Simple random sampling techniques and purposive sampling techniques were used to collect data. Data were collected using pretested, self-administered questionnaires and an in-depth interview. Epi-Data and Statistical Program for Social Sciences software were used for data entry and analysis. Descriptive, bivariate, and multivariable logistic regression analyses were utilized. A p-value of <0.05 on multivariate logistic regression was declaredfor the associated variable. For qualitative data, thematic analysis was used. Results:The response rate among the 313 nurses who completed the questionnaire was 98%. Around three-fourths,76.6% [95% CI, 72–81] of participants had poor palliative care practices. Type of hospital, age, education level, experiences, and training were significantly associated with overall palliative care practices. This study explored four main themes in qualitative findings: knowledge deficit, negative patient attitudes, spiritual care, and modern medicine clash, issues with healthcare providers, and inadequate hospital facilities. Conclusion and recommendations: Overall, nurses had poor palliative care practices. Type of hospital, age, education level, experiences, and training were factors associated with practice towards palliative care, anda sub-category of themes emerged from a qualitative study. Therefore, it is necessary to provide basic education and continue on-the-job training for nurses to bridge the gap of poor practice.
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    KNOWLEDGE, PRACTICE AND ASSOCIATED FACTORS TOWARDS DISASTER PREPAREDNESS AMONG NURSES WORKING IN THE EMERGENCY DEPARTMENT OF PUBLIC HOSPITALS IN SIDAMA REGION, ETHIOPIA,2023.
    (Hawassa University, 2023-11) YUNUKA MARUFA TUNUSHE
    Introduction: According to recent researches, nurses in health-care settings who lack sufficient knowledge and practice in disaster preparedness can lose resources, delay treatments, cause patient unhappiness, and have other negative effects. Little is known regarding nurses’ knowledge, practice, and associated factors towards disaster preparedness in Ethiopia, particularly in this study area. Objective: The aim of this study was to assess the knowledge, practice and associated factors toward disaster preparedness among nurses working in emergency department at Public Hospitals in Sidama region, Ethiopia, 2023. Methods: A facility-based cross-sectional study design was conducted among randomly selected 175 nurses working in the emergency department (ED) from June 15 to July 15, 2023. The collected data was entered into Epi Data Version 4.6 and exported to Statistical Package for Social Science (SPSS) Version 25 for analysis. A logistic regression model was used to assess the strength of the association between the dependent and independent variables. Variables with a p-value <0.05 in the multivariable analysis were considered statistically significant. Results: A total of 175 nurses working in emergency departments participated in the study. The mean age of the respondents was 29 ± 4 years. From all study participants, around 95 (53%) and 114 (65%) of nurses working in the ED had poor knowledge levels and insufficient practice towards disaster preparedness respectively.In multivariate logistic regression, being male(AOR=2.6(CI 95%1.19-5.76 p=0.017), receiving training on subject (AOR=6.42, CI 95% 2.2-15.8, P=0.000), and having experience in disaster management(AOR=2.43, CI 95% 1.02 5.62, p=0.043) were factors significantly associated with the good knowledge of participants, while having disaster guideline(AOR=3.96, CI 95% 1.6-9.5, p=0.002, direct personal or professional exposure to disaster events, receiving training(AOR=4.4, CI 95% 1.7-11.8, p=0.003), and having good knowledge (AOR=3.32, CI 95% 1.7-11.8, p=0.01) were significantly associated with sufficient practices. Conclusion and recommendation: The current study revealed that more than half of the study participants have poor knowledge and insufficient practice in disaster preparedness. It’s advisable to hospitals have to have and distribute disaster guideline in emergency departments, and ongoing professional development training for nurses has to be given to improve the knowledge and practice of nurses working in the emergency department.