Master of Science in Adult Health Nursing

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    PARENTS' KNOWLEDGE AND WILLINGNESS TO VACCINATE THEIR DAUGHTERS AGAINST HUMAN PAPILLOMAVIRUS AND THEIR ASSOCIATED FACTORS IN ALLE SPECIAL WEREDA, SOUTHERN ETHIOPIA 2023. MIXED STUDY
    (hawassa universty, 2023-11) SELEMAYE ZENEBE
    Introduction: Cervical cancer is the most deadly cancer worldwide. Although human papillomavirus vaccination is the primary prevention mechanism there was low awareness, uptake, and willingness among parents primarily in developing nations. Therefore assessing parents’ knowledge and willingness is necessary. Objective: This study aims to assess knowledge, willingness, and associated factors of the human papillomavirus vaccination parents of daughters aged 9-14 years, in Alle special Wereda, Southern Ethiopia, 2023. Materials and methods: A community-based cross-sectional study triangulated with the qualitative inquiry was employed among 418 parents in Alle Special Wereda, southern Ethiopia from April to May 2023. The data collected by interview were entered into Epi data 4.6 and exported to SPSS version 25 for analysis. Logistic regression analysis was employed to identify factors associated with human papillomavirus vaccine knowledge and willingness and the statistical significance of the association was asserted at a P-value of < 0.05. Manual thematic analysis was used to analyze qualitative findings. Result: Of the total participants in the study, 29.7% and 40.2% have good knowledge about and willingness for the human papillomavirus vaccination respectively. Educational status (AOR=0.755, 95%CI (0.150-0.3805), heard human papillomavirus vaccine (AOR=0.254, 95%CI (0.065-0.985), fear of sexually transmitted infections (AOR=0.194, 95%CI (0.049-0.774), and attitude (AOR=0.071, 95%CI (0.0150-0.338) were significantly associated with knowledge. knowledge (AOR=0.112, 95%CI (0.035-0.362), attitude (AOR=0.260, 95%CI (0.068-0.987), and readiness (AOR=0.169, 95%CI (0.056-0.509) were significantly associated with willingness of human papillomavirus vaccine. In addition, lack of trust, poor perception, fear of unknown side effects, and misunderstanding were identified as major factors by qualitative findings. Conclusion: Parents' knowledge and willingness to receive human papillomavirus vaccination was low. Knowledge was significantly associated with educational status, hearing human papillomavirus vaccine, fear of sexual infections, and attitude. Knowledge, attitude, and readiness were strongly associated with vaccination willingness. Therefore, to increase human papillomavirus vaccination, awareness, health education, and additional research are required.
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    FLUID BALANCE MONITORING PRACTICE AND PREDICTORS AMONG NURSES WORKING AT PUBLIC HOSPITALS IN HAWASSA CITY, ETHIOPIA, 2023
    (hawassa universty, 2023-11) EYOB WONTE SHANKA
    Background: Fluid balance monitoring involves measuring input and output accurately. In order to treat patients effectively and shorten their hospital stays, accurate fluid balance monitoring is necessary. Recent studies have shown that the majority of fluid balance monitoring practices by nurses are unsatisfactory. There was an apparent gap in recording input and output and calculating 24-hour fluid balance by nurses. Although some studies on fluid balance monitoring have been conducted, fluid balance monitoring practice among nurses is still poorly understood. Objective: To assess fluid balance monitoring practice and predictors among nurses working at public hospitals in Hawassa city, Ethiopia, 2023. Methodology: A cross-sectional study was conducted from May 1 to June 30, 2023. A simple random sampling technique was used to select 270 nurses. A checklist for observations and a self-administered questionnaire were used to gather the data. The data was summarized using descriptive statistics. To find the predictors of fluid balance monitoring, bivariate and multivariable logistic regressions were employed. Results: Of all the nurses (n = 270) who participated in the study, 170 (63%) reported that they do not perform fluid balance monitoring. Sex was associated negatively (AOR = 0.153: 0.024, 0.981, p = 0.048), whereas knowledge was associated positively (AOR = 19.029: 3.053, 118.601, P = 0.002) with fluid balance monitoring practice and was found to be a predictor of fluid balance monitoring practice. Conclusion and recommendation: More than half of nurses assessed for fluid balance monitoring practice scored less than the mean score for practice-related questions. The knowledge of the respondent nurses was found to be a predictor of fluid balance monitoring practice. Provision of continuous and periodic training on the knowledge related to fluid balance monitoring practice for nurses working in public hospitals in Hawassa city has to be strengthened.
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    KNOWLEDGE AND PRACTICE OF HYPOGLYCEMIA PREVENTION AND ITS ASSOCIATED FACTORS AMONG ADULTS WITH DIABETES IN WEST SHEWA, ETHIOPIA, 2023
    (hawassa universty, 2023-11) DABA WOGI GEBISA
    Background: Hypoglycemia is a medical emergency that causes hospital admission and emergency department visit. Knowledge of hypoglycemia prevention is very essential due to the fact knowledgeable patient is more likely to practice hypoglycemia prevention. Despite this fact, the knowledge and practice of hypoglycemia prevention and its associated factors among patients with diabetes insufficiently studied in Oromia. Objective: To assess knowledge and practice of hypoglycemia prevention and its associated factors among patients with diabetes in West Shewa, Ethiopia, 2023 Methods: Institutional based cross-sectional study design conducted from May 01 to June 01, 2023. A systematic random sampling technique used to select 393 participants with proportional allocation. A pre-tested, structured and interviewer administered questionnaire was used to collect data. The data entered using Epi-data version 4.6 and then exported to SPSS software version 25 for further processing. A binary logistic regression model performed to determine the association between dependent and independent variable. Factors with p-value <0.25 on bivariate analysis were taken to multivariate analysis. The strength of association was determined by AOR. The level of significance declared at p-value <0.05 with 95% CI. Result: Among the total respondents, 273(70.9%) live with Type2 DM and 131(34.0%) used insulin. Generally, 59.7% and 47% of respondents had good knowledge and practice of hypoglycemia prevention respectively. The educational level, using insulin, and monthly income were associated with good knowledge. Whereas educational level, having a glucometer, and knowledge were associated with good practice of hypoglycemia prevention Conclusion and recommendation: The study shows there is a knowledge and practice gap regarding hypoglycemia prevention. Health care provider should give hypoglycemia-oriented health education.