College of Medicine and Health Science

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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.
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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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    KNOWLEDGE AND PRACTICE TOWARDS BASIC LIFE SUPPORT AMONG NURSES WORKING AT PUBLIC HOSPITALS, IN HAWASSA CITY, SIDAMA, ETHIOPIA, 2023
    (hawassa universty, 2023-11) BETELHEM DEMEKE ALEMU (BSc)
    Introduction: Basic Life Support (BLS) is the foundation for saving lives after cardiac arrest, respiratory arrest, and choking in adults, children, and infants. In hospital cardiac arrest situations as well as community emergency calls, nurses are frequently the initial responders; as a result, their proficiency in basic life support is crucial for enhancing patient outcomes. However, little is known about the knowledge and practice of basic life support in Ethiopia. Objective: To assess knowledge, practice, and their associated factors toward basic life support among nurses working at public hospitals in Hawassa City, Sidama, Ethiopia, in 2023. Methodology: An institution-based cross-sectional study was conducted from April 1 to 15, 2023, in Hawassa City public hospitals with a sample size of 410 study participants selected using simple random sampling techniques. Data were collected using a self-administered, structured questionnaire. Logistic regression was applied to control the effects of some variables on the outcome variables, and odd ratios were calculated to determine the strength of the association. Results were interpreted as an association if the p-value was < 0.05 at 95% CI. Descriptions of data were made using tables, percentages, and graphs. Results: A total of 375 participants took part in the study, with a response rate of 91.5%. About one-fourth of 102 (27.2%) [95% CI (22.7–31.7)] and 106 (28.3%) [95% CI (23.7–32.9)] were found to be knowledgeable and have good practices towards basic life support, respectively. Being female, age and work experience were found to be significantly associated with knowledge of BLS. Being male, Nurses’ who had taken training and good knowledge level nurses towards basic life support were found to be significantly associated with practice of BLS. Conclusion: The results of this study showed that nurses working at public hospitals in Hawassa City's overall knowledge and practice of basic life support were poor. Therefore, more work needs to be done to increase nurses’ knowledge and practice in order to reduce avoidable deaths caused by unexpected emergencies such as choking, drowning, or sudden cardiac arrest. Thus, subsequent training and education on basic life support are mandatory to achieve the desired outcome.
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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.
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    KNOWLEDGE AND PRACTICE TOWARDS BASIC LIFE SUPPORT AMONG NURSES WORKING AT PUBLIC HOSPITALS, IN HAWASSA CITY, SIDAMA, ETHIOPIA, 2023
    (Hawassa University, 2023-11) BETELHEM DEMEKE ALEMU
    Introduction: Basic Life Support (BLS) is the foundation for saving lives after cardiac arrest, respiratory arrest, and choking in adults, children, and infants. In hospital cardiac arrest situations as well as community emergency calls, nurses are frequently the initial responders; as a result, their proficiency in basic life support is crucial for enhancing patient outcomes. However, little is known about the knowledge and practice of basic life support in Ethiopia. Objective: To assess knowledge, practice, and their associated factors toward basic life support among nurses working at public hospitals in Hawassa City, Sidama, Ethiopia, in 2023. Methodology: An institution-based cross-sectional study was conducted from April 1 to 15, 2023, in Hawassa City public hospitals with a sample size of 410 study participants selected using simple random sampling techniques. Data were collected using a self-administered, structured questionnaire. Logistic regression was applied to control the effects of some variables on the outcome variables, and odd ratios were calculated to determine the strength of the association. Results were interpreted as an association if the p-value was < 0.05 at 95% CI. Descriptions of data were made using tables, percentages, and graphs. Results: A total of 375 participants took part in the study, with a response rate of 91.5%. About one-fourth of 102 (27.2%) [95% CI (22.7–31.7)] and 106 (28.3%) [95% CI (23.7–32.9)] were found to be knowledgeable and have good practices towards basic life support, respectively. Being female, age and work experience were found to be significantly associated with knowledge of BLS. Being male, Nurses’ who had taken training and good knowledge level nurses towards basic life support were found to be significantly associated with practice of BLS. Conclusion: The results of this study showed that nurses working at public hospitals in Hawassa City's overall knowledge and practice of basic life support were poor. Therefore, more work needs to be done to increase nurses’ knowledge and practice in order to reduce avoidable deaths caused by unexpected emergencies such as choking, drowning, or sudden cardiac arrest. Thus, subsequent training and education on basic life support are mandatory to achieve the desired outcome.
Academic and research outputs of the College of Medicine and Health Sciences.