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IntroductionPatient satisfaction is one of the important indicators of quality care.ObjectiveTo examine patient ratings of pain management satisfaction before and after introducing a nurse-led management program.MethodsA... more
IntroductionPatient satisfaction is one of the important indicators of quality care.ObjectiveTo examine patient ratings of pain management satisfaction before and after introducing a nurse-led management program.MethodsA quasi-experimental design with three cross-sectional surveys between October 1, 2016 and June 15, 2017. A total of 845 patients admitted to the four inpatient departments (medicine, surgery, maternity, and gynecology) of Jimma University Medical Centre were invited to participate in the study. A questionnaire adapted from the American Pain Society Patient Outcome Questionnaire, Pain Treatment Satisfaction Scale, and related literature was used for the survey. Data were analyzed using the chi-square test (categorical variables), t-tests for continuous variables, and robust regression to determine the effect of nurse-led management program on patient satisfaction. For all tests, p-values <.05 were considered statistically significant.ResultsOf the 845 patients invited, 782 (92.5%) participated in the surveys—Survey 1: N = 256; Survey 2: N = 259; Survey 3: N = 267. The proportion of patients who perceived that staff responded within 30 min increased from 67.8% in Survey 1 to 71.1% in Survey 2 and 74.2% in Survey 3. On a scale of 1 to 5 (1 = strongly dissatisfied and 5 = strongly satisfied), the overall mean patient satisfaction with pain management was 3.61 (SD 0.80) in Survey 1, 3.81 (SD 0.86) in Survey 2, and 4.10 (SD 0.64) in Survey 3. Moreover, the patients scored significantly higher on all satisfaction items in Survey 2 (B ranged between 0.12 and 0.41) and Survey 3 (B ranged between 0.24 and 0.74) compared to Survey 1.ConclusionThe patients’ ratings of their satisfaction and staff nurse responsiveness following the nurse-led pain management program have increased compared to the levels before the intervention. However, further studies, including those with a control group, are warranted to confirm the results.
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Background. Families of a person with diabetes play a vital part in diabetes management since their support helps with regimen engagement in self-management behaviors. However, focal information on the family burden of diabetes is... more
Background. Families of a person with diabetes play a vital part in diabetes management since their support helps with regimen engagement in self-management behaviors. However, focal information on the family burden of diabetes is lacking. This study is aimed at, therefore, assessing the persons with diabetes’ perceptions of family burden and associated factors at a university hospital. Methods and Materials. A facility-based cross-sectional study design was conducted from July 26 to September 26, 2021on 403 persons’ with diabetes attending Jimma Medical Center diabetic clinic, the study sample was selected using a simple random sampling method. The data was collected using the Zarit burden questionnaire through face-to-face interviews. Descriptive statistics (mean, standard deviation, frequency, and percentages) were ordered logistic regression, and statistical significance was declared at P value ≤0.05. Results and Discussion. About 36.8% of the patient was in mild to moderate fam...
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Background In collaboration with its partners, the Ethiopian government has been implementing standard Emergency Obstetric and Neonatal Care Services (CEmONC) since 2010. However, limited studies documented the lessons learned from such... more
Background In collaboration with its partners, the Ethiopian government has been implementing standard Emergency Obstetric and Neonatal Care Services (CEmONC) since 2010. However, limited studies documented the lessons learned from such programs on the availability of CEmONC signal functions. This study investigated the availability of CEmONC signal functions and described lessons learned from Transform Health support in Developing Regional State in Ethiopia. Method At baseline, we conducted a cross-sectional study covering 15 public hospitals in four developing regions of Ethiopia (Somali, Afar, Beneshangul Gumz, and Gambella). Then, clinical mentorship was introduced in ten selected hospitals. This was followed by reviewing the clinical mentorship program report implemented in all regions. We used the tool adapted from an Averting Maternal Death and Disability tools to collect data through face-to-face interviews. We also reviewed maternal and neonatal records. We then descriptive...
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Background. Driving a three-wheel car is an emerging job opportunity in most parts of developing countries. Drivers are at risk for developing low back pain (LBP). However, very little is known about the association between ergonomics... more
Background. Driving a three-wheel car is an emerging job opportunity in most parts of developing countries. Drivers are at risk for developing low back pain (LBP). However, very little is known about the association between ergonomics factors and LBP among three-wheel drivers. Objective. This study was aimed to identify ergonomic risk factors of LBP among three-wheel drivers. Methods. A community-based cross-sectional study on 396 participants was conducted in the Jimma city on all selected public three-wheel drivers in March, 2020. The data were collected using a standard questionnaire adapted from the Nordic Musculoskeletal questionnaire, anthropometric measurements, and observation checklist. The collected data were entered into Epi Data and exported to SPSS version 21.0. Logistic regression analysis was used for analysis based on the p value less than 0.05, 95% C.I. Results. Among 422 planned respondents, 396 (93.8%) have given the complete response. The mean age of the study po...
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Background: The women have been giving birth at health facilities without considering their preference of birth positions. Accordingly, they routinely positioned at lithotomy position as standard medical practices during normal vertex... more
Background: The women have been giving birth at health facilities without considering their preference of birth positions. Accordingly, they routinely positioned at lithotomy position as standard medical practices during normal vertex vaginal childbirths, which results in negative maternal and neonatal outcomes. Thus, this study aimed to understand women’s perception of birth positions.Objective: To explore perception of women toward child birthing positions among women on postnatal unit at Jimma Medical Center, Jimma town, Ethiopia 2020.Methods and Materials: A descriptive phenomenological approach was employed among women from postnatal and maternity care providers were selected purposively. The audio was transcribed, translated, coded, and categorized to respective identified themes. Then, thematized by Archive for Technology, Lifeworld and Everyday Language.text interpretation (ATLAS.ti version 8) software for thematic analysis in triangulation with the quantitative findings.Res...
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Background Health literacy plays a prominent role in empowering individuals for prevention as well as management of non-communicable diseases (NCDs). However, there is paucity of information on the health literacy of patients with... more
Background Health literacy plays a prominent role in empowering individuals for prevention as well as management of non-communicable diseases (NCDs). However, there is paucity of information on the health literacy of patients with non-communicable diseases in Ethiopia. Therefore, this study aimed to assess communicative health literacy and associated factors in patients with NCDs on follow-up at Jimma Medical Center (JMC), Ethiopia. Methods A cross-sectional study was conducted from 4 May 2020 to 4 July 2020 with 408 randomly selected adult patients, attending outpatient department of JMC in Ethiopia. The final sample size was obtained by using single population proportion formula. All patients with NCDs who were on follow-up at chronic illness clinic, JMC, were used as a source population. All eligible patients with NCDs who fulfilled the inclusion criteria were included in this study. A simple random sampling technique was used to recruit study participants. Data were collected th...
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Background:Rheumatic heart disease is a chronic heart condition caused by rheumatic fever that can be prevented and controlled by secondary prophylaxis. However, there is paucity of information on adherence of patients to rheumatic heart... more
Background:Rheumatic heart disease is a chronic heart condition caused by rheumatic fever that can be prevented and controlled by secondary prophylaxis. However, there is paucity of information on adherence of patients to rheumatic heart disease secondary prophylaxis in Jimma, southwest of Ethiopia. Objective: To assess level of adherence to secondary prophylaxis and factor affecting among patients with rheumatic heart disease attending Jimma University Teaching Hospital, Cardiac clinic. Methodology:Facility based cross-sectional study was done on all rheumatic heat disease patients (277) coming for follow-up during specified period at Jimma University Teaching Hospital cardiac follow-up clinic. Records of all patients were reviewed. Using structured questionnaire the patients or their attendants were interviewed. The descriptive statistics and chi square were used to analyze/compute some variables by using computer. Results:Of the total 277 who gave responses, 249 (89.9%) took rheu...
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Introduction Community awareness about cancer warning symptoms and risk factors in the general population is essential and can be considered as a basis for cancer control programs. Since Patients are rarely aware of the early warning... more
Introduction Community awareness about cancer warning symptoms and risk factors in the general population is essential and can be considered as a basis for cancer control programs. Since Patients are rarely aware of the early warning symptoms and cancer risk factors, the burden of disease is increasing everywhere in the world. Evidences has been shown that cancer is highly prevalent in Ethiopia in which the diagnosis is made at later stages of the disease. Objective To assess Cancer Warning Symptoms awareness and associated factors among individuals living in Assella Town, Ethiopia. Methods A community-based cross-sectional study was employed in Assella town from May 1st to June 1st, 2020 among 410 adult residents 18 years old and above. A systematic random sampling technique was employed to select the households from which the study subjects randomly identified. Data were collected through face-to-face interview by using pre-tested structured questionnaire and entered into Epi data...
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Background & Aim: Breast cancer is the leading cause of death among women worldwide. Good knowledge of breast cancer enhances timely screening, early detection, and treatment; however, women's knowledge about breast cancer is very... more
Background & Aim: Breast cancer is the leading cause of death among women worldwide. Good knowledge of breast cancer enhances timely screening, early detection, and treatment; however, women's knowledge about breast cancer is very low. Thus, this study assesses the level of knowledge regarding breast cancer among women of childbearing age living in Jimma town. Methods & Materials: A community based cross-sectional study was conducted in Jimma town in 2018. Respondents were identified using multistage sampling methods. Data was collected using a standard questionnaire developed by cancer research UK and used in different languages in many parts of the world. Multiple logistic regression analyses were used to identify a variable with a significant association based on OR, with 95%CI and P-value of less than 0.05. Results: Out of 724 respondents, 686 gave their complete responses. The majority of 496 (72.3%) of the respondents were young adults with a mean age of 31, and about 307 ...
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Background: Inadequate pain care is a significant problem for patients during hospitalization, particularly in Ethiopia. Evidence has shown that work process re-organization improves patient-reported outcomes.This study aimed to compare... more
Background: Inadequate pain care is a significant problem for patients during hospitalization, particularly in Ethiopia. Evidence has shown that work process re-organization improves patient-reported outcomes.This study aimed to compare patients’ experiences before and after re-organizing inpatient pain care Method: A quasi-experimental design on a separate sample was conducted between October 1, 2016, and June 15, 2017. Participants of the study were patients admitted to the four inpatient units (medical, surgical, maternity, and gynaecology) of Jimma Medical Centre. Seven hundred eighty-two (Survey 1: N=256; Survey 2: N=259; Survey 3: N= 267) patients out of 845 patients invited to participate (92.5%) in three consecutive surveys were included in the analysis. A patient survey questionnaire adapted from a Brief Pain Inventory, the American Pain Society Patient Outcome Questionnaire, and Pain Treatment Satisfaction Scale was used. Data were mainly analysed using ANOVA. A significan...
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Although pain control for hospitalized patients is a central issue for all health care providers, nurses' knowledge, and attitudes are the major barriers. Educational program is a strategy to improve nurses' knowledge and... more
Although pain control for hospitalized patients is a central issue for all health care providers, nurses' knowledge, and attitudes are the major barriers. Educational program is a strategy to improve nurses' knowledge and attitudes on pain management. However, there is paucity of information on how in-service education program influences nurses' knowledge and attitudes score for pain management in Ethiopia. The objective of this study was therefore, to investigate the influence of an in-service educational program on nurses' knowledge and attitudes regarding pain management in an Ethiopian university hospital. A quasi-experimental study was conducted between 1 October and 15 November 2016. Totally 111 nurses working at Jimma University Medical Center participated in the study. We provided 2 consecutive days of intensive pain management education with a follow-up training session after 1 month. Knowledge and Attitudes Survey Regarding Pain (KASRP) was used as a tool f...