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Clinical Competence and Associated Factors Among Nurses working in Selected Health Institutions of Ilu AbaBor Zone, South-West Ethiopia: A Cross Sectional Study
Bonsa Amsalu Geleta,
Sanbato Tamiru Dingata,
Milkias Dugassa Emanu
Issue:
Volume 7, Issue 2, June 2021
Pages:
14-21
Received:
26 November 2020
Accepted:
7 December 2020
Published:
20 April 2021
Abstract: Introduction: Clinical competence is fundamental element in the provision of nursing care and now a day it is the concern and the centre of attention for managers and the healthcare systems. Higher level of clinical competence has a positive impact on patient’s health outcome and nurse’s job performance and satisfaction. However, there is limited information on clinical competence of nurse in Ethiopia. Objective: The objective of this study was to assess clinical competency and associated factors among nurses working in selected health institutions of Illubabor zone, oromia regional state, north-west Ethiopia, 2019. Methods: Institution based cross-sectional study was employed on 160 nurses in two hospitals and 20 health centres. Simple random sampling technique was employed to select study participants. Structured self-administered questionnaire was used to collect data. Independent t-test and analysis of variance (ANOVA) were used to identify factors associated with clinical competence. The statistical significance was set at p<0.05. Results: Out 160 recruited, 156 participants were responded the questionnaire, making the response rate of 97.5%. The overall clinical competence of participants was 2.23 (SD=0.6) which indicates moderate level of clinical competence. Participants had higher competence score on Legal/ethical dimension and lower competence score on teaching coaching dimension. Age, marital status, level of education, work experience, type of health facility, average income, and current position, retrieval of newly published information, previous training, and frequency of trainings, having guideline/manual and using guideline/manual currently were the identified factors association with clinical competence of nurses. Conclusion: In the current rapidly changing healthcare environment, the need for clinical competence among nurses is continually increasing. However, clinical competence of nurses in the current study was inadequate in which the overall score of participants was almost only half of total score. It is recommended that health policy makers should set strategies to assess the clinical competence of nurses on a periodic basis in order to assure quality nursing service.
Abstract: Introduction: Clinical competence is fundamental element in the provision of nursing care and now a day it is the concern and the centre of attention for managers and the healthcare systems. Higher level of clinical competence has a positive impact on patient’s health outcome and nurse’s job performance and satisfaction. However, there is limited i...
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Prevalence of Stillbirth and Associated Factors among Immediate Postpartum Mothers at Bahir Dar, Felegehiwot Hospital, Northwest Ethiopia: Cross-sectional Study
Agerie Mengistie Zeleke,
Mulusew Andualem Asemahagn
Issue:
Volume 7, Issue 2, June 2021
Pages:
22-29
Received:
12 November 2020
Accepted:
2 December 2020
Published:
20 April 2021
Abstract: Background: Stillbirth rates are among the indicators of maternal and child health care quality in the countries. However, the majority of neonatal deaths and almost all stillbirths were underreported in Ethiopia. Therefore, this study aimed to determine the prevalence of stillbirth and associated factors among immediate postpartum mothers in the study area. Methods: An institution-based cross-sectional study was employed at Felegehiwot comprehensive specialized hospital from March to May 2016 (n=310). A pretested structured interviewer- administered questionnaire and medical chart reviews were used to collect data from immediate postpartum mothers. Data were entered into Epi Info version 7 and analyzed using SPSS version 20. The binary logistic regression model fitted to identify stillbirth; adjusted odds ratio (AOR) with a 95% confidence interval (CI) was computed to assess the strength of association. Variables having less than 0.05 p-value of in the multivariable considered as factors associated with stillbirths. Result: The prevalence of stillbirth was 8.7% (95%CI: 5.8, 12.4). Rural dwelling (AOR=2.86, 95%CI: 1.10 7.47), twin pregnancy (AOR=6.69, 95% CI: 1.77, 25.2), medical or obstetrical illnesses during pregnancy (AOR=5.54, 95%CI: 1.71 17.94) and complications during labor and delivery (AOR=4.96, 95%CI: 1.48 16.58) were factors associated with stillbirths. Conclusion: This study revealed that the magnitude of stillbirth was high in rural dwelling, twin pregnancy, medical or obstetrical illnesses during pregnancy, and complicated labor were associated with increased occurrences of stillbirth. This finding suggests that particular emphasis on rural dwellers and strengthening quality of Maternal in pregnancy and labor delivery service and proper following during labor attending process are mandatory to reduce stillbirth.
Abstract: Background: Stillbirth rates are among the indicators of maternal and child health care quality in the countries. However, the majority of neonatal deaths and almost all stillbirths were underreported in Ethiopia. Therefore, this study aimed to determine the prevalence of stillbirth and associated factors among immediate postpartum mothers in the s...
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SARS-CoV-2 Detection: Fast and Cost-Effective Sample Processing Prior to RT-PCR
Carme Salvador-Garcia,
Maria Dolores Ocete-Mochon,
Rafael Medina-Gonzalez,
Begona Fuster-Escriva,
Sonia Cortes-Badenes,
Maria Carmen Breso-Vila,
Maria Jose Lahiguera-Abalos,
Concepcion Gimeno-Cardona
Issue:
Volume 7, Issue 2, June 2021
Pages:
30-34
Received:
24 April 2021
Accepted:
12 May 2021
Published:
4 June 2021
Abstract: The pandemic COVID-19 needs a rapid microbiological diagnostic from Clinical Microbiology Units. Due to the fact that it is done by using a reverse transcription polymerase chain reaction (rRT-PCR) previous RNA extraction and automated equipment and reagents for RNA extraction represent an economic increase to the diagnosis, we describe an easy, cost-effective and fast alternative extraction-free SARS-CoV-2. Samples were treated with proteinase K for 10 minutes at 55°C. Then, there is a heat-process for 5 minutes at 98°C and finally, 3 minutes at -20°C before a commercial-commonly-used rRT-PCR procedure. The RNA automated-extraction was also performed with QIAsymphony RNA Kit (Qiagen) equipment. A total of 220 nasopharyngeal and oropharyngeal swabs were analyzed. 113 samples were tested positive whereas 106 samples were tested negative with RNA automated-extraction and extraction-free method, for an agreement of 99%. A total of one discordant sample was noted in which no amplified result (gene ORF1ab and N) were observed by RNA automated-extraction and gene ORF1ab (Ct 39) and gene N (Ct 37) by extraction-free. Thus, results were comparable with automated-extraction. This method is not only clinically acceptable but also confers an easy, fast, and cost-effective alternative to automated-extraction. Therefore, microbiological laboratories, with low economics resources and/or without automated-extraction equipment, could incorporate it.
Abstract: The pandemic COVID-19 needs a rapid microbiological diagnostic from Clinical Microbiology Units. Due to the fact that it is done by using a reverse transcription polymerase chain reaction (rRT-PCR) previous RNA extraction and automated equipment and reagents for RNA extraction represent an economic increase to the diagnosis, we describe an easy, co...
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Posttraumatic Stress Symptoms Among Patients with Chronic Medical Disease Amid Covid-19 Pandemic in Southwest Ethiopia
Mustefa Mohammedhussein,
Mohammedamin Hajure,
Jemal Ebrahim,
Aman Dule
Issue:
Volume 7, Issue 2, June 2021
Pages:
35-42
Received:
8 April 2021
Accepted:
28 May 2021
Published:
4 June 2021
Abstract: Background: During infectious disease pandemic, patients with chronic medical diseases were at increased risk of mental health problems. Therefore, the study assessed posttraumatic stress symptoms amid the COVID-19 pandemic among patients with chronic medical diseases. Methods: A facility-based cross-sectional study was conducted from August 1- 20, 2020. Systematic random sampling was used to select 422 patients with chronic medical diseases (diabetes, hypertension, and HIV). Impact of the event scale revised was used to assess posttraumatic stress symptoms. Data were analyzed by using SPSS version 23. Multivariable logistic regression analysis with 95% CI and odds ratio were fitted to declare the significantly associated variables at P value < 0.05. Results: 230 (54.5%) of the participants were reported to have posttraumatic stress symptoms. Being female, AOR=3.65 (95% CI 2.08, 6.40), Duration of illness greater than five-year AOR=3.12 (95% CI 1.73, 5.65), presence of anxiety AOR=6.52 (95% CI 3.71, 11.47), Age ≥55 year AOR=3.45 (95% CI 1.49, 7.98), diagnosis of diabetes AOR=7.49 (95% CI 3.65, 15.35), hypertension AOR=4.45 (95% CI 2.29, 8.64) and poor social support AOR=2.16 (95% CI 1.26, 3.68) were observed to have significant association with posttraumatic stress symptoms. Conclusion: Significant posttraumatic stress symptoms were reported by more than half of the patients with chronic medical diseases. This was of considerable concern indicating a significant impact of COVID-19 pandemic on this group, which seeks attention for early psychological intervention.
Abstract: Background: During infectious disease pandemic, patients with chronic medical diseases were at increased risk of mental health problems. Therefore, the study assessed posttraumatic stress symptoms amid the COVID-19 pandemic among patients with chronic medical diseases. Methods: A facility-based cross-sectional study was conducted from August 1- 20,...
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