Adult Health Nursing

ADVERSE FETO-MATERNAL OUTCOMES AND COPING AFTER FETAL LOSS AMONG WOMEN WHO GAVE BIRTH IN SELECTED PUBLIC HOSPITALS IN EASTERN ETHIOPIA

2025-11-01T00:00:00Z

ADVERSE FETO-MATERNAL OUTCOMES AND COPING AFTER FETAL LOSS AMONG WOMEN WHO GAVE BIRTH IN SELECTED PUBLIC HOSPITALS IN EASTERN ETHIOPIA MASRESHA LETA (MSC); Prof. Nega Assefa (PhD); Dr. Abera Kenay (PhD), Dr. Haymanot Mezmur (PhD) Background: Adverse maternal and fetal outcomes remain a significant public health concern, particularly in low- and middle-income countries where inadequate healthcare infrastructure contributes to elevated rates of morbidity and mortality. According to the World Health Organization, approximately 260,000 maternal deaths occurred globally in 2023, with the majority in low-resource settings, alongside an estimated 2 million stillbirths annually. Pregnancy-related complications are the major factors resulting in devastating outcomes, inflicting profound emotional and psychological distress on women and their families. While previous studies in Ethiopia and similar settings have documented adverse feto-maternal outcomes, many have not thoroughly assessed non-obstetric predictors or the long-term psychosocial effects on women. This study seeks to address these by understanding the extent and predictors of adverse feto-maternal outcomes and exploring women’s coping after fetal loss. Methods: A hospital-based cross-sectional mixed-methods study was conducted from October 28, 2023, to March 31, 2024, in six public hospitals in eastern Ethiopia. A Simple random sampling technique was used to select samples among those who gave birth in these health facilities. Six trained midwives collected quantitative data via face-to-face interviews supplemented by a review of medical charts from admission to discharge. Predictors of adverse feto-maternal outcomes were identified using Poisson regression analysis at p<0.05. The qualitative part of the study followed a phenomenological approach with in-depth interviews using a semi-structured tool to study women’s coping strategies following a fetal loss. An interview was conducted at the first and six months after the loss of the fetus to assess their coping mechanism using the "Living with Grief after Pregnancy Loss" model. Coping was described as involving connectedness that facilitate healing. In contrast, disconnectedness, that hinders effective coping and prolongs distress. Data was analyzed using Open Code software through both deductive and inductive approaches based on the five-steps of framework analysis. The trustworthiness of the data was ensured throughout the data collection period. Results: A total of 2,608 women with a mean age of 26 (+5.1 years) participated in the study. The magnitude of adverse maternal and fetal outcomes was 15.68% (95% CI: 14.70%–16.66%) and 26.6% (95% CI: 25.6-27.6), respectively. Low household wealth, having maternal danger signs at admission, alcohol use during pregnancy, prolonged labor, and maternal age above 35 years were associated with adverse maternal outcomes. Folic acid intake during pregnancy, partner support, and spontaneous vaginal delivery were found to be protective of adverse maternal outcomes. Similarly, history of pregnancy complications, maternal anxiety, referral from lower-level health facilities, vii presence of maternal danger signs at admission, and chewing khat during pregnancy were associated with adverse fetal outcomes; while folic acid supplementation was protective. Coping fetal loss (connectedness) was reflected in strong faith in religious, presence of social support, personal resilience for problems, and in cultural acceptance of conditions, whereas blaming God, avoiding support networks, emotional withdrawal, and cultural conflicts were features of disconnectedness. Conclusion: About one in six women and one in four fetus experienced adverse maternal and fetal outcomes, respectively. Existing social networks, religious values, and personal behaviors of withstanding problems influenced maternal coping after fetal loss positively. It is imperative to equip health system with necessary resources to early detect and manage pregnancy related complications, and to have efficient referral pathways. Comprehensive psychosocial support, addressing religious, family, and cultural dimensions is necessary for the women to have a better copying. 276

PERCEPTIONS’ OF PATIENT-CENTERED CARE AND ASSOCIATED FACTORS AMONG ADULT PATIENTS ADMITTED TO WEST HARARGE PUBLIC HOSPITALS, OROMIA REGIONAL STATE, ETHIOPIA : MIXED STUDY

2025-01-01T00:00:00Z

PERCEPTIONS’ OF PATIENT-CENTERED CARE AND ASSOCIATED FACTORS AMONG ADULT PATIENTS ADMITTED TO WEST HARARGE PUBLIC HOSPITALS, OROMIA REGIONAL STATE, ETHIOPIA : MIXED STUDY . KEDIR UMER; Dr. Aboma Motuma; Mr. Deribe Bekele ackground: Patient-centered care is poorly implemented in clinical practice in Ethiopia, which leads to Poor patients’ outcome. However, there is no published mixed study on ‘patients` perception of patient-centered care and associated factors at public hospitals in Ethiopia. Particularly there is no research on the perception of patient centered care at the eastern part of Ethiopia. Objective: To assess perceptions of patient-centered care and associated factors among admitted adult patients to West Hararge Zone Public Hospitals, Oromia Regional State, Ethiopia from September 20, to October 20, 2024. Methods: A multicenter sequential explanatory mixed methods study was conducted among adult patients admitted to West Hararge public hospitals. Multi-stage sampling procedure and structured interviewer-administered questionnaires were used for Quantitative data collection. Data were xi entered into Epidata 3.1 and exported to STATA 17 for analysis. Binary logistic regression was applied to assess the relationship between the perception of patients and associated factors. Those variables with a p-value < 0.25 in bivariate analysis were transferred to multivariate analysis and were taken as significantly associated variables with a p-value < 0.05 at a 95% confidence interval. An explanatory qualitative study was employed. Purposively 24 participants that grouped into four Focused Group discussions were selected. Semi-structured open-ended guide line questions, Radio tape recorder and field note taker were used for data collection. Data collection were conducted after the quantitative data analysis to complement and clarify the quantitative results, facilitating integrate through a connecting approach. The qualitative data was examined to find meaning full patterns using codebook thematic analysis. Results: A total of 508 participants were included in the study, which resulted in a responses rate of 99.6%. The overall poor perceptions of patient-centered care among study participants was found to be 62.8%. urban residence (AOR: 2.15; 95% CI: 1.31-3.53); length of hospitalization (AOR: 2.98; 95% CI: 1.19-7.47), unavailability of prescribed medication (AOR: 2.53; 95% CI: 1.57-4.07 ); difficulty of access to hospital service (AOR: 2.49; 95% CI: 1.58-3.92);lack of information about treatment options (AOR:1.98; 95% CI: 1.23-3.18);lack of participants involvement in their management decisions (AOR: 1.80; 95% CI: 1.19-2.85); and poor intimacy with healthcare providers (AOR: 1.93; 95% CI: 1.23-3.01) were the factors significantly associated with poor patients perception of patient centered care. The codebook thematic analysis generates two major themes, dimension of patient centered care and associative factors. The findings of the qualitative data complemented the result of the quantitative data. Conclusion: The study revealed a high magnitude of poor perceptions of patient-centered care among participants. Urban residence, prolonged hospitalization, unavailability of prescribed medications, difficulty of access to hospital service and lack of information about treatment options, lack of involvement in their management decisions making process and patients’weak intimacy with healthcare providers were factors significantly associated with poor patients’ perception of patient centered care. To enhance patient-centered care, hospitals should Ensure that xii availability of prescribed medications, adequate numbers of qualified health care providers, safe Environment for patients and easy access to hospitals service. 93

KNOWLEDGE, PRACTICE, AND ITS ASSOCIATED FACTORS OF PROPER BODY MECHANICS AMONG NURSES WORKING IN HOSPITALS IN HARAR CITY, EASTERN ETHIOPIA

2025-01-01T00:00:00Z

KNOWLEDGE, PRACTICE, AND ITS ASSOCIATED FACTORS OF PROPER BODY MECHANICS AMONG NURSES WORKING IN HOSPITALS IN HARAR CITY, EASTERN ETHIOPIA Hayat Hussen Mohammed; Aboma Motuma (Ph.D); Shiferaw Letta (Ph.D) Improper body mechanics during patient care tasks increase the risk of musculoskeletal disorders among nurses, leading to a high turnover rate and a shift to less physically demanding roles. Limited information exists about the nurse’s level of knowledge and application of proper body mechanics and factors that impact practice of proper body mechanics during patient care tasks in the study setting. Objective: The study aimed to assess the level of knowledge, practice, and its associated factors of proper body mechanics among Nurses working in Hospitals in Harar City, Eastern Ethiopia Methods: An institutional-based cross-sectional study was conducted on 420 participants, from August 26 to September 26, 2024. A structured self-administered questionnaire adapted from relevant literature was used for the data collection. A simple random sampling technique was used to select study participants. Both descriptive and analytical statistical tests were utilized. Binary logistic regression was applied. Variables having a p-value of <0.25 in the bi-variable analysis were included in the multivariable analysis, and variables with a p-value <0.05 were disclosed as statistically significant with the outcome variable.A total of 416 participants were included in the study, making the response rate of 99%. The median age of the respondents was 29 years, with an interquartile range from 27-32 years. Almost half of the participants (50.24%) had good knowledge about body mechanics while only 20.9% (CI=17.1-25.14) of the participants had good practice of proper body mechanics. Marital status (married) [AOR 0.51(0.27-0.94)], availability of transfer materials [AOR 4.34(1.65-11.39)], Nurse-to-patient ratio (1:10 or fewer patients) [AOR 2.91(1.08-7.85)], physical activity [AOR 2.46(1.33-4.53), and training on body mechanics [AOR 28.25(4.55-175.25)] were factors significantly associated with the practice of proper body mechanics among Nurses. Conclusion: This study revealed that almost half of the participants had good knowledge of body mechanics, but only one-fifth of the study participants had a good proper body mechanics practice. Therefore, stakeholders should devise strategies that enhance the knowledge of the nurses, and implementation of proper body mechanics. 73p.

ACCEPTABILITY OF DONOR BREAST MILK BANKING AND ITS ASSOCIATED FACTORS AMONG HEALTHCARE PROFESSIONALS IN PUBLIC HOSPITALS IN HARARI REGIONAL STATE AND DIRE DAWA CITY ADMINISTRATION, EASTERN ETHIOPIA: MIXED METHOD STUDY

2025-03-01T00:00:00Z

ACCEPTABILITY OF DONOR BREAST MILK BANKING AND ITS ASSOCIATED FACTORS AMONG HEALTHCARE PROFESSIONALS IN PUBLIC HOSPITALS IN HARARI REGIONAL STATE AND DIRE DAWA CITY ADMINISTRATION, EASTERN ETHIOPIA: MIXED METHOD STUDY Ahmed Abadir Abafogi; Mr. Assefa Desalew; Mr Sagni Girma A donor breast milk bank is recommended for preterm, low birth weight, and other infants who cannot feed their mother’s milk. It is an intervention that contributes to the reduction of neonatal and infant morbidity and mortality. Healthcare professionals play a key role in ensuring the establishment and success of this intervention. However, there is a significant lack of evidence regarding its acceptability among healthcare professionals in eastern Ethiopia. Objective: To assess the acceptability of donor breast milk banking and its associated factors among healthcare professionals in public hospitals in Harari regional state and Dire Dawa City Administration, Eastern Ethiopia, from August 15-September 13, 2024. Methods: A mixed-method study (quantitative, cross-sectional, and qualitative) design was employed. For the quantitative study, a total of 347 healthcare professionals working in maternal and child health units were enrolled using a simple random sampling technique. Quantitative data was collected using a structured, self-administered questionnaire, entered into Epi-data version 4.6, and analyzed using STATA version 17. Binary logistic regression models were fitted to identify factors associated with the acceptability of donor breast milk banking. Qualitative data was collected by in-depth interviews and analyzed using thematic analysis. The proportion of acceptability of donor breast milk banking was 38.62% (95% CI: 33.47, 43.96%). Factors such as having a master’s degree, and medical doctor, adequate knowledge, a good attitude and having children were significantly associated with breast milk banks' acceptability. Qualitative insights revealed facilitators such as training and educational activities, understanding of breast milk benefits, and trust in healthcare systems’ safety protocol, while barriers were; lack of awareness, cultural and religious concerns, and resource constraints. Conclusion: The acceptability of breast milk banks among healthcare professionals was moderate, and influenced by factors such as level of education, knowledge status, attitudes, and having children. Facilitators were; understanding of the benefits of breast milk, confidence in the safety protocols, as well as training and educational initiatives; while, lack of awareness, cultural and religious concerns, and resource constraints were barriers. Targeted educational programs, awareness campaigns, infrastructural improvements, and further studies are recommended to enhance the acceptability of breast milk banks 63p.