No abstract

Vaccine hesitancy remains a serious global threat to achieve herd immunity, and this study aimed to assess the magnitude and associated factors of COVID-19 vaccine hesitancy among healthcare workers in Amhara regional referral hospitals. A web-based anonymized survey was conducted among 440 Healthcare workers in the Amhara region referral hospitals. The questionnaire was designed using Google Forms and distributed using telegram and e-mail from May 15 to June 10, 2021 to the randomly selected participants in each hospital. The data were analyzed with Stata 14.0 and described using frequency tables. A multivariable binary logistic regression model was fitted and model fitness was checked with the Hosmer-Lemeshow goodness of fit test. Out of 440 participants, 418 were willing to participate in the study and the mean age was about 30 years. Overall, 45.9% (n = 192) of participants reported vaccine hesitancy. After applying multivariate analysis, Age ≤ 25 years [aOR=5.6]; Do not wear a mask [aOR=2.4]; Not compliance with physical distancing [aOR=3.6]; Unclear information by public health authorities [aOR=2.5]; Low risk of getting COVID-19 infection [aOR=2.8]; and not sure about the tolerability of the vaccine [aOR=3.76] were associated with COVID-19 vaccine hesitancy. A considerable proportion of HCWs were hesitant towards COVID-19 vaccine, and this can be tackled with provision of clear information about the vaccine.

Background. Physical restraint is any chemical or physical involuntary method restricting an individual’s movement, physical activity, or normal access to the body. Physical restraints are prescribed by the physician, but the ICU nurse remains the decision maker responsible in assessing the need, application, and removal of PR on patients in the ICU setting. Objectives. This cross-sectional descriptive study was carried out to determine the knowledge, attitudes, and practices of nurses working in adult ICU and associated factors towards the use of physical restraints in federally administered hospitals in Addis Ababa, Ethiopia, 2019. Methods. The study was conducted in ICUs of Federal Hospitals in Addis Ababa, Ethiopia, 2019. A hospital-based descriptive cross-sectional study design was carried out. By census, a total of 126 nurses were included. The data were checked for their completeness and were entered to EpiData version 4.2 and analyzed using SPSS version 25 software with 95% CI. Also, the Pearson correlation coefficient and binary logistic regression analysis were used to find an association. Result. Majority of nurses was found to be aged between 21 and 30 years, (62.5%) have worked 2–5 years, and (83%) were degree graduates. The nurses’ knowledge score was 6.1 ± 2.6 (50.8%) with possible range 0–11, the attitude score was 14.1 ± 3.1 (64%) with possible range 0–22, and the practice score was 13.9 ± 3.8 (63.18%) with possible range 0–22. Their demographical characteristics such as gender, working year, and education levels were not significantly associated with knowledge, attitudes, and practices ( P  > 0.05). Only age significantly associated with practice. Lack of a written policy or guideline and not being trained on application of physical restraint were significantly associated with knowledge. Also, practice was associated with knowledge and attitude. Conclusion. According to the study, there was a poor level of nurses’ knowledge, proper attitude, and satisfactory practice toward the use of physical restraints.