Introduction: Medication administration errors are common health problems that threaten patient safety and raise mortality rates, duration of hospital stay, and cost of services. It also influences healthcare professionals performing the procedure and healthcare organizations. Its prevalence in Ethiopia is high ranging from 51.8% to 90.8%. Objective: This study aimed to assess the magnitude and associated factors of medication administration error among nurses at Northwest Amhara Region Referral Hospitals. Methods: An institution-based cross-sectional study was conducted from February to March 2019. A simple random sampling technique was employed to select 348 nurses. Structured pretested self-administered questionnaires and an observational checklist were used to collect data. The data were entered in Epi-info version 7, analyzed using SPSS version 20, and presented in tables and graphs. Bivariate and multivariable logistic regressions were computed to identify the factors associated with medication administration errors. P-values < 0.05 and adjusted odds ratios were used to declare the significance and strength of the association. Results: One hundred seventy-eight (54%) of the respondents made medication administration errors in the last 12 months. Only ten (5%) of the 200 observed nurses were administered medications without any breach in any of the six rights of medication administration. Factors like poor knowledge [AOR= 5.98; 95% CI (2.39,14.94)], poor communication [AOR=2.94; 95% CI (1.34, 6.46)], stress [AOR = 5.41; 95% CI (2.53, 11.57)], interruption during medication administration [AOR = 4.70, 95 % CI (2.42, 9.10)], and night shift [AOR = 2.79, 95 % CI (1.42, 5.46)] were significantly associated with medication administration error. Conclusion: The magnitude of medication administration error was high. Poor knowledge, poor communication, stress, night shift, and interruption were significantly associated with medication administration errors. Strengthening institutional medication administration regulations and guidelines and minimizing interruption during medication administration would help minimize medication administration errors.

Introduction: there are many studies regarding informed consent in clinical trials, however, only few studies have assessed adult patient’s knowledge and perception of surgical informed consent in clinical practice. Therefore, the purpose of this study was to assess knowledge and perception of surgical informed consent and associated factors among adult surgical patients in Gondar University Comprehensive and Specialized Hospital, Northwest Ethiopia, 2018 Methods: responses from 312 postoperative adult surgical patients was taken using pretested structured interviewer administered questionnaires for one month. Result: there were a total of 302 respondents, (40% males and 60% females). More than half, 178 (59%) were in age groups of 31-43 years. Of the study participants, 193(63.91%) of them had poor knowledge and 155(51.3%) had poor perception about surgical informed consent in the study area. On the other hand, living in urban, being higher educational status and having past history of surgery were positively associated with good knowledge of patients towards surgical informed consent while being urban, higher education, being ophthalmologic patient & receiving consent from physician were positively associated with perception of patients regarding surgical informed consent. Conclusion: majority of the study participants had limited knowledge and poor perception about surgical informed consent. Adequate preoperative health education for patients should improve patients’ knowledge and perception. Keywords: Gondar University Comprehensive Specialized Hospital, Knowledge, patient perception, surgical informed consent

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Background: Treating chronic kidney disease is connected with receiving long-term dialysis therapy by patients. Hemodialysis is remains to be the most common means of therapy for these group of patients worldwide. Although it is life prolonging, the complex nature of treatment procedure affects the patients’ normal life and leads to have significant symptom burden. Therefore, the purpose of this review is to synthesize recent qualitative studies about the lived experiences of patients on hemodialysis.Methods: A synthesis was done by conducting a search on google scholar and PubMed data bases, reference lists were searched for primary articles and additional hand search on google was also done. Studies that satisfy the Joanna Briggs Institute (JBI) critical appraisal tools and published in English from January 1st, 2011 to September 1st, 2018 were reviewed.Results: Eight studies comprising of 94 participants were included in this synthesis. Three theme were emerged: Facing countless restrictions in life, having diverse outlooks towards hemodialysis machine and seeking education and competent care from health professionals. The first theme describes the physical limitations, social restrictions, financial restrictions, emotional distress, functional disturbances, and fluid and dietary restrictions that the participant experienced. The second theme, diverse outlooks towards hemodialysis machine, explains about participants positive and non-positive feelings towards the machine and the final theme, seeking education and competent care from health professionals, states the need of education and experienced care participants required from health care professionals.Conclusion: This review revealed hemodialysis patients have physical, social, psychological, financial and nutritional restrictions; a need of education and some positive feeling towards the dialysis machine. Identification of the key elements of the patient perspective can facilitate provision of high quality health care services that effectively meet the needs of patients on hemodialysis.