Introduction Hospitalized neonates experience moderate to severe, acute or chronic pain. Recent study indicates that health care providers especially in developing countries have a knowledge and skills gap related to neonatal pain management. Objective The aim of this study was to assess the neonatal ICU nurses’ knowledge and practice and factors associated with neonatal pain management at selected public hospital of Addis Ababa, Ethiopia. Methods Facility-based cross-sectional study design was employed at four selected public hospitals in Addis Ababa, from April to May 2020. A simple random sampling method was used to recruit study participants using a semi-structured and self-administered questionnaire. The logistic regression model was used to identify the association, and odds ratio was used to test the strength of the associations between outcome and predictor variables. Results This study was conducted with 119 nursing staffs working in the neonatal intensive care unit with a 96.6% response rate. The study reveals that 68.7% of nurses had adequate knowledge and only 32.2% of them had good practice of neonatal pain management. There was a significant relationship between nurses’ knowledge scores and receiving in-service training on neonatal pain management. Having an infant pain management policy in place, getting training on neonatal pain management and knowledge category were factors significantly associated with practice of nurses in neonatal pain management. Discussion According to the results of the current research, the majority (85.2%) of participants knew that the vital signs of new-borns can be affected by pain. However, only 60.9% of nurses considered pain as one of the vital signs in new-borns. This indicates that neonatal pain may not be assessed as frequently as a vital sign. And the finding reveals that nurses had poor practice but had adequate knowledge in managing neonatal pain. The respective hospitals and Ethiopian Ministry of Health should provide gap-filling training on neonatal pain management to the nurses.
Background: There is limited evidence on nurses' knowledge, attitude and practice of post operative pain management in Ethiopia. The present study aimed to assess Knowledge, Attitudes and Practices of Nurses Regarding Post-operative Pain Management at Hospitals of Arsi zone, Southeast Ethiopia. There are still inadequacies of knowledge and attitude regarding post-operative pain management practice in the study area. Methodology: A self reported institutional based quantitative cross-sectional study design was used to collect data from 144 nurses who were providing post operative patient care conducted from 24 th April to 12 th May 2018. Data was collected by using structured selfadministered questionnaire, which was adopted from previous studies to collect the data and verified, coded and entered to Epi Info Software version 3.5.4 and then it exported and analyzed by SPSS version 21 Software for data analysis. Descriptive statistics were used to describe demographic characteristics, level of nurses' knowledge on pain management, attitude towards pain management and their practice and significance of determinant factors were tested using Logistic regression and Odds Ratio & P< 0.05 at 95% CI. Binary logistic regressions were used to see the association or the relationship between dependent and independent variables. Results: Findings of the present study revealed that the majority of nurses who participated in this study had shown good knowledge about pain management (54.86%) but Nurses were questioned to assess their attitude to score 9 questions on a five point Likert scale related to post-operative pain management. The mean score for attitude was 30.62 with standard deviation of 2.681. Respondents who scored more than the mean value were regarded as having Favorable attitude towards post-operative pain management. Nurses who scored less than the mean value were regarded as having unfavorable attitude towards post-operative pain management reveals that (52.1 %) and practice of nurses in post operative pain management were very low (52.1%).Conclusions: As the nurses are the most important parts in the multidisciplinary approach in pain management, their knowledge and attitude make a big difference. So, there is a need for regular in-service training on pain management according to the recommendation of standard.
Objective The aim of this article was to conduct a survey on the quality of care standards in nursing/midwifery training hospital of Tikur Anbessa Specialized Hospital in Addis Ababa, Ethiopia. Methods A multiple methods design was used for the study. For the quantitative phase, 35 nurses, 35 patients, and 52 patient charts were selected by simple random sampling from eight randomly selected wards of the hospital. For the qualitative phase, purposive sampling was employed to select participants for focus group discussion and in-depth interview. Twelve instructors and 11 head nurses were recruited. The Quality Audit tool developed by Ethiopian Federal Ministry of Health was applied. Results It was found that the nursing and midwifery service quality standards were low and did not meet Ministry of Health standards. The chart review showed that 83% of nursing and midwifery assessments were not completed within eight hours of patient arrival, and in over half the charts (58%), there was no written evidence of compilation of data based on Gordon's functional model. Only two wards met Standard 1 with adequate medical equipment for nursing diagnosis or intervention. Seventy-five percent of the wards had a scarcity of materials and supplies needed to provide a quality nursing service. Half the nursing stations had adequate patient visibility, and half had an organized chart filing system based on the patient’s bed number. Conclusion A high proportion of wards were not meeting Ministry of Health standards for nursing midwifery services. Improvement in care standards is vital to enable the hospital to function as a clinical setting for the education of health-care students. This might be achieved through ongoing attention to quality improvement and a program of in-service training regarding national care quality standards for managers, nurses, and midwives.
Background Unfavorable attitude toward nursing profession remaining the global issue across in the various level of health institutions attitude is the most important concept in nursing. Because of high ambiguity and role conflict in the profession. Objective This study aimed to explore nurses’ attitudes toward their profession and associated factors in selected public hospitals, Addis Ababa, Ethiopia, 2021. Methodology Institutional based quantitative cross- sectional study design was conducted in five randomly selected public hospitals of Addis Ababa, Ethiopia, from May to April 2021. Systematic random sampling method was used to select sample of 357 nurses working in selected hospitals. Data were collected using standard self-administer questionnaire and the collected data were entered and analyzed by using SPSS 25version. Descriptive, Bi-variate and multiple logistic regression analysis were computed to describe the association between attitude of nurses and independent variables that show P-values ≤0.05 with 95% Confidence Interval consider statistically significant factors for attitude toward professionalism. Results A total of 348 nurses were participated in the study, with 97.5% response rate. From this 60.6% (n = 211) of study participants were female nurses. Only 46% of nurses in Addis Ababa city public hospitals had favorable attitude towards their profession. Experienced nurses [(AOR: 1.19; 95% CI: 0.625, 13.37)], had good managerial support [(AOR: 2.40; 95% CI: 0.197, 26.702)], had ethical related training [(AOR: 1.50; 95% CI: 0.35, 6.407)], had positive image toward nursing profession [(AOR: 2.32; 95% CI: 0.166, 34.950)], who believe in our community had positive image toward nursing profession [(AOR: 4.73; 95% CI: 2.136, 88.109)] were positively associated with the overall nurses’ attitude toward their profession. Conclusion This study offers an interesting insight about nurses’ image toward their profession and associated factors in Addis Ababa city. The overall attitude of nurses in Addis Ababa city public hospitals toward their profession was falls below the average level. Given the importance of the attitude in nursing and various factors, efforts are directed to achieve the desired level and reducing the barriers.
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