Nursing Process is a systematic method which utilizes scientific reasoning, problem solving and critical thinking to direct nurses in caring for patients effectively however, little is known about factors affecting the implementation of nursing process. The study intended to assess factors affecting implementation of nursing process among nurses in Arbaminch General Hospital, Ethiopia. Institutional based cross-sectional study with quantitative data collection through Self-administered pre-tested Semi Structured questionnaire and observational checklist used among randomly selected 105 nurses. Data analysis was done by SPSS version 15 for its objectives. Out of 105 studies 98 were participated in the study with 93.3% response rate. Forty two (42.85%) of the total respondents were working in a stressful working environmental. Thirty five (35.7%) of respondents were challenged to provide their nursing care due to patients inability to collect the required material for care provision. Factor affecting implementation of nursing process were working in a stressful environment were 0.23 times less likely to implement nursing process than those working in organized environment (OR: 0.23, [95% CI: (0.07-0.78)], highly knowledgeable nurses were 8.78 times more likely to implementation of nursing process than nurses who were not knowledgeable (OR: 8.78, [95%CI: (2.97-77.48)] and economic status of patient to collect material for nursing care were negatively associated with implementation of nursing process(OR: 0.07, [95%CI: (0.02-0.31)]. The study has identified lack of facility from organizational factors, economic status of the patient to collect material for nursing care, early discharge, lack of cooperation and complicated problems from patient related factors and level of knowledge were among those factors highly affecting nursing process implementation. Nearly, one third of respondents have consistent with the implementation of nursing process in the clinical setting. This factors cause poor quality of nursing care disorganized caring system, conflicting role, medication error and re-admission with similar problems, dissatisfaction with the care patients have received, and increased mortality. Recommendation: The essence of nursing process for client lies on the great benefits to the client, nurses and nursing profession as a whole. So, to provide quality of nursing care the management body of the hospital should flow and supervise the implementation of nursing process in the hospital, the health professional should train periodically and Information should be disseminated regarding nursing process.

Religious and sociocultural beliefs influence the nature of treatment and care received by people with epilepsy. Many communities in Africa and other developing nations believe that epilepsy results from evil spirits, and thus, treatment should be through the use of herbaceous plants from traditional doctors and religious leadership. Community-based cross-sectional study designs were used to assess the knowledge, attitude, and practice related to epilepsy and its associated factors by using a pretested, semi-structured questionnaire among 660 respondents living in Sululta Woreda, Oromia, Ethiopia. According to the results of this study, 59.8% of the respondents possessed knowledge about epilepsy, 35.6% had a favorable attitude, and 33.5% of them adopted safe practices related to epilepsy. The following factors had significant association to knowledge, attitude, and practice related to epilepsy: being rural dwellers, living alone, those with more years of formal education, heard information about epilepsy, distance of health facility from the community, had witnessed an epileptic seizure, age range from 46 years to 55 years, had heard about epilepsy, prior knowledge of epilepsy, occupational history of being self-employed or a laborer, history of epilepsy, and history of epilepsy in family member. The findings indicated that the Sululta community is familiar with epilepsy, has an unfavorable attitude toward epilepsy, and unsafe practices related to epilepsy, but has a relatively promising knowledge of epilepsy.

Background: To make an evidence-based practice, clinical research and updates matters, thus the result of this study will help nurses to exercise evidence-based practice for the utmost care to their patients. With regards all the various programs and strategies to promote the use of clinical research and updates, there is still a gap in practicing. A number of studies from various countries have reported that nurses’ experience of evidence-based practice is low. In Ethiopia, there is a gap on evidence-based nursing practice. Objective: To assess evidence-based practice utilization and associated factors among nurses at public hospital Addis Ababa, Ethiopia, 2020. Methods: A mixed-method approach (concurrent triangulation) was employed from November to December, 2020 among 422 study participant. Semi-structured and pretested self-administered questioners were used to collect data. Then the collected data were cleaned, coded, and entered into Epi data version 4.6 and exported to SPSS version 22 for analysis. The result was displayed through simple and multiple linear regressions. The total scores were expressed using regression coefficient (β), 95% Confidence interval. For the qualitative study, in-depth interviews were conducted with a purposive sampling method. The data were entered and analyzed using open code software version 4.0.Results: Of 422 distributed questionnaires, all were completed with 100% response rate. EBP exercised by the participant to the degree of 28.4%, 48.8% and 8.8% respectively to low, medium and high level. Those with a good knowledge about EBP, increases their implementation by 0.338. Educational status of nurses was significantly associated with evidence-based practice utilization (β=0.647, P=0.02).Having a managerial support will increase the implementation by 0.835. Conclusion: Small number of participants had implemented EBP to a high level. Evidence-based nursing practice was positively associated with knowledge, attitude, and educational status, lack of managers’ support and availability of information resources. Intervention programs on awareness creation, training, resource provision, and curriculum issues to improve implementation of evidence based nursing practice by stakeholders are recommended.

Abstract:Background: The HIV global epidemic continues to be the most serious of infectious disease challenges to the public health and it remains as a major threat to socioeconomic development. AIDS accounts for a leading cause of mortality and resulted in the deaths of 25 million people. Everyday 5,700 persons die from AIDS worldwide. The HIV prevalence in the student populations hadn't adequately studied, but there is some undependable reports suggesting widespread of unsafe sexual practices making the young vulnerable to HIV infection. Hence the current study assesses HIV Sero-prevalence among St. Marry University students in Ethiopia to narrow the gap of studies in the young population. A cross sectional study design with self-administered questioners and clinical blood specimen collection were done among 900 St. Marry University, Ethiopia study participant in March, 2012.The sample size were determined with single population formula with considering none respondent rate. Statistical tests were carried out for HIV Sero positivity and its association to predisposing factors to HIV infections. Detail explanation were given the study participant, a written consent was obtained from each participant after clear explanation to the procedure, merits and demerits of being tested for HIV. The study shows, 98.7% of response rate. According to the finding the overall HIV Sero-prevalence among the participants was found to be 3.8% and more specifically, HIV prevalence shown among students come from urban areas 14(5.7%), small town15 (4.5%) and rural areas 5(1.6%). Unsafe sexual behaviors, risky habits of styles of life involving alcohol beverages drinking, chat chewing, substance use, drug abuse, men to men sex, change and exchange of several sex partners, rapes, revealed positive association with HIV positive Sero status. HIV remains as a serious health problem to those who were positive as well as to those who practice risk behaviors and comparably, lower prevalence of HIV was noticed in the study. There is a need to be further studies in depth for contributing factors which predispose to new HIV infection to prevent HIV infection among the late adolescence and adult population. Moreover, as a result of higher institution expansion, there is a need to provide organized HIV prevention activities to decrease HIV new infection.

Background WHO and UNICEF recommend breastfeeding to be initiated within the first hour of birth. It is possible to initiate breastfeeding within an hour of birth regardless of the method of delivery. Despite this, the practice of timely initiation of breastfeeding remains low in Ethiopia with both delivery modalities. Therefore, this study aims to compare timely initiation of breastfeeding and associated factors with cesarean and vaginal deliveries in public hospitals of Addis Ababa, 2021. Methods and materials: Comparative cross-sectional study was conducted from January 2021 to February 2021 in public hospitals of Addis Ababa. 322 mothers within three days of delivery at the postnatal ward of the respective public hospitals were selected. A multi-stage sampling method was employed with the final participants being recruited by systematic random sampling. Data was entered to Epi data Version 4.6 and analysis was performed by SPSS Version 26. A Binary and multivariate logistic regression statistical model was used. Adjusted odds ratio with 95% CI was computed to see the strength of association. Result Timely breastfeeding initiation was 79 (51.2%) and 123 (80%) for cesarean and vaginal deliveries. With a vaginal delivery, pre-lacteal feeding (AOR= 5.50, 95% CI:1.83-16.57) was significantly associated with timely initiation of breastfeeding. Multiparty (AOR= 2.14, 95% CI: 1.02-4.50), support from health care worker (AOR= 2.602, 95% CI: 1.16-5.82), and pre-lacteal feeding (AOR= 2.55, 95% CI: 1.13-5.75) were significantly associated with timely initiation of breastfeeding with cesarean delivery. Conclusion The rate of timely initiation of breastfeeding differs according to the mode of delivery. Cesarean delivery, as compared to vaginal delivery, was associated with a higher mean and median time for initiation of breastfeeding.