Treatment Outcome, Pattern of Injuries and Associated Factors Among Traumatic Patients Attending Emergency Department of Dessie City Government Hospitals, Northeast Ethiopia: A Cross-Sectional Study

Background

Traumatic injuries are a major cause of emergency room visits and hospital workload, and they are a global health concern. Therefore, this study aimed to assess the pattern of injuries, treatment outcomes, and associated factors among traumatic patients attending the emergency department of Dessie City Government Hospitals, Northeast Ethiopia.

Methods

An institutional-based retrospective cross-sectional study was conducted among 415 traumatic patients selected by using a systematic random sampling technique, from July 1, 2019, to June 30, 2022. Data were collected through document review. The data were presented with frequency tables and graphs. Data were entered using EPI data version 4.6 and exported to SPSS version 26 for analysis. Both bi-variable and multivariable logistic regression analyses were performed to analyze the relationship between the independent variable and the outcome variable. As a measure of association, the adjusted odds ratio was utilized, which has a 95% confidence level. Statistically significant variables were those with a p-value of less than 0.05.

Results

From 420 patient charts, 415 traumatic patients' charts were reviewed in this study, with a response rate of 98.8%. The prevalence of good treatment outcomes among traumatic patients was found to be 67% [95% CI: 62.2, 72.0]. In the final multivariable analysis, having comorbidity [AOR=, 0.31 95% CI: 0.16, 0.60], arriving within one hour [AOR=4.79, 95% CI: 2.10, 10.94], arriving two up to twenty-four hours [AOR=2.25, 95% CI: 1.34, 3.78] and being conscious at admission [AOR=1.82, 95% CI: 1.02, 3.26] had a significant association with a good treatment outcome among traumatic patients.

Conclusion

Trauma constitutes a major public health problem in our setting and contributes significantly to unacceptably high morbidity and mortality. Interventions should be targeted at urgent injury prevention and management strategies, along with the establishment of a pre-hospital emergency medical service system.

Knowledge, attitude, practice and their associated determinants, in relation to updated coronavirus illness 19 prevention and control among Dessie town residents in the South Wollo Zone of Northeast Ethiopia: community-based cross-sectional study cross-sectional study

Coronavirus disease19 is an emerging respiratory disease caused by a novel coronavirus. The two strains of coronavirus were severe acute respiratory syndrome-coronavirus, and Middle East respiratory syndrome-coronavirus. A sudden outbreak of coronavirus disease 2019 (COVID-2019) caused by infection with severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2). The objective of this study was to analyse the community's knowledge, attitude, and practice and their associated determinants, in relation to updated COVID19 prevention and control in South Wollo Zone, Ethiopia.

Materials and methods

Community-based prospective cross sectional study was conducted from 10 April to 30 July 2020. The study population was selected from Dessie town and 423 samples were collected using systemic random sampling technique through self-administered questionnaire and verified, coded, and entered into epidata software and it export to SPSS for analysis. To summarise descriptive statistics frequencies, percentage, mean, and median were used and presented with tables, charts, and figures.

Results

The participation rate was 93.6%. Among the respondents 53.5% had solid knowledge; 50% had a positive attitude, and 45.2% had good COVID19 practice. Single marital status [adjusted odds ratio (AOR) (95% CI) = 0.487 (0.294-0.809)] and physical labour in occupation [AOR (95% CI) = 2.87 (1.003-8.214)] were both linked to strong COVID19 knowledge. Age of 30-34 [AOR (95% CI) = 2.264 (1.04-4.92)], age of 45-49 [AOR (95% CI) = 4.79 (1.22-18.77)], good knowledge [AOR (95% CI) = 1.58 (1.01-2.498)], good practice [AOR (95% CI) = 2.88 (1.754-4.72)] were significantly associated with adequate attitude, in the other hand sex [AOR (95% CI) = 3.03 (1.72-5.34)], educational status [AOR (95% CI)= 26.23 (3.83-179.84)], jobless occupation [AOR (95% CI)=0.212 (0.079-0.572)], age, and adequate attitude were all linked to good coronavirus disease practice 19.

Conclusions

More than half, half, and less than half of the participants, respectively, had knowledge, attitude, and practice of COVID19 in Dessie town.

Knowledge and Associated Factors of Nursing Professionals Toward Colostomy Care at Borumeda and Dessie Comprehensive Specialized Hospital, South Wollo Zone, Northeast, Ethiopia, 2022

Introduction

A colostomy is a surgical procedure that brings one end of the large intestine out through the abdominal wall. Approximately 100,000 people in incidence in the United States undergo operations that result in a colostomy or ileostomy each year.

Objective

To assess knowledge and associated factors toward colostomy care among staff Nurses working at Dessie Town governmental hospitals, Ethiopia 2022.

Methods

Institutional-based cross-sectional study design was conducted at governmental hospitals in Dessie Town from August 1, 2022 to August 25, 2022. A simple random sampling technique was deployed using a self-administered questionnaire. Descriptive statistics analyses such as frequencies, percentage, and mean were used to summarize the results. Both bivariable and multivariable logistic regressions were employed to identify factors associated with participants' knowledge of colostomy care. A p-value of <.05 and 95% confidence interval (CI) was used to declare statistical significance.

Results

A total of 265 nurses participated making a response rate of 98.1%. About 57.6% (157) of the participants had good knowledge of providing colostomy care. Having a clinical experience of 4-6 years (adjusted odds ratio [AOR] = 2.4 95% CI: 1.186, 5.513), 6-8 years (AOR = 2.5, 95% CI: 1.981, 6.177), and >8 years (AOR = 3.3, 95% CI: 1.481, 7.394), providing colostomy care for 6-10 patients (AOR = 2.6, 95% CI: 1.186, 5.512) and 10 or more patients (AOR = 3.3, 95% CI: 1.480, 7.394), and routine reading of professional (AOR = 1.83, 95% CI: 1.062, 3.153) were significantly associated with good knowledge of colostomy care.

Conclusion and recommendation

Knowledge of colostomy care was not satisfactory among nurse professionals working in governmental hospitals in Dessie town. Participation in the training of colostomy care, having more than eight years of experience, providing colostomy care for more than seven patients, attending scientific colostomy meetings, and reading professional literature were significant factors associated with good knowledge of providing colostomy care. Thus, capacity-building in-service training is required to enhance the knowledge of colostomy care.

Practice, disaster preparation training needs, and associated factors in nursing staffs operating at Amhara regional state referral hospitals in Ethiopia

Background

Natural & human-made disasters are occurring at alarming rates around the world, necessitating more training and preparing frontline emergency department nurses.

Methods

The findings were derived from a hospital-based cross-sectional study. The study included all emergency department working nurses from the region's referral institutions. Self-administered written questionnaires were used to collect disaster information from respondents. Epidata software manager v4.6.0.2 was used to enter and code data, which was then exported to spss version 26 for additional analysis.

Result

The majority of our participants were 68-year-old men (66.7 percent). Furthermore, the average age of data respondents was 31.2 ± 5.7. It is discovered that 25 (24.5%) of participants have adequate experience, while 75 (75.5%) of responders have insufficient practice. In addition, 40.9% of responders require training in first aid and treatment concepts, 37.3% require disaster preparedness training, and 31.4% require basic disaster response principles training. In multivariate analysis, training in a hospital setting (P value = 0.047, OR: 0.282, 95 percent CI: (0.081–0.985) and simulation in a hospital setting (P value = 0.002, OR: 0.071, 95 percent CI: (0.055–0.530) were significantly linked with disaster preparedness practice.

Discussion

Levels of disaster practice, training, and their respective associated factors are discussed, along with other findings in the subject.

Conclusions

Because emergency department nurses' disaster preparedness skills are insufficient, training involving drills and simulations, as well as teaching, is required.

Implications for Nursing and Health policy

It aids in effective victim care, rehabilitative services, and emergency and disaster prevention. It may also aid in the priority of care. This will ultimately increase the effectiveness of emergency department care. The research findings may also aid in the establishment of a formal emergency and disaster preparedness framework in emergency departments.

Management of postoperative pain among health professionals working in governmental hospitals in South Wollo Zone, Northeast Ethiopia. Prospective cross sectional study

Introduction

Pain is a distressing experience associated with actual or potential tissue damage with sensory, emotional, cognitive and social components. Inadequate postoperative pain management leads to negative clinical outcomes such as extended hospitalization, poor recovery, diminished and decreases the quality of life, increased healthcare costs and utilization, higher morbidity and mortality, and the development of chronic pain. The study was used for the hospitals administrations, health professionals, committee that develop the pain management guideline, researcher, and governmental health institutions regarding the practice of postoperative pain management. The aim of this study was to assess the management of postoperative pain among health professionals working in governmental hospitals in South Wollo Zone, Ethiopia.

Methods and materials

A hospital-based prospective cross-sectional study was conducted from February 20, 2022 to March 25, 2022. The study population was selected from South Wollo Zone governmental hospitals and 386 samples were collected using a self-administered questionnaire and verified, coded and entered into Epidata software version 3.1 and it exported to SPSS version 23 for analyze. To summarize descriptive statistics frequencies, percentages, and mean were used and presented with tables, charts, and figures.

Result

386 participants were involved and making up 95.8% of the response rate. Among the respondents, 97.9% of the respondents had used pharmacological management. 51.3% applied non-pharmacological and 66.1% applied multimodality management of postoperative pain. Among pharmacological management, 48.7% of systemic analgesics technique, 26.3% of regional analgesics technique, and 25.0% of patient-controlled epidural analgesics, whereas in non-pharmacological management 40.4% of cold and heat application followed by 32.3% of immobilization was applied to the management of postoperative pain.

Conclusion and recommendation

The overall level of pharmacological, non-pharmacological and multimodality approach of post-operative pain management among health professionals in the study area was more than ninety, half and more than half of the participants, respectively. Postoperative pain management found in many key areas of postoperative pain management has an impact on the provision of effective pain management and optimal care given to surgical patients. This study provided an opportunity for health professionals working in hospitals, to evaluate themselves in the area of postoperative related to pain management.

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Three approach of postoperative pain management were founded.

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There're three main techniques of pharmacological management.

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Cold & heat application was the major non-pharmacological management.

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Among multimodality approach combination of opioid analgesics & local anesthetics were Preferred.