Cancellation of elective surgery and associated factors among patients scheduled for elective surgeries in public hospitals in Harari regional state, Eastern Ethiopia

BackgroundCanceling elective surgeries is a significant problem in many hospitals leading to patient dissatisfaction, increased costs, and emotional trauma for patients and their families. Despite this, there is limited information about the cancellation of elective surgeries in Ethiopia, mainly in the study area.ObjectiveThis study aimed to assess the magnitude of cancellation and associated factors among patients scheduled for elective surgeries in public hospitals in the Harari Regional State, Eastern Ethiopia, from 1 August to 30 August 2021.MethodsA hospital-based cross-sectional study was conducted on 378 patients scheduled for elective surgeries. Data were gathered using a non-random sequential sampling approach. In addition, a structured face-to-face interviewer-administered questionnaire was employed. The gathered information was input into Epidata version 3.1 and then exported to Statistical Package for Social Software version 26. To find the variables associated with the cancellation of elective surgeries, binary and multi-variable logistic regression analyses were conducted. In the binary analysis, all variables with a p-value of less than 0.25 were included in the multivariable analysis. Finally, a 0.05 p-value with a 95% confidence interval and an adjusted odds ratio was used to declare a significant association.ResultsThis study included 378 patients scheduled for elective surgeries. Among those, 35.2% of the surgeries were canceled (95% confidence interval: 29.4–39.6). Being female (adjusted odds ratio: 2.46; 95% confidence interval: 1.44–4.203), lack of formal education (adjusted odds ratio: 2.03; 95% confidence interval: 1.15–3.58), place of residence (adjusted odds ratio: 1.70; 95% confidence interval: 1.03–2.81), increase in blood pressure (adjusted odds ratio: 5.09; 95% confidence interval:1.90–13.59), and ophthalmologic surgery (adjusted odds ratio: 3.76; 95% confidence interval: 1.41–10.0) were factors associated with the cancellation of elective surgeries.ConclusionIn this study, nearly one third of scheduled elective surgery was canceled. The primary contributing variables to the surgery cancellations were being female, lack of formal education, place of residence, ophthalmologic surgery, and increased blood pressure. Therefore, timely evidence-based reporting through the supervision team was advised to decrease cancellations

Level and predictors of nurse caring behaviors among nurses serving in inpatient departments in public hospitals in Harari region, eastern Ethiopia.

BACKGROUND: Nursing practice is centered on caring and nurses' behaviour has an impact on the quality of patient care and it is predictive of patient satisfaction,however, many nurses, in reality, do not exhibit caring behavior when providing nursing care to clients. This study was aimed to assess the level and predictors of nurse caring behaviors among nurses serving in inpatient departments in public hospitals in Harari Region of Ethiopia from March 10 to April 10, 2021. METHOD: A cross-sectional study was conducted among 300 nurses providing inpatient service in public hospitals in the Harari region of eastern Ethiopia. All permanent nurses working in major inpatient services of two public hospitals, namely Jugal General Hospital (JGH) and Hiwot Fana Specialized University Hospital (HFSUH) were included. The English version of the CNPI-Nurse scale was used to determine the level of caring behavior. The association was reported using the crude and adjusted odds ratios along with the 95% confidence interval. The statistical significance of the association was declared at p-value < 0.05. RESULT: The caring behavior was classified as high and low based on the median score. According to this study only 51.67% (95% CI:45.97, 57.35%) of nurses had good caring behavior. The odds of having good caring behavior were 2.22 (AOR = 2.22, 95%CI: 1.20, 4.10) times higher among nurses working in good working environment compared to those who work in bad working environment. Nurses who were satisfied with their job had 2.79 (AOR: 2.79, 95%CI: 1.54, 5.08) times higher odds of good caring behavior than those who were not satisfied with their job. Similarly, nurses who had a lower workload had a 3.01 (AOR: 3.01, 95%CI: 1.70, 5.33) times higher probability of having good caring behavior from nurses compared to nurses who reported having a high workload. CONCLUSION: The level of nurses caring behavior is not satisfactory and it is influenced by working environment characteristics, job satisfaction and workload. Therefore it necessary to creat conducive working environment, provide adequate time and resources inorder to improve the level of nurses caring behaviour

The Association of Nurses Caring Behavior with the Level of Patient Satisfaction, Harari Region, Eastern Ethiopia.

PURPOSE: The extent to which nurses tailor their care to the patient’s specific needs has a direct impact on patient health outcomes. Satisfied people will have good communication with the health professional, which results in good care and health outcome, so this study aimed to assess the association of caring behavior of nurses with the level of patient satisfaction, in public hospitals of the Harari region, Eastern Ethiopia, from March 10 to April 10, 2021. METHODS: A cross-sectional study was conducted among 300 nurses providing inpatient services and 345 randomly selected admitted patients in two public hospitals of Harari region, Eastern Ethiopia. Clinical nurse–patient interaction scale was used to assess the level of caring behavior. The level of patient satisfaction was measured using the patient satisfaction scale tool. We used structural equation modeling to determine the relationship of nurses caring behaviour and the level of patient satisfaction. The association was reported using coefficient (β) along with a 95% confidence interval. The statistical significance of the association was declared at P < 0.05. RESULTS: According to this study, only 51.67% of the nurses had good caring behavior and 62.90% of the patients were satisfied with the nursing care they received. The nurses’ caring behavior score was increased by 41% (β=0.41; 95% CI: 0.20, 0.63) and (β=0.65; 95% CI: 0.48, 0.81) as nurses’ job satisfaction and work environment scores increased by one scale, respectively. Similarly, the score of patient satisfaction was increased by 2% (β=0.02; 95% CI: 0.01, 0.12) as the score of nurse caring behaviour was increased by one scale. CONCLUSION: Patient satisfaction increased as the nurses care behavior score increased, so nurses must continue to identify ways to evaluate and increase patient happiness, as well as illustrate the impact nurses have on patient satisfaction with hospital experience as a result of their treatment

sj-docx-1-smo-10.1177_20503121231216603 – Supplemental material for Pattern and outcome of acute organophosphate poisoning at health facilities of Harari Region, Eastern Ethiopia

Supplemental material, sj-docx-1-smo-10.1177_20503121231216603 for Pattern and outcome of acute organophosphate poisoning at health facilities of Harari Region, Eastern Ethiopia by Barkot Tadesse, Haregeweyn Kibret, Helina Heluf, Sinetibeb Mesfin and Yordanos Alemu in SAGE Open Medicine</p

Prevalence of child marriage and associated factors among reproductive age women in Harari regional state, eastern Ethiopia, 2022: a community-based study

Abstract Introduction Child marriage is a union before the age of 18 and a violation of human right. Around 21% of young women in the world married before reaching the age of 18. Every year, 10 million girls under the age of 18 are married. Child marriage causes lifetime suffering, and its abolition was one component of the Sustainable Development Goal to achieve gender equality and empower women and girls. However; abolition of child marriage by 2030 will not happen because its prevalence in the community has remained stable. Objective To assess the prevalence of child marriage and its associated factors among reproductive-age women from March 7 to April 5, 2022 in Harari Regional State, eastern Ethiopia. Methods Community-based cross-sectional study was conducted from March 7 to April 5, 2022 among the reproductive age group in the Harari Region state, Eastern Ethiopia. A systematic random sampling technique was used to find study participants. Data were obtained by face-to-face interview using a pre-tested structured questionnaire, input into EpiData version 3.1 and analyzed using Stata version 16. The proportion with 95% confidence interval (CI) and the summery measure were used to report the prevalence. A multivariable logistic regression analysis model was used to examine associated factors, and the results were provided as an adjusted odds ratio (AOR) with a 95% confidence interval. Result In this study 986 were responded to the interview, making response rate of 99.6%. The median age of study participants was 22 years. The prevalence of child marriage was 33.7% [95% CI: 30.8–36.7] in this study. Being a Muslim (AOR = 2.30, 95% CI = 1.26, 4.19), diploma or higher level of education (AOR = 0.26, 95%CI = .10, 0.70), rural residence (AOR = 5.39, 95% CI = 3.71, 7.82), a marriage arranged by others (AOR = 2.68, 95% CI = 1.49, 4.82) and not knowing legal age of marriage (AOR = 4.49, 95% CI = 2.57, 7.85) were significantly associated with child marriage. Conclusion According to this report, nearly one out of every three women engages in child marriage. The practice was more common among those with lower educational attainment, those who lived in rural areas, people who were unaware of the legal age of marriage, and those whose engagement was decided by others. Focusing on strategies that allow for intervention in these factors is beneficial in ending child marriage, which has a direct and indirect impact on women's health and educational achievement