Quality of Perioperative Informations Provided and its Associated Factors Among Adult Patients Who Undergone Surgery in Public Hospitals of Gamo &Gofa Zones: A Mixed Design Study, Southern Ethiopia, 2019

Background: Surgery is one of biggest health related decisions done in one’s life with an outcome ranging in both extremes. It do have three phases. Preoperative, Intraoperative and Postoperative  phases. All the phases are interlinked and affect one another. Surgical outcomes are   found to be    affected by range of factors. Some of the factors could be social, financial, medical, immunological, and etc. Surgery as a professional procedure, is bound with multiples of concerns including clinical, professional, moral, Ethical and legal aspects. Appropriate health informations are an indispensable component of health care as well as surgery. Noting is known about the quality of perioperative informations provided in Public Hospitals of Gamo and Gofa Zones. Therefore, the purpose of this study will be to assess the quality of perioperative informations provided and its associated factors among adult patients who undergone surgery in public hospitals of Gamo and Gofa Zones. Method and materials: A facility based mixed design study was conducted from March-April 2019 in Arba minch, Chencha and Sawla Hospitals, Southern Ethiopia. A simple random sampling technique was employed to select 410 study participants among admitted adult patients who undergone surgery. Bivariate logistic regression analysis was done to identify candidates for multivariable logistic regression analysis. Explanatory variables with a p-value of less than 0.25 in the bivariate logistic regression analysis were included in the initial logistic model of multivariable logistic regression. Finally, statistically significant associations of variables were determined based on an Adjusted Odds ratio with 95% confidence interval and p-value <0.05. Result: the proportion of patients who received good quality perioperative informations are only 36.6%. In the multivariable analysis; Frequency of Hospital Visit  [AOR=2.604, 95% CI: 1.669-4.063],  Reasons for Hospital Visit [AOR = 2.370; 95% CI: 1.356-4.144], Previous Surgery [AOR = 2.370; 95% CI: 1.449-3.876], number of Previous Surgery [AOR = 1.808; 95% CI: 1.097-2.981], Place of Surgery[AOR =0.333; 95% CI:0.152-0.726], Surgical Professional [AOR =2.007; 95% CI:1.096-3.677] and Consenter [AOR =7.408; 95% CI:4.453-12.325] were significantly associated with the provision of good quality perioperative informations. Conclusion: According to this study, the proportion of patients who received good quality perioperative informations are only 36.6%.Therefore, all the concerned bodies must strive to improve the quality of informations to adult surgical patients

Patient safety culture and associated factors among nurses working at public hospitals in Gamo Zone, Southern Ethiopia

Abstract Background Patient safety culture is the prevention of errors and adverse effects to patients associated with health care delivery. It is a vital component in the provision of quality care. In healthcare settings where there is a safety culture, the people (providers, staff, administrators, and patients/families) are engaged, encouraged, and supported to make care safer. Though it is an essential component in the provision of quality care, little is known about its level, contributory, and hindering factors from the nurses’ perspectives. This study aimed to assess patient safety culture and associated factors among nurses working at public Hospitals in Gamo Zone, Southern Ethiopia. Methods This institution-based cross-sectional study was conducted among 398 nurses working at public hospitals in Gamo Zone. Data were collected by pretested, well-structured self-administered questionnaire from June 1 to 30, 2022. The collected data were checked, coded, and entered into Epi-data version 4.6.0.2 and were exported to SPSS version 25 for analyses. Bivariable and multivariable logistic regression was done to identify independent factors associated with patients’ safety culture. Results This study revealed that 202(50.8%), 95% CI: (46%—56%) of the participants had indicated good patient safety culture. From factors analysis, having an educational status of a bachelor’s degree and above [AOR = 2.26, 95%CI: (1.13—4.52)], working in a surgical ward [AOR = 5.48, 95%CI: (1.96—15.34)], not being blamed when medical errors happened [AOR = 3.60, 95%CI: (1.82 – 7.14)], and working 40 up to 49 h per week [AOR = 0.30, 95%CI: (0.13 – 0.74)] were identified to be significantly associated with good patient safety culture. Conclusion Based on the study findings, it could be observed that good patient safety culture was indicated only by half of the study participants. Implementing actions that support dimensions of patient safety culture, and creating opportunities for continuous educational advancement is recommended. Moreover, Hospital administrators, nurses’ directors, and healthcare policy-makers should work in collaboration to improve the patient safety culture, and also it would be better to create a blame-free environment to promote event reporting practices