scholarly journals Knowledge and Attitude towards Evidence Based Medicine and Associated Factors among Medical Interns in Amhara Regional State Teaching Hospitals, Northwest Ethiopia: A Cross-sectional Study (Preprint)

2021 ◽  
Author(s):  
Delelegn Emwodew ◽  
Tesfahun Melese ◽  
Adamu Takele ◽  
Nebiyu Mesfin ◽  
Binyam Tariku
Keyword(s):  
Associated Factors ◽  
Medical Curriculum ◽  
Multivariable Analysis ◽  
Internet Access ◽  
Northwest Ethiopia ◽  
Teaching Hospitals ◽  
Cross Sectional ◽  
Regional State ◽  
Medical Interns ◽  
Knowledge And Attitude

BACKGROUND EBM teaching programs are popular and widely available, they have successfully incorporated in medical curriculum and shown to be effective in helping clinicians search for, retrieve and apply evidence. In Ethiopia, teaching of the EBM is not yet a component of the undergraduate medical curriculum. In particular, little is known about the levels of knowledge and attitude regarding EBM, their ability to access and understand evidence, their information about statistical terms among medical interns. Thus, it is required that the current state of EBM to be understood in order to plan long-term educational programs. OBJECTIVE The objective of this study was to assess the knowledge and attitude towards EBM and its associated factors among medical interns in Amhara regional state teaching hospitals, Northwest Ethiopia. METHODS An institution based cross-sectional survey was conducted from March to April, 2020. Simple random sampling with proportional allocation was used. A total of 403 medical interns were included in the study. Multi-variable logistic regression analysis method was used to identify the factors associated with the knowledge and attitude of medical interns towards EBM. RESULTS From a sample of 423 medical interns, 403 completed the questionnaire making a response rate of 95.3%. Out of the respondents, 291 (72.2%) were males. The mean age of the participants were 24.7 ± 0.97 SD years and 324 (80.4%) had never received any training related to EBM. Most, 276 (68.5%) of the participants have their own computer and 355 (88.1%) have an internet access. The level of good knowledge and favorable attitude were 57.1% and 68.0% respectively. The variables associated with the level of EBM knowledge were found to be previous EBM training (AOR=2.947, 95% CI = 1.648-5.268), understanding of sensitivity (AOR= 2.836, 95% CI = 1.824-4.408) and internet access (AOR=2.914, 95% CI = 1.494-5.685). The multivariable analysis also showed a positive association between use of electronic database to make clinical decision (AOR=1.808, 95% CI= 1.143-2.861) and knowledge of absolute risk reduction (AOR =2.750, 95% CI= 1.105-6.841) with attitude of medical interns towards EBM. CONCLUSIONS Medical interns have limited knowledge and understanding of key concepts of EBM, but a relatively positive attitude towards the concepts. There is a need to setup EBM journal club, which helps to increase awareness and use of evidence, as well as assist medical interns and other clinical staffs to ensure the correct application of EBM in to clinical practice.

scholarly journals Knowledge and attitude of pregnant women towards preeclampsia and its associated factors in South Gondar Zone, Northwest Ethiopia: a multi‐center facility‐based cross‐sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maru Mekie ◽  
Dagne Addisu ◽  
Minale Bezie ◽  
Abenezer Melkie ◽  
Dejen Getaneh ◽  
...  
Keyword(s):  
Associated Factors ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Knowledge And Attitude ◽  
Study Participants ◽  
South Gondar

Abstract Background Preeclampsia has the greatest impact on maternal mortality which complicates nearly a tenth of pregnancies worldwide. It is one of the top five maternal mortality causes and responsible for 16 % of direct maternal death in Ethiopia. Little is known about the level of knowledge and attitude towards preeclampsia in Ethiopia. This study was designed to assess the knowledge and attitude towards preeclampsia and its associated factors in South Gondar, Northwest Ethiopia. Methods A multicenter facility-based cross-sectional study was implemented in four selected hospitals of South Gondar Zone among 423 pregnant women. Multistage random sampling and systematic random sampling techniques were used to select the study sites and the study participants respectively. Data were entered in EpiData version 3.1 while cleaned and analyzed by Statistical Package for Social Sciences (SPSS) version 23. Descriptive and inferential statistics were performed. Adjusted odds ratio with 95 % confidence interval were used to identify the significance of the association between the level of knowledge on preeclampsia and its predictors. Results In this study, 118 (28.8 %), 120 (29.3 %) of the study participants had good knowledge and a positive attitude towards preeclampsia respectively. The likelihood of having good knowledge on preeclampsia was found to be low among women with no education (AOR = 0.22, 95 % CI (0.06, 0.85)), one antenatal care visit (ANC) (AOR = 0.13, 95 % CI (0.03, 0.59)). Whereas, those who booked for ANC in the first trimester (AOR = 6.59, 95 % CI (1.43, 30.33)), gave the last birth at a health facility (AOR = 2.61, 955 CI (1.03, 6.61)), and experienced a complication during previous births (AOR = 3.67, 95 % CI (1.78, 7.57)) were more likely to be knowledgeable on preeclampsia. Conclusions No formal education and not attending four ANC visits were associated with poor knowledge of preeclampsia. While participants who visited health facilities during the first trimester, who gave birth at health facilities, and those who experienced a complication in previous births were more likely to be knowledgeable on preeclampsia. Improving the numbers of ANC visits and encouraging facility delivery are important measures to improve women’s knowledge on preeclampsia. Health education regarding preeclampsia risk factors, symptoms, and complications shall be emphasized.

scholarly journals Diarrhea Prevention Practice and Associated Factors among Caregivers of Under-Five Children in Enemay District, Northwest Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Melese Dubie Agegnehu ◽  
Liknaw Bewket Zeleke ◽  
Yitayal Ayalew Goshu ◽  
Yonas Lamore Ortibo ◽  
Yohannes Mehretie Adinew
Keyword(s):  
Family Size ◽  
Associated Factors ◽  
Diarrheal Disease ◽  
Good Practice ◽  
Multivariable Analysis ◽  
Sampling Technique ◽  
Northwest Ethiopia ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children

Background. Diarrhea is the leading cause of mortality among infants and children younger than 5 years of age in both underdeveloped and developing countries. Factors determining the occurrence of diarrhea in children are complex, and the relative contribution of each factor varies as a function of interaction between socioeconomic, environmental, and behavioral variables. Objectives. To assess diarrhea prevention practice and associated factors of diarrheal disease among caregivers who have under-five children in Enemay district, Ethiopia, 2018. Methods. Community-based cross-sectional study was done from June 1–30, 2018, among 398 caregivers who have under-five children, in the Enemay district that were selected by using the simple random sampling technique. A structured and pretested data collection tool was used to collect the data. Data were entered using EPI DATA version 4.2, and analysis was done using SPSS version 20 statistical package to be cleaned and analyzed. Descriptive analysis was done to describe study participants, and logistic regression (bivariable and multivariable) analysis was done to identify factors that have association with the dependent variable. The P value was less than 0.05. Results. A total of 398 with a response rate of 97% under-five caregivers were participated in this study. Nearly, half (48.7%) of the participants were in the age group 25–34. The study revealed that good practice of diarrhea prevention was 52.8%. This study was also identified that occupation (AOR: 3.922, 95% CI: 1.593, 9.657), family size (AOR: 0.088, 95% CI: 0.009, 0.916), and understanding on diarrhea (AOR: 0.237, 95% CI: 0.091, 0.613) were associated factors of diarrhea prevention practice of under-five children caregivers. Conclusion. This finding showed that diarrhea prevention practice among under-five children caregivers was low and prevention practice was significantly associated with caregivers’ awareness on frequency of diarrhea in a day, occupation, and family size in a house.

scholarly journals Poor COVID-19 Preventive Practice among Healthcare Workers in Northwest Ethiopia, 2020

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Belayneh Ayanaw Kassie ◽  
Aynishet Adane ◽  
Eskeziaw Abebe Kassahun ◽  
Amare Simegn Ayele ◽  
Aysheshim Kassahun Belew
Keyword(s):  
Work Experience ◽  
Healthcare Workers ◽  
Associated Factors ◽  
Multivariable Analysis ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Cross Sectional ◽  
Preventive Practice

Background. The novel coronavirus disease (COVID-19) pandemic outbreak affects the global social, economic, and political context and becomes a significant threat to healthcare providers who are among the exposed groups to acquire and transmit the disease while caring and treating patients. It is crucial to comply with prevention recommendations so as to stay safe and protected. Therefore, this study aimed to assess COVID-19 preventive practice and associated factors among healthcare workers in Northwest Ethiopia. Methods. An institution-based cross-sectional study was conducted among 630 healthcare workers in Northwest Ethiopia from March to April 2020. A multistage sampling technique was used to select study participants. A pretested and structured self-administered questionnaire was used to collect data. The data were entered using Epi Info 7 and analyzed using STATA 16 statistical software. Both bivariate and multivariable logistic regression analyses were employed to identify associated factors. Adjusted odds ratio (AOR) with 95% confidence interval was used to determine independent predictors of COVID-19 preventive practice. In multivariable analysis, a variable with a P value of less than 0.05 was considered as statically significant. Result. Among 630 healthcare workers participated in the study, the overall good preventive practice towards COVID-19 was found to be 38.73% (95% CI: 34.8, 42.5). Being a male healthcare provider (AOR = 1.48; 95% CI: 1.02, 2.10), having work experience of 6–10 years (AOR = 2.22; 95% CI: 1.23, 4.00), and having poor attitude towards COVID-19 (AOR = 2.22; 95% CI: 1.03, 2.22) were found to be significantly associated with poor COVID-19 preventive practice among healthcare workers. Conclusion. Overall compliance towards COVID-19 preventive practice among healthcare workers was found to be low. Multiple education and training platforms with focus on COVID-19 preventive measures and adequate personal protective equipment and supplies should be provided for healthcare providers.

scholarly journals Incidence and associated factors of laryngospasm among pediatric patients who undergone surgery under general anesthesia, in university of Gondar Compressive Specialized Hospital, Northwest Ethiopia, 2019: Cross sectional study

2019 ◽  
Author(s):  
Wubie Birlie Chekol ◽  
Debas Yaregal Melese
Keyword(s):  
General Anesthesia ◽  
Associated Factors ◽  
Pediatric Patients ◽  
Multivariable Analysis ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Induction Phase ◽  
Upper Respiratory Tract ◽  
Cross Sectional ◽  
Airway Devices

Abstract Objective: this study was aimed to assess the incidence and associated factors of laryngospasm among pediatric patients who undergone surgery under general anesthesia (GA). Results : The incidence of laryngospasm among pediatric patients who undergone surgery under GA was 57 (18.39%) . Of this 34 (59.6%) were happened during emergence, 12 (21.1%) during maintenance and 11 (19.3%) during induction phase of GA. In multivariable analysis, airway anomalies (AOR : 14.64,95%CI:1.71,125.04) , orophyrangeal secretion (AOR : 2.45,95%CI:1.19,5.06), attempts of airway devices insertion (AOR : 2.47,95%CI:1.16,5.22) , upper respiratory tract infection (AOR : 2.91,95%CI:1.008,8.41) and inadequate depth of anesthesia (AOR : 7.92,95%CI:2.7,23.22) were significantly associated with incidence of laryngospasm .

Factors associated with practicing evidence-based medicine among medical interns in Amhara regional state teaching hospitals, Northwest Ethiopia, 2020

2021 ◽  
Author(s):  
Delelegn Emwodew ◽  
Tesfahun Melese ◽  
Adamu Takele ◽  
Nebiyu Mesfine
Keyword(s):  
Clinical Practice ◽  
Evidence Based Medicine ◽  
Northwest Ethiopia ◽  
Teaching Hospitals ◽  
Multivariable Logistic Regression Analysis ◽  
Evidence Based ◽  
Factors Associated ◽  
Regional State ◽  
Medical Interns ◽  
Based Medicine

Abstract Background Evidence-based medicine (EBM) is an essential component of modern medical practice and crucial for patient safety and high-quality healthcare services. The purpose of this study is to assess the factors associated with practicing EBM among medical interns in Amhara regional state teaching hospitals, Northwest Ethiopia. Methods An institution based cross-sectional survey was conducted from March to April, 2020. Simple random sampling with proportional allocation was used. A total of 403 medical interns were included in the study. The data were collected using a structured self-administered questionnaire. Data were coded and entered in to Epi info 8.1 then exported to and analyzed by using SPSS 20.1. Multivariable logistic regression analysis method was used to identify the factors associated with the practice of EBM. Results From the total of 403 medical interns, 48.4% had good practices towards EBM. EBM knowledge, attitude towards EBM, ability to critically appraise evidence and having sufficient time to search for evidence were the factors significantly associated with EBM practice. Conclusion Medical interns have limited practice of integrating scientific evidence in to clinical practice. There is a need to setup EBM journal club, which helps to increase awareness and use of evidence, as well as assist medical interns and other clinical staffs to ensure the correct application of EBM in to clinical practice.

scholarly journals Magnitude and Associated Factors of Awareness with Recall under General Anesthesia in Amhara Regional State Referral Hospitals, 2018

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Tadese Tamire ◽  
Habtamu Demelash ◽  
Tikuneh Yetneberk ◽  
Simegnew Kibret
Keyword(s):  
General Anesthesia ◽  
Associated Factors ◽  
Statistical Significance ◽  
Multivariable Analysis ◽  
Complete Information ◽  
Cross Sectional ◽  
Associated Factor ◽  
Regional State ◽  
Referral Hospitals ◽  
Risk Patients

Introduction. Awareness with recall of intraoperative events is an infrequent but potentially devastating complication of general anesthesia, with a reported incidence of 0.1-0.2% in low-risk patients. Higher incidence is expected in resource-limited operation room setups and in high-risk patients. Awareness can result in significant distress to patients and long-term psychological consequences, including symptoms associated with posttraumatic stress disorder, anxiety, night mares, night terror, dissatisfaction with surgical service, and sometimes even suicide. Objective. To assess the magnitude and associated factors of awareness with recall under general anesthesia in Amhara regional state referral hospitals. Method. An institution-based cross-sectional study was conducted on 1065 patients who underwent surgery under general anesthesia from January 1 to June 30, 2018. The study participants were selected by systematic random sampling from 4 referral hospitals. The modified Brice questionnaire was used to detect awareness under general anesthesia. Interviewer-administered structured questionnaire and chart review were employed. Data with complete information were entered in to SPSS version 20 computer software. Descriptive statics and bivariate and multivariable analysis were computed. A P-value less than 0.2 was used to select candidate variables for multivariable logistic regression. A P-value less than 0.05 was used to declare statistical significance. Result. 1065 patients were included in the study which makes the response rate of 90.7%. The magnitude of awareness with recall under general anesthesia was found to be 8.2% of which 4.9%, 2.6%, and 0.7% of patients reported hearing voice, pain, and sensation of breathing tube, respectively. Lack of premedication was the only significantly associated factor for awareness with recall under general anesthesia (AOR = 3.014, 95% CI (1.201 to 7.565)). Conclusion and Recommendation. Our study showed higher magnitude of awareness with recall under general anesthesia. Lack of premedication was the only associated factor with awareness with recall under general anesthesia. Anesthetists should give emphasis to prevent the possibility of awareness under general anesthesia by providing premedication. Cohort studies should be done including the consequences of awareness with recall under general anesthesia.

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