ABSTRACT
Background: Nasogastric tube (NGT) insertion is one of the most commonly performed procedures for critically ill patients through the nostril or mouth into the stomach, which is indicated for multiple reasons. Objective: This study is, therefore, aimed to enhance the NGT insertion skill performance of third-year nursing students using the updated checklist, 2021. Method: A facility-based pre-post intervention study was conducted among third-year nursing students of the School of Nursing, Jimma University. An updated checklist and intervention package were used among 26 randomly selected nursing students. The collected data was entered into EpiData version 3.1, EpiData Association, Denmark and exported to SPSS version 23, IBM Corp, Armonk, NewYork for analysis. Descriptive statistics were made for each item and Paired T-test analysis was conducted to summarize the findings. Result: The highest NGT skill insertion performance score from 40% before the intervention was 35; however, after the intervention, the score increased to 40.3. Their mean score in NGT skill performance was increased by 11 after the intervention of implementing the intervention package using the updated checklist from 26.5 ±5 0.3 the pre-intervention to 37.8 ±5 1.7 post-intervention. The finding indicated that the improvement was statistically significant at p < 0.001. Conclusion: Implementing an intervention package and employing an updated NGT insertion checklist improved the performance of third-year nursing students' NGT insertion skills by an average of 11 points compared to their pre-test scores. A large-scale control randomized trial study was recommended to control for the effects of confounding factors on the implementation of intervention packages.
ABSTRACT
Background: The time spent between referring and receiving health facilities is an important determinant of the outcome of the referred patients/clients especially among women in low-income countries due to poor access to early and appropriate referrals. Thus, the aim of this study is to assess the average time spent between referring and service utilization at receiving health facility. Methods: A cross-sectional study was employed by using time and motion approach. Structured questionnaire and observation checklist were used for collecting data. SPSS 21 version was used for data analysis and binary and multivariable logistic regression analysis was carried out to identify a variable that has a significant association on the basis of OR, 95% confidence interval, and a P value of less than .05. Result: A total of 266 women participated in the study with the mean age of the study population is 24.65 (±5.03) years. The majority, (223 (83.8%)) of the participants came for maternal health services and more than half, (143 (53.8%)) of the respondents were self-referrals. Among the referred cases, the main reason for the referral was for further evaluation and management. Women spent a maximum of 540â min on the way to arrive at receiving health facility. Residence and distance were the predictor variables for average time spent. Conclusion: In general, women wait a maximum of one and half hours to contact health care providers for assessment and more than two-fifth of the women wait more than 3â h to get the service at receiving health facility.
ABSTRACT
INTRODUCTION: Breast self-examination is one of the cheapest screening methods for early detection of breast cancer which can be performed by women in privacy, and in their own schedule. Despite being simple, quick, and cost-free, the practice of breast self-examination is low. The study was carried out to assess the practice of breast self-examination among women of childbearing age in Jimma, Southwest Ethiopia. OBJECTIVE: To assess the practice of breast self-examination among women of childbearing age in Jimma, Southwest Ethiopia. METHODS: A community-based cross-sectional study was conducted in Jimma town, Southwest Ethiopia in March 2018. Seven hundred and twenty-four women of childbearing age were selected by multistage sampling methods. They were interviewed using structured questionnaire and standardized scale. Bivariate logistic regression analysis was done to see crude association between each independent variable and outcome variable. Logistic regression was used for analysis on the basis of OR, 95% CI and a P value of less than 0. 05. RESULTS: Six hundred and eighty-six respondents participated in the study giving 94.7% of response rate. Only 15% of them practiced breast self-examination. Respondents age (AOR = 2.07/1.14, 3.74/0.01), occupation (AOR=3.93/1.49, 10.35/0.00), family history of breast cancer (AOR=4.16/2.35, 7.36/0.00) and monthly income (AOR= 5.57/1.55, 19.92/0.00) are significantly associated with women's practice of breast self-examination at a P-value less than 0.05. CONCLUSION: The practice of breast self-examination is very low. Respondent age, occupation, family history of breast cancer, and monthly income are significantly associated with the women's practice of breast self-examination.
