ABSTRACT
Background and Aim: Postoperative wound care is irrigating the surgical wound with normal saline solution and applying sterile gauze or bandage. Even though challenges related to postoperative wound care and its complications are high, information related to the knowledge and practice of nurses on postoperative wound care are minimal. Therefore, this study aimed to find levels of knowledge and practices of nurses on postoperative wound care management and contributing factors among nurses working at public hospitals of West Showa, Oromia region, Ethiopia, 2020. Method: A facility-based cross-sectional study was conducted among 465 Nurses working in public hospitals in West Showa Zone, Oromia, Ethiopia, from June 15 to July 10, 2020. Data were collected using a self-administered structured questionnaire that was adapted from previous studies. Descriptive statistics were performed and results were presented using tables and graphs. Bivariate and multivariable logistic regression analysis was undertaken, and variables with p < 0.05 at a 95% confidence interval (CI) were considered statistically significant. Result: Only 44.3% (95% CI = 39.5%, 48.9%) and 48.0% (95% CI = 43.4%, 52.4%) of nurses have good knowledge and practice in postoperative wound care, respectively. Male nurses (adjusted odds ratio [AOR] = 1.90 (1.25-2.89), working in gynecology ward (AOR = 0.42 [0.18-0.95]), experience of ≥2 years in surgical units (AOR = 2.97 [1.10-8.02]), working in secondary hospital (AOR = 1.94 [1.16-3.26]), and working in tertiary hospital (AOR = 3.31 [1.81-6.08]) were significantly associated with the knowledge of nurses. An adequate supply of personal protective equipment (AOR = 3.38 [1.29-8.84]), using infection prevention guidelines (AOR = 5.03 [2.16-11.7]) and the presence of an adequate wound care materials (AOR = 3.67 [1.71-7.88]) were significantly associated with the practice of nurses. Conclusion: Less than half of nurses had good knowledge and practice in postoperative wound care and several factors contribute to its improvement. Upgrading the nurse's knowledge and practice towards postoperative wound care is essential in preventing postoperative wound infection.
ABSTRACT
BACKGROUND: Cervical cancer is the second most common cancer and the leading cause of cancer-related death in Ethiopian women. About 77.6% of women died of 6294 new cases reported in 2019. Early screening for cervical cancer has substantially reduced morbidity and mortality attributed to it. In Ethiopia, most of the women visit the health facilities at the late stage of the disease in which the offered intervention is not promising. Therefore, we aimed to assess the level of cervical cancer screening uptake and its determinant among women of Ambo town, Ethiopia. METHODS: Community-based cross-sectional study was conducted among 422 women aged 20-65 years. An interviewer-administered questionnaire was used to collect the data. Data were analyzed using SPSS version 25. Estimates were presented using an odds ratio (OR) with 95% CI. Statistical significance was declared at a p value of <0.05. RESULTS: In the present study, 392 women were participated giving a response rate of 93%. Only 8.7% (34) of the study participants were received cervical cancer screening in their lifetime. Being in the age group of 30-39 years (AOR = 3.2, 95% CI: 1.22, 8.36), having cervical cancer-related discussions with a healthcare provider (AOR = 3.5; 95% CI: 1.17, 10.7), and knowing the availability of cervical cancer screening service (AOR = 2.8; 95% CI: 1.03, 7.87) were significantly associated with uptake of cervical cancer screening. CONCLUSION: In this study, cervical cancer screening uptake is very low. Our study identifies clues for determinants of cervical cancer screening uptake. Thus, further studies using a better study design might be helpful to explore determinants of low utilization of CC screening services and suggest an appropriate intervention that increases CC screening uptake in the study area.
