Christian Kebede - Academia.edu (original) (raw)
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Papers by Christian Kebede
International journal of noncommunicable diseases, Apr 1, 2024
BMC women's health, May 14, 2024
Background The client's satisfaction after abortion care is the key to sustaining abortion care a... more Background The client's satisfaction after abortion care is the key to sustaining abortion care and increasing the health status of those who had complications from abortion. Nevertheless, research conducted in Ethiopia stated that the major problem is the need for post-abortion care for females. One of the ways to improve the qualities involved in post abortion care and decrease the mortality and morbidity rates caused by unsafe abortion is by ensuring client satisfaction with abortion care. Strategy making and policy formulation based on systematic review take on the highest priority in developing countries. However, although some independent studies had been carried out in Ethiopia, their findings might not have been representative and conclusive. The main purpose of this systematic review and meta-analysis article is to establish the proportion of abortion clients who are satisfied with their abortion care and the factors that contribute to such satisfaction among clients in Ethiopia. Methods and materials Only published articles were considered in this review. The main databases included
International Journal of Africa Nursing Sciences, Dec 31, 2023
Nursing, Nov 30, 2023
The clinical learning environment is important for achieving defined learning outcomes in nursing... more The clinical learning environment is important for achieving defined learning outcomes in nursing education programs; however, nursing students reportedly fail to accomplish the intended objectives of skill development and are not sufficiently competent. Although several studies have attempted to determine the magnitude of skill incompetence, these challenges have not been explored thoroughly. Objective: To explore the challenges experienced by nursing students during their internship at the highest institutions in Addis Ababa, Ethiopia. Methods: This phenomenological study was conducted with seven purposively selected nursing student participants to explore the challenges. Data were collected using a semi-structured interview guide with open-ended questions; telephone interviews were done, and notes were organized from May to July 2022. Content thematic analysis were done using the seven-step approach of Colaizzi's framework of analysis. Results: Five themes were identified, namely: nursing students' factors; role model-related factors; factors related to instructors; factors related to the responsibilities of the institutions; and factors related to time constraints were among the challenges experienced by nursing students. Participants raised that low motivation and willingness to learn among nursing students, lack of support and guidance, large number of students per clinical attachment, improper assessment methods, lack of learning equipment, lack of sufficient time for simulations (skill laboratory demonstration), and poor time management for theory and practice activities were some of the specific challenges they faced during their clinical internships. Conclusion: The challenges nursing students at the highest institutions encountered during their internship were factors related to nursing students; role model-related factors; factors related to instructors; factors related to the responsibilities of the institutions; and factors related to time constraints. Therefore, effective communication and understanding among concerned bodies are needed to better reflect these challenges, and an appropriate plan and intervention should be done to improve students' clinical supervision and support.
BMC Health Services Research, 2019
Background: Patients and users experiences are useful for monitoring the quality of the hospital ... more Background: Patients and users experiences are useful for monitoring the quality of the hospital provisions and to improve health care delivery. Research results on associations between parental satisfaction and their socio-demographic status are inconclusive. We have also found a scarcity of research on the associations between parental satisfaction and standards of neonatal intensive care (NICU) services. We used the Neonatal Satisfaction Survey (NSS-8) to collect data to explore associations between parental satisfaction and socio-demographic variables and, associations between parents' satisfaction and NICU care-services. Methods: A total of 568 parents from six different NICUs geographically dispersed in Norway completed the (NSS-8). All responses were rated and analysed using nonparametric analyses and logistic regression. Results: Support from families and friends is the most important sociodemographic area which links to reported levels of parental satisfaction. The most important areas for parents' satisfaction with NICU care services include the decision making processes regarding the infant, respect and empathy from staff, and the continuity of treatment and care. Parents were least satisfied with how NICUs facilitate ongoing care for siblings, parents and infants during later stages of their hospital stay. Parents reported being in need of more guidance and training in meeting their child's needs. Conclusion: To increase and sustain parents' satisfaction with NICU care considerations should be given to separate elements of the total provision made for affected families. This study suggests that health personnel could address the needs of all family members as these evolve through phases of their stays in hospitals; be more attentive to parents with very preterm infants and parents with long NICU admissions; provide support to siblings; and give more attention to parents' needs for continuity of care, follow-up, and information.
Research Square (Research Square), Jul 14, 2023
Background: In low-income countries like Ethiopia, delay in accessing maternal health care is one... more Background: In low-income countries like Ethiopia, delay in accessing maternal health care is one of the factors contributing to maternal mortality in developing countries. Several individual studies have been conducted on the prevalence of three maternal delays in Ethiopia. However, there is no pooled prevalence of the three maternal delays. Therefore, this systematic review and meta-analysis aimed to assess the overall prevalence of three maternal delays and associated factors in Ethiopian women. Methods and materials Only published articles were included in this review.
Pediatric Health, Medicine and Therapeutics
Jaundice is a common problem that affects up to 50-60% of full-term babies and 80% of preterm bab... more Jaundice is a common problem that affects up to 50-60% of full-term babies and 80% of preterm babies. It is a benign condition, but sometimes it can cause profound complications and eventually death. Identifying the treatment outcome of jaundice and the factors affecting it is crucial to preventing the death associated with it. Objective: To determine the treatment outcome of jaundice and its associated factors among neonates treated in neonatal intensive care unit of comprehensive and specialized hospitals of SNNPR, Ethiopia, 2022. Methods: An institution-based retrospective follow up study was conducted from April 2018 to April 2022. The data was checked for completeness and then entered into Epi-data version 4.6 and exported to STATA version 17. The results were presented in frequencies and percentages for categorical variables as well as mean and median for continuous variables. A binary logistic regression model was used to estimate the effect of an independent variable and the outcome variable. Results: A total of 423 charts were reviewed, and 416 (98%) were included in the final analysis. Almost 91.3% (95% CI: 88.2, 93.7) of neonates had improved. Factors significantly associated with the treatment outcome were:
International journal of noncommunicable diseases, Apr 1, 2024
BMC women's health, May 14, 2024
Background The client's satisfaction after abortion care is the key to sustaining abortion care a... more Background The client's satisfaction after abortion care is the key to sustaining abortion care and increasing the health status of those who had complications from abortion. Nevertheless, research conducted in Ethiopia stated that the major problem is the need for post-abortion care for females. One of the ways to improve the qualities involved in post abortion care and decrease the mortality and morbidity rates caused by unsafe abortion is by ensuring client satisfaction with abortion care. Strategy making and policy formulation based on systematic review take on the highest priority in developing countries. However, although some independent studies had been carried out in Ethiopia, their findings might not have been representative and conclusive. The main purpose of this systematic review and meta-analysis article is to establish the proportion of abortion clients who are satisfied with their abortion care and the factors that contribute to such satisfaction among clients in Ethiopia. Methods and materials Only published articles were considered in this review. The main databases included
International Journal of Africa Nursing Sciences, Dec 31, 2023
Nursing, Nov 30, 2023
The clinical learning environment is important for achieving defined learning outcomes in nursing... more The clinical learning environment is important for achieving defined learning outcomes in nursing education programs; however, nursing students reportedly fail to accomplish the intended objectives of skill development and are not sufficiently competent. Although several studies have attempted to determine the magnitude of skill incompetence, these challenges have not been explored thoroughly. Objective: To explore the challenges experienced by nursing students during their internship at the highest institutions in Addis Ababa, Ethiopia. Methods: This phenomenological study was conducted with seven purposively selected nursing student participants to explore the challenges. Data were collected using a semi-structured interview guide with open-ended questions; telephone interviews were done, and notes were organized from May to July 2022. Content thematic analysis were done using the seven-step approach of Colaizzi's framework of analysis. Results: Five themes were identified, namely: nursing students' factors; role model-related factors; factors related to instructors; factors related to the responsibilities of the institutions; and factors related to time constraints were among the challenges experienced by nursing students. Participants raised that low motivation and willingness to learn among nursing students, lack of support and guidance, large number of students per clinical attachment, improper assessment methods, lack of learning equipment, lack of sufficient time for simulations (skill laboratory demonstration), and poor time management for theory and practice activities were some of the specific challenges they faced during their clinical internships. Conclusion: The challenges nursing students at the highest institutions encountered during their internship were factors related to nursing students; role model-related factors; factors related to instructors; factors related to the responsibilities of the institutions; and factors related to time constraints. Therefore, effective communication and understanding among concerned bodies are needed to better reflect these challenges, and an appropriate plan and intervention should be done to improve students' clinical supervision and support.
BMC Health Services Research, 2019
Background: Patients and users experiences are useful for monitoring the quality of the hospital ... more Background: Patients and users experiences are useful for monitoring the quality of the hospital provisions and to improve health care delivery. Research results on associations between parental satisfaction and their socio-demographic status are inconclusive. We have also found a scarcity of research on the associations between parental satisfaction and standards of neonatal intensive care (NICU) services. We used the Neonatal Satisfaction Survey (NSS-8) to collect data to explore associations between parental satisfaction and socio-demographic variables and, associations between parents' satisfaction and NICU care-services. Methods: A total of 568 parents from six different NICUs geographically dispersed in Norway completed the (NSS-8). All responses were rated and analysed using nonparametric analyses and logistic regression. Results: Support from families and friends is the most important sociodemographic area which links to reported levels of parental satisfaction. The most important areas for parents' satisfaction with NICU care services include the decision making processes regarding the infant, respect and empathy from staff, and the continuity of treatment and care. Parents were least satisfied with how NICUs facilitate ongoing care for siblings, parents and infants during later stages of their hospital stay. Parents reported being in need of more guidance and training in meeting their child's needs. Conclusion: To increase and sustain parents' satisfaction with NICU care considerations should be given to separate elements of the total provision made for affected families. This study suggests that health personnel could address the needs of all family members as these evolve through phases of their stays in hospitals; be more attentive to parents with very preterm infants and parents with long NICU admissions; provide support to siblings; and give more attention to parents' needs for continuity of care, follow-up, and information.
Research Square (Research Square), Jul 14, 2023
Background: In low-income countries like Ethiopia, delay in accessing maternal health care is one... more Background: In low-income countries like Ethiopia, delay in accessing maternal health care is one of the factors contributing to maternal mortality in developing countries. Several individual studies have been conducted on the prevalence of three maternal delays in Ethiopia. However, there is no pooled prevalence of the three maternal delays. Therefore, this systematic review and meta-analysis aimed to assess the overall prevalence of three maternal delays and associated factors in Ethiopian women. Methods and materials Only published articles were included in this review.
Pediatric Health, Medicine and Therapeutics
Jaundice is a common problem that affects up to 50-60% of full-term babies and 80% of preterm bab... more Jaundice is a common problem that affects up to 50-60% of full-term babies and 80% of preterm babies. It is a benign condition, but sometimes it can cause profound complications and eventually death. Identifying the treatment outcome of jaundice and the factors affecting it is crucial to preventing the death associated with it. Objective: To determine the treatment outcome of jaundice and its associated factors among neonates treated in neonatal intensive care unit of comprehensive and specialized hospitals of SNNPR, Ethiopia, 2022. Methods: An institution-based retrospective follow up study was conducted from April 2018 to April 2022. The data was checked for completeness and then entered into Epi-data version 4.6 and exported to STATA version 17. The results were presented in frequencies and percentages for categorical variables as well as mean and median for continuous variables. A binary logistic regression model was used to estimate the effect of an independent variable and the outcome variable. Results: A total of 423 charts were reviewed, and 416 (98%) were included in the final analysis. Almost 91.3% (95% CI: 88.2, 93.7) of neonates had improved. Factors significantly associated with the treatment outcome were: