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Knowledge, attitudes and perceptions of geriatric nursing care among nurses at specialised hospitals in North-West Ethiopia: a facility-based, mixed-methods, cross-sectional survey

Por: Abawa · E. D. · Amlak · B. T. · Bewket · B. · Alem · G.
Objectives

To assess the level of knowledge, attitudes and perceptions of nurses regarding geriatric nursing care, and to identify factors associated with these outcomes among nurses working in specialised hospitals in North-West Ethiopia.

Design

Facility-based, mixed-methods study, consisting of a cross-sectional survey and qualitative interviews.

Setting

Specialised hospitals in the Gojjam area, North-West Ethiopia. The study was conducted from 25 October to 30 November 2024.

Participants

For the survey component, 424 nurses were selected using simple random sampling. Twelve nurses were purposively selected for the qualitative in-depth interviews.

Outcome measures

Knowledge and attitudes towards geriatric nursing care were measured using the Knowledge of Participants Questionnaire and the Older People in Acute Care Survey. Logistic regression identified factors associated with knowledge and attitudes. Qualitative data were analysed thematically.

Results

44.6% (95% CI 39.8% to 49.4%) of nurses had good knowledge and 45.3% (95% CI 40.5% to 50.2%) had a favourable attitude towards geriatric nursing care. Knowledge was significantly associated with being female (AOR 1.61; 95% CI 1.02 to 2.43), holding a diploma (AOR 0.40; 95% CI 0.17 to 0.93), holding a degree (AOR 0.32; 95% CI 0.16 to 0.65), having 6–10 years of experience (AOR 0.48; 95% CI 0.31 to 0.74) and room adequacy (AOR 0.63; 95% CI 0.42 to 0.95). Attitude was associated with 6–10 years of work experience (AOR 0.65; 95% CI 0.43 to 0.99) and working in academic hospitals (AOR 0.34; 95% CI 0.21 to 0.53). Qualitative findings highlighted gaps in training, workload challenges and environmental limitations.

Conclusion

Less than half of nurses had good knowledge or favourable attitudes towards geriatric nursing care. Gender, educational level, experience and room adequacy were associated with knowledge, while experience and hospital type were associated with differing attitudes. Integrating geriatric nursing into the curriculum and allocating adequate resources are recommended.

Prevalence and associated factors of suicidal behaviours and non-suicidal self-injury among youths of Gurage Zone, Ethiopia 2024: a community-based cross-sectional study

Por: Geleta · O. T. · Amlak · B. T. · Getie · A. · Amha · H. · Tarekegn · T. T. · Emire · M. S. · Terefe · T. F. · GebreEyesus · F. A.
Objective

To assess the magnitude and associated factors of suicidal behaviour and non-suicidal self-injury (NSSI) among youth of the Gurage Zone, Southern Nations, Nationalities, and Peoples Regional, Ethiopia, 2024.

Study design

A community-based cross-sectional study was conducted.

Setting

This research was carried out in the Gurage Zone.

Study participants

This study was conducted among 719 Gurage Zone youths from 1 January 2024 to 1 February 2024.

Outcome measures

Suicidal behaviours and non-suicidal self-injury were assessed using a pretested, interviewer-administered, structured questionnaire. Data were entered in EpiData V,3.1 and exported to SPSS V.25 for analysis. A binary logistic regression model was used to identify significant factors associated with suicidal behaviours and NSSI. Variables with a p-value less than 0.05 and adjusted ORs with 95% CI were used to declare association with the outcome variable in the final model.

Results

Out of the total 820 study participants, 719 participants participated in the study, giving a response rate of 88%. Among 719 respondents 465 (64.7%) were males. The prevalence of high risk of suicidal behaviours was 11.7% (95% CI 8.14 to 14.30) and it is significantly associated with substance use in the last 3 months (adjusted OR (AOR)=6.84; 95% CI 3.48 to 13.47), having moderate insomnia (AOR=3.09; 95% CI 1.30 to 7.31) and having depression (AOR=6.84; 95% CI 3.48 to 13.47).

The prevalence of NSSI among youths was 38% (95% CI 34.52 to 41.86). Substance use in the last 3 months (AOR=2.459; 95% CI 1.59 to 3.81), youths having depression (AOR=3.348; 95% CI 2.29 to 4.91), youths who were exposed to stressful life events (AOR=9.86; 95% CI 6.46 to 15.07) were significantly associated with NSSI.

Conclusion

Nearly 1 in 10 youths in the Gurage Zone exhibited high-risk suicidal behaviour, and over one-third reported NSSI. Suicidal behaviour was significantly associated with substance use, depression and moderate insomnia, while NSSI was significantly associated with substance use, depression and exposure to stressful life events. These findings highlight the prevalence of self-harm and the key factors associated with these behaviours among youth in this region.

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