Diabetes mellitus is a metabolic disorder which is characterized by multiple long-term complications that affect almost every system in the body. Foot ulcers are one of the main complications of diabetes mellitus. However, there is limited evidence on the occurrence of foot ulcer and influencing factors in Ethiopia. An institutional-based cross-sectional study was conducted in Gondar University Hospital, Ethiopia, to investigate foot ulcer occurrence in diabetic patients. Systematic random sampling was used to select 279 study participants. Bivariate and multivariable logistic regression model was fitted to identify factors associated with diabetic foot ulcer. Odds ratio with 95% confidence interval was computed to determine the level of significance. Diabetic foot ulcer was found to be 13.6%. Rural residence [AOR = 2.57; 95% CI: 1.42, 5.93], type II diabetes mellitus [AOR = 2.58; 95% CI: 1.22, 6.45], overweight [AOR = 2.12; 95% CI: 1.15, 3.10], obesity [AOR = 2.65; 95% CI: 1.25, 5.83], poor foot self-care practice [AOR = 2.52; 95% CI: 1.21, 6.53], and neuropathy [AOR = 21.76; 95% CI: 8.43, 57.47] were factors associated with diabetic foot ulcer. Diabetic foot ulcer was found to be high. Provision of special emphasis for rural residence, decreasing excessive weight gain, managing neuropathy, and promoting foot self-care practice would decrease diabetic foot ulcer.
Evidence-based practice (EBP) is a problem-solving approach to clinical practice where, nurses integrate current best research evidence with their clinical skill and knowledge to make decisions for a specific client by considering his/her values. Despite the positive effects on patient care, nurses do not consistently utilise EBP in the clinical areas. The present study was aimed to assess the utilisation and associated factors of EBP among Nurses working in South Nations Nationalities and Peoples of Ethiopia Region Referral Hospitals, South Ethiopia. An institution-based cross-sectional study was conducted from July to September 2019; 684 respondents were selected using the simple random sampling technique, and out of them, 671 had completed the questionnaire making it 98% of response rate. Good EBP utilisation was found among 369 (55%) (95% confidence interval: 51.2, 58.9) participants. Marital status, knowledge, communication skill, training, Internet access, guideline availability and staff culture were the significant predictors for utilising evidence in practice. Although more than half of the respondents had utilised EBP, it was found to be not adequate. Availing EBP guidelines, Internet access and building nurse's EBP competencies, either by giving separate training or incorporating EBP as part of nursing curriculum would improve its utilisation.
Objectives: Occupation-related sharp injuries are a global problem; the death toll is around 2 million and is rising in low-income nations like Ethiopia. No information has been reported on sharp injuries in North and South Gondar primary hospitals and present study aims to determine the prevalence of sharp injuries among healthcare workers. Methods: A institutional crosssectional study conducted and 351 were randomly chosen. A self-administered questionnaire was used to collect data and analyzed with SPSS ver23. Bivariate analysis and Multiple logistic regression were used to understand confounding factors. Findings: The prevalence of sharp injuries among Healthcare workers (HCWs) lifetime and preceding 12 months were 131 (37.3%) and 86 (24.5%), respectively, of which 76 (58%) and 47 (54.65%) were reported by females. The chance of recurrent incidence of sharp injuries was more in operation theatre (37.5%). The primary source of injury was syringe needles 52 (42.5%). HCWs >10 years of work experience are more likely to experience sharp injuries compared to those less experience (<5 years) [AOR: 0.40, 95% CI: (0.21, 0.79)]. Never had any training on sharp injuries were more likely to report a sharp injury compared to those reported training [AOR: 0.55, 95% CI: (0.3, 1.024)]. Worked more than 48 hours/week reported more likely sustained sharp injuries [AOR: 0.95, 95% CI: (0.93, 0.98)]. HCWs dissatisfied with their work environment reported sharp injuries more than satisfied ones [AOR = 0.34, 95% CI: (0.2, 0.6)]. Similarly, having low [AOR: 0.26, 95% CI: (0.13, 0.56)] and moderate risk perception [AOR: 0.36, 95% CI: (0.19, 0.67)] significantly raised the odds of sharp injuries occurrence compared to a high-risk perception for sharp injuries. Novelty/conclusion: Present study showcases the moderate risk perception, https://www.indjst.org/ 1987
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