BackgroundPatient safety culture is an important aspect for quality healthcare delivery and is an issue of high concern globally. In Ethiopia health system little is known and information is limited in scope about patient safety culture. Therefore, the aim of this study was to assess the level of patient safety culture and associated factors in Jimma zone Hospitals, southwest Ethiopia.MethodsFacility based cross sectional quantitative study triangulated with qualitative approaches was employed from March to April 30/2015. Stratified sampling technique was used to select 637 study participants among 4 hospitals. The standardized tool which measures 12 patient safety culture composites was used for data collection. Bivariate and multivariate linear regression analyses were performed using SPSS version 20. Significance level was obtained at 95 % CI and p-value < 0.05. Semi structured guide in depth interview was used to collect the qualitative data. Content analysis of the interview was performed.ResultsThe overall level of patient safety culture was 46.7 % (95 % CI: 43.0, 51.2). Hours worked per week (β =−0.06, 95 % CI:−0.12,−0.001), reporting adverse event (β = 3.34, 95 % CI: 2.12, 4.57), good communication (β = 2.78, 95 % CI: 2.29, 3.28), teamwork within hospital (β = 1.91, 95 % CI: 1.37, 2.46), level of staffing (β = 1.32, 95 % CI: 0.89, 1.75), exchange of feedback about error (β = 1.37, 95 % CI: 0.91, 1.83) and participation in patient safety program (β = 1.3, 95 % CI: 0.57, 2.03) were factors significantly associated with the patient safety culture. The in depth interview indicated incident reporting, resources, healthcare worker attitude and patient involvement as important factors that influence patient safety culture.ConclusionsThe overall level of patient safety culture was low. Working hours, level of staffing, teamwork, communications openness, reporting an event and exchange of feedback about error were associated with patient safety culture. Therefore, interventions of systemic approach through facilitating opportunities for communication openness, cooperation and exchange of ideas between healthcare workers are needed to improve the level of patient safety culture.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1757-z) contains supplementary material, which is available to authorized users.
Background: Working environment is one of the factors which can determine public health conditions as many workers spend a large portion of their time at work.Objective: The aim of this study was to assess the magnitude and characteristics of occupational injury among workers in Kombolcha textile factory, North East Ethiopia.Methods: Institution based cross-sectional study design was conducted from April1-15, 2013 among 455 randomly selected workers after stratification by working departments. A structured questionnaire based interview, review of records of injury report and walk through survey using work environment observation checklist were used to support the self-reported information. Descriptive statistics were used for analysis using SPSS version 20.Results: The overall occupational injury prevalence rate was 36.9%. Puncture, abrasion/laceration, fracture, cut and back pain were the most common types of injury. Most of the sources of injury were due to machinery, lifting heavy objects, splinters, fall and hand tools.Conclusion: The magnitude of occupational injury at Kombolcha textile industry showed a high prevalence that indicates the need to work on integrated injury prevention by mainstreaming occupational health and safety procedures in all working departments of the factory. DOI: http://dx.doi.org/10.3126/ijosh.v3i2.8381
Background Family support is an essential component of caring for children with intellectual or developmental disability (IDD), however, specific family support needs in developing countries, such as Ethiopia, have received minimal attention in the literature to date. Objectives This study sought to understand the specific disability-related support needs of families with children with IDD in Addis Ababa, Ethiopia. We answered the following questions: (1) How do family members of children with IDD in the Mekaneyesus Centre in Addis Ababa currently meet their disability-related support needs?; (2) what are these family members’ most pressing unmet disability-related needs? and (3) how do family members perceive their capacity to meet their support needs? Method This study drew from an exploratory qualitative descriptive approach with 16 family members of children with IDD, recruited from a centre for children with IDD. We conducted semi-structured interviews in Amharic. We transcribed and translated interviews into English and guided by a conceptual framework for family support from Kyzar et al. ( 2012 ), we thematically analysed the data. Results Participants identified instrumental and emotional needs to be most prominent, with additional discussion around various physical and informational needs. Participants identified childcare as the most significant unmet need, which resulted in the loss of various important life roles. The participants discussed major sources of support coming from spirituality, family members and community. Stigma emerged as a critical family support theme external to the Kyzar et al. ( 2012 ) classifications of family support. Conclusion Although family members are adapting and responding to meet their needs in the best way they can, additional support, particularly related to childcare and future planning, is essential.
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