Level of compassionate health care service provision and its associated factors among health professionals working in public hospitals of Addis Ababa: health professionals’ perspective

Mulugeta, Abate; Tadesse, Nigussie; Mitiku, Kindie

doi:10.1016/j.heliyon.2022.e09160

Cited by 7 publications

(8 citation statements)

References 23 publications

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“…The result of this finding was in line with the result of the study done in Addis Ababa (48.0%) [ 18 ] on the health professionals' perspective at a health center and in North East Ethiopia (51.55%) on the patient perspective of compassionate care [ 7 ].…”

Section: Discussionsupporting

confidence: 84%

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Perceived compassionate care and associated factors among patients with mental illness at Tibebe Ghion specialized and Felege Hiwot comprehensive specialized hospital, Northwest Ethiopia

Abate

Menberu

Belete

et al. 2023

BMC Health Serv Res

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Background Compassion is the first ethical principle of health care to provide high- quality care that influences patient satisfaction and treatment outcome. However, there is limited data on the level of compassionate mental health care practice in low-resource countries like Ethiopia. Objectives This study aimed to assess the level of perceived compassionate care and associated factors among patients with mental illness at Tibebe Ghion specialized and Felege Hiwot comprehensive specialized hospital, North West, Ethiopia, 2022. Methods An institutional-based cross-sectional study design was conducted from June 18 to July 16, 2022, at Tibebe Ghion Specialized and Felege Hiwot Comprehensive Specialized Hospital. A systematic random sampling technique was used. The level of perceived compassionate care was assessed by the validated 12-item Schwartz Center Compassionate Care Scale among 423 patients with mental illness. Epicollect-5 was used to collect data, which was then exported to the Statistical Product and Service solution version 25 for analysis. Variables with a P-value < 0.05, and 95% confidence interval (CI) were used to declare significant variables at the multivariate logistic regression analysis. Result The level of perceived good compassionate care was 47.5% (95% CI 42.6%-52.4%). Factors including urban residence (AOR = 1.90; 95%CI 1.08–3.36), duration of illness < 24 months (AOR = 2.68; 95% CI 1.27–5.65), strong social support (AOR = 4.43; 95%CI 2.16–9.10), shared decision making (AOR = 3.93; 95% CI 2.27–6.81), low perceived stigma(AOR = 2.97; 95% CI 1.54–5.72) and low patient anticipated stigma (AOR = 2.92; 95% CI 1.56–5.48) were positively associated with good compassionate care. Conclusion and recommendation Less than half of the patients had received good compassionate care. Compassionate mental health care needs public health attention. Policymakers should emphasize on compassionate care continuity by including it in the health care curriculum and design appropriate policies to strengthen compassionate care.

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Section: Discussionsupporting

confidence: 84%

“…For instance, the study in the North Showa zone used 24 question items for non-psychiatric patients. Moreover, the study setting in this zone included both hospitals and health centers [ 18 ]. In contrast, only patients who visited for mental health services were included in this study, which used newly validated 12- item tools [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Perceived compassionate care and associated factors among patients with mental illness at Tibebe Ghion specialized and Felege Hiwot comprehensive specialized hospital, Northwest Ethiopia

Abate

Menberu

Belete

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

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“…The WHO adopted the chronic care model (CCM) in 2004 as one of the benchmarks for improving care quality (46). However, only 48% of the health professionals studied in Ethiopia provided compassionate care (47).…”

Section: Superordinate Theme 4: -Health Service-related Experiencesmentioning

confidence: 99%

“…The interviewer noticed that participants three, nine, and ten were afraid to mention the health-care challenges during an interview. A study conducted among health professionals at Addis Abeba Health Professionals found that less than half of the participants received compassionate care (47).…”

Section: Superordinate Theme 4: -Health Service-related Experiencesmentioning

confidence: 99%

Living with Stigmatized Identity: An Interpretative Phenomenological Analysis of the Lived Experiences of patients with Chronic Illness in Ethiopia

Hassen

Mekonnen

Derseh

et al. 2023

Preprint

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Introduction: - Anticipated stigma or the fear of future prejudice, discrimination, and stereotyping is a bad experience that harms the mental and physical well-being of individuals with chronic illnesses. Exploring the lived experiences of anticipated stigma is crucial for enhancing the standard of care for all patients, especially in countries with few resources. With this context, the goal of this study was to explore the experiences of chronic illness patients who attended follow-up clinics in the Amhara Region Referral Hospitals in Ethiopia. Methods: Twelve participants with chronic illnesses were interviewed using semi-structured questions after being purposefully chosen from the University of Gondar Specialized Hospital and Felege Hiwot Specialized Hospital. The data were analyzed using an interpretative phenomenological inductive approach. Results: - The overarching category was "Living with stigmatized identities." The three main themes identified were chronic illness, altered self, and suggested solutions to handle disease-related consequences and the disease outcome. Behavioral changes, discrimination, health service-related factors, stigma, solutions, and signs of the disease outcome were the six superordinate themes. Conclusion: - Our conclusion that a stigmatized identity incorporates significant experiences related to chronic illnesses and an altered self leads us to recommend solutions that address both the disease's symptoms and its side effects. Reorganizing chronic care systems, using evidence-based protocols, improving patient education about opportunities and challenges, expanding access to senior chronic care experts, such as chronic care nurses, and expanding the availability of clinical management at the closest healthcare facility are among the interventions that are effective in improving outcomes in this group of patients.

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“…Perceived compassionate care. It is critical to high-quality health care and was measured by the Schwartz Center Compassionate Care Scale 1 (SCCCS), which assesses the level of perceived compassionate health care and categorized as high; a score greater than the mean (76.74) and low; a score less than the mean (76.74) [20][21][22].…”

Section: Operational Definitionsmentioning

confidence: 99%

Level of shared decision making and associated factors among patients with mental illness in Northwest Ethiopia: Explanatory sequential mixed method study

et al. 2023

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Background Shared decision-making is a patient–centered and a recovery-oriented mental health system in which consumers are encouraged to actively engage in illness management. Although shared decision-making research in mental health has evolved rapidly in the past two decades, there is a lack of studies examining the level and factors associated with shared decision-making practice in low-income countries like Ethiopia. Methods An institutional-based explanatory sequential mixed method study design was conducted from July 18 to September 18, 2022, at Bahir Dar city specialized hospitals. A systematic random sampling technique was used. The level of shared-decision making was measured by 9-item shared decision-making questionnaire among 423 patients with mental illness. Epicollect5 was used to collect data, which was then exported to the Statistical Package for social science version 25 for analysis. Variables with a P-value < 0.25 were considered candidates for the multivariate logistic regression analysis. The odds ratio with a 95% confidence interval was used to show the strength of the association. An in-depth interview was conducted among ten purposively selected participants. Result Low shared decision-making practice was found to be 49.2% (95% CI 45.9%-55.7%). The Multivariate analysis showed that low perceived compassionate care (AOR = 4.45; 95%CI 2.52–7.89), low social support (AOR = 1.72; 95% CI 1.06–2.80), and no community-based health insurance (AOR = 1.96; 95%CI l.04–3.69) were positively associated with low shared decision making. The qualitative result showed that the most common barriers to shared decision-making were a lack of empathy and a shortage of mental health workers. Conclusion and recommendation Almost half of the patients had low shared decision-making practices. This implies that shared decision-making requires high attention as it is essential for patient-centered care.

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Level of compassionate health care service provision and its associated factors among health professionals working in public hospitals of Addis Ababa: health professionals’ perspective

Cited by 7 publications

References 23 publications

Perceived compassionate care and associated factors among patients with mental illness at Tibebe Ghion specialized and Felege Hiwot comprehensive specialized hospital, Northwest Ethiopia

Perceived compassionate care and associated factors among patients with mental illness at Tibebe Ghion specialized and Felege Hiwot comprehensive specialized hospital, Northwest Ethiopia

Living with Stigmatized Identity: An Interpretative Phenomenological Analysis of the Lived Experiences of patients with Chronic Illness in Ethiopia

Level of shared decision making and associated factors among patients with mental illness in Northwest Ethiopia: Explanatory sequential mixed method study

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