SPHMMC Research Repository

The Institutional Research Repository of St. Paul’s Hospital Millennium Medical College (SPHMMC) serves as a centralized digital archive that preserves and showcases the scholarly output of the college community. It hosts research works produced by current and past members of SPHMMC, including undergraduate and postgraduate students as well as faculty across diverse departments.

By providing open access to theses, dissertations, faculty publications, and collaborative projects, the repository strengthens knowledge sharing, supports academic excellence, and ensures that the contributions of the college’s researchers remain accessible for future learning, innovation, and policy development.

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Recent Submissions

ASSESSMENT OF NURSES’ KNOWLEDGE AND PRACTICES ON PERIOPERATIVE NURSING DOCUMENTATION OF SPHMMC, 2025
(2025) kedir, Rewda; Abebe, Mignot; Teklu ,Tsegaye; G/Silase, Birhane
Abstract Background: Accurate perioperative documentation is vital for patient safety, legal protection, and quality care. However, nurse-related factors such as knowledge, training, and experience influence documentation practices across departments. Objective: To assess the knowledge and practice of nurses on perioperative documentation at St. Paul’s Hospital Millennium Medical College (SPHMMC) and explore associated factors such as training, department, and work experience. Methods: A cross-sectional quantitative study was conducted among 124 perioperative nurses using a structured questionnaire. Data were analyzed to identify patterns in knowledge, practice, and influencing variables. Results: The response rate was 92.5%. Most respondents were female (58.9%), aged 25–34, held a BSc degree (93.5%), and had 3–7 years of experience (78.2%). • Knowledge: 91.1% had good knowledge; recovery unit nurses scored 100%. • Practice: 89.5% demonstrated good documentation practice; however, gaps were noted in the OR. • Nurses with over 7 years of experience had a 100% good practice rate, while mid-career nurses (5–7 years) showed more poor practice cases. • Training impact: Among trained nurses, 94.1% practiced well vs. 61.5% among untrained ones. • Electronic documentation training was received by 65.8%, yet 34.2% lacked such training. • There was a strong, though not perfect, correlation between knowledge and practice. • Departmental roles and workload influenced both knowledge and application. Conclusion: SPHMMC nurses demonstrated high knowledge and generally good practice in perioperative documentation. However, inconsistencies remain, particularly in high pressure departments like the OR and among mid-career nurses. Targeted training, consistent supervision, and clear documentation standards are essential to bridge the gap between knowledge and practice. Keywords: Perioperative documentation, nursing practice, knowledge assessment, training, SPHMMC, surgical safety
Posttraumatic stress disorder magnitude and associated factors among nurses participated during COVID-19 pandemic.
(2024) Sisay, Tesfaye
Summary Introduction – Post-traumatic stress disorder (PTSD) affects 38% of nurses, particularly those exposed to COVID-19. The severity of the pandemic has significantly impacted nurses, leading to mental illnesses like PTSD. It's crucial to recognize the emotional impact of nursing and advocate for supportive environments to prevent PTSD. Objective – The study mainly aimed to investigate posttraumatic stress disorder magnitude, related factors and Coping outcomes among nurses participated during the COVID-19 pandemic. Methods: The 8-item PTSD check list and brief cope inventory were used to assess PTSD and coping mechanisms among 320 nurses participated on covid-19 patient care during the pandemic, Data collection held from May 15 – June 14 2024. Data entered using Epi-Info and exported to SPSS version 26 for further analysis. A binary logistic regression model used to identify associated factors; a variance inflation factor (VIF) determined that there was no multi-co linearity. A p value < 0.25 on binary logistic regression analysis considered for multivariate analysis. Results: The magnitude of PTSD among nurses were found to be 39.4%. In this study, factors such as Sex being male (AOR=.502 95% CI: .294-.856), being married (AOR= .357 95% CI: .194 .658), monthly income below 10000ETB (AOR=2.692 95% CI: 1.443-5.020),1:1 nurse to patient ratio (AOR=2.901 95% CI: 1.325-6.352), avoidant and problem focused coping mechanisms with (AOR= .056 95% CI: .006-.453) and (AOR= .269 95% CI: .093-.779) respectively plus unidentified coping mechanisms (AOR= .265 95%CI: .126-.557) were significantly associated with PTSD among nurses. Conclusion: Given the high prevalence of PTSD among nurses participated on covid patient care, initiation of participation and involvement of the Ethiopian Ministry of Health on monitoring mental health, expanding mental health services, and developing interventions based on identified factors to treat PTSD among nurses will decrease the higher magnitude of PTSD and its impacts. Keywords - PTSD, COVID-19, Nurses, Pandemic, Ethiopia.
Assessment of post–operative pain management among health provider and patient at SPHMMC Hospital, Addis Ababa, Ethiopia, Cross-Sectional Study, 2025.
(2025) Girma , Beliyou; Ahemad, Hikma; Nedi, Birtukan; Diriba, Wondu
Abstract Background: Effective postoperative pain management is crucial for ensuring optimal patient recovery, reducing hospital stay duration, and minimizing overall healthcare costs. This study aims to assess the postoperative pain management practices at Saint Paul’s Hospital Millennium Medical College. This study aims to fill the gap of understanding of postoperative pain management practices at Saint Paul’s Hospital Millennium Medical College. Method: The study utilized qualitative approach and institution based cross sectional study design. The sample size of the study was thirty participants. Qualitative data was gathered through in-depth face to face interviews .Thematic analysis was used for qualitative data. Results: Majority of the participants described that they feel pain at the surgical site .There were the shortages of resources such as drugs within the hospital to provide post operative pain management. There were the gaps of trainings to the staff regarding post operative pain management. Conclusion: According to the study's findings there were the shortages of resources such as drugs and gaps of trainings to the staff within the hospital to provide post operative pain management. Additionally, there was a gap of being compassionate in assessing post operative pain and its outcome among health care providers. Key words: Postoperative pain management, pain, surgery
Magnitude of Postoperative Lung Decortication Complications and Associated Factors at Public Hospitals of Addis Ababa, Ethiopia, 2024
(2024) Soressa, Kumeshi
Abstract Introduction: Decortication is a surgical procedure, which involves a peeling off of a restrictive fibrous layer that overlies and entraps the lung. There is no research conducted on the postoperative complication and associated factors of lung decortication in Addis Ababa, Ethiopia. Objectives: To assess the magnitude of postoperative lung decortication complications and the associated factors at public hospitals in Addis Ababa, Ethiopia. Methods: Hospital-based cross-sectional study was conducted among 254 post-operative lung decortication patients who were admitted to surgical units of public hospitals in Addis Ababa, Ethiopia from May to June 2024. Data was collected through a chart review of lung decortication patients from March 2021 to February 2024 with a systematic random sampling method. Data was entered and analyzed with Epi-data 4.6.0.6 and SPSS version 27 software respectively. Descriptive statistics was used to describe the characteristics of the post-decortication patients. Crude odds ratio and adjusted odds ratio, with 95% CI and p-value were used to assess the strength of association and statistical significance. Then the variables with a p-value of < 0.05 with multivariable logistic regression were considered to show significant association. Finally, the data is presented with narratives, tables, and figures. Result: About 254 post-operative lung decortication patient records from the surgical unit were reviewed and analyzed in this study with a response rate of 100%. The overall post-operative lung decortication complication in this study is 48 %( 95% CI: 43.1-53.9). American society of anesthesiologists status of III [AOR; 95% CI: 6.95(2.55-18.91)], smoking history [AOR; 95% CI: 3.43(1.04-11.28)], preoperative infection [AOR; 95%CI: 2.01(1.08-3.74)], reoperation [AOR; 95% CI: 6.6(2.39-18.17)], and being operated with thoracotomy or Sternotomy [AOR; 95% CI: 4.88(1.34-17.74)] were the factors significantly associated with post decortication complication. Conclusion and recommendation: Post-operative decortication complication in this study is high. Surgical site infections should be prevented with proper and timely chest tube and wound care and The Ethiopian ministry of health in collaboration with hospitals in Addis Ababa better to promote Video-assisted Thoracoscopic surgery procedure. Keywords: Associated factors, Decortication, Ethiopia, postoperative complication.
OPERATING TEAM MEMBERS KNOWLEDGE,ATTITUDE AND PRACTICE OF PERSONAL PROTECTIVE EQUIPMENT AT SPHMMC ADDIS ABABA ETHIOPIA, 2023.
(2023) MESERET, ABEBE; TESFA, MARSHET; FIKRU, SAMRAWIT
ABSTRACT BACKGROUND Personal protective equipment (PPE) provide a physical barrier between the user and micro organisms by preventing micro-organisms from contaminating the mucous membranes, airways, skin, clothing, hair and shoes of health care workers. Personal protective equipment (PPE) limits the health care workers contact with all secretions or biological products. This study is planned to find gaps between uses of PPE among the health care provider (HCPs). The study aims: to assess the KAP on PPE use among SPHMMC operation room working health workers. OBJECTIVES: The objective of this study was to assess knowledge, attitude and practices on personal protective equipment in operation room at SPHMMC. Materials and Methods: - Hospital based cross-sectional prospective study design was used to collect data from 260 healthcare working in public hospitals in Addis Ababa from October 2022 up to December /2022. The data were collect using purposive sampling method for self administered questioner health care worker were used to collect the data to determine the knowledge, attitude and practices of operation room on PPE at St, paul’s hospitals, Addis Ababa Ethiopia.Data were analyzed by using MS-Excel 2010 (SPSS V26) and presenting the data in the form of percentage using tables, pie chart and bar chart. Result: - A total of 260 health care worker with response rate of 248 (95.3%) were participated in this study. 49(19.8%) has poor knowledge, 199 (80.2%) were good knowledgeable, Based on quantitative finding 227 (91.5%) of respondents have favorable attitude for health care workers whereas the 21(8.5%) has unfavorable attitude and Based on practice of heath care worker 198(79.8%) were correct practice and 50(20.2%) were incorrect practice. CONCLUSION: The study showed inappropriate use and lack of adequate knowledge on infection control practices emphasizing that periodic re-training is needed. PPE use is vital in safeguarding the HCWs and reduces spread of infection. Increasing the awareness of health care workers about the importance of adherence to usage of PPE is very important and will help in reducing transmission of infection to them. Protection of health care workers from acquisition of infectious diseases can be achieved by compliance to established infection control. Recommendation: Periodic reinforcement and training programs are needed for all level of health care workers for adherence with appropriate use of personal care equipment. Key wards: Knowledge, Attitude and Practice, personal protective equipment operating room And health care workers