Stoke is the leading cause of death among adults, children and pregnant mother as well in Ethiopia. According to the latest WHO data published in may 2014 Stroke Deaths in Ethiopia reached 28,320 or 4.71% of total deaths. The age adjusted Death Rate is 71.94 per 100,000 of population ranks Ethiopia #107 in the world.
To assess the socio demographics and attitude towards of clinical expertise on acute stroke management among health professionals from December 2017 to April 2018.
Institution based cross sectional study design was employed. Stratified simple random sampling method used to select 102 health professionals. The collected data were analyzed using descriptive and inferential statistics.
Amongtotal participants 50.98% of the respondents were in the age group between 22-25 years, 59.80% were males and 40.19% female. Amongst participantsmajority (82.35) werebelongs to Amhara ethnicity and least were belongs to Gurage. Forty nine (48.03%) were belongs to orthodox and same (48.03%) with Muslims and 63.72% were married. Of 9.80% were general practitioner, 44.11% & 34.31% nurses & midwives respectively and 11.76 % are other health professionals. Qualification reveals that highest percentage (67.64%) of the respondents from BSc Nursing, 27.45% are diploma holders, 3.92% are completed MD and 1% are others. Of 61.76%) of them with less than 2 years of experience Regarding monthly income of the health professionals more (66.66%) are earning 10000 and above and only 25.9% were participated in similar study. Attitude towards acute stroke management among health professionals difference ad categorized as agree, disagree and undecided with 9 items. It can be over and done with that, mainstream of the health professionals had positive attitude, very less negative and only few were uncertain.
The present study revealed that majority of health professionals’ are attitude positive and only some of them are negative and a small number of undecided.
Keywords:Attitude, Aligned Factors, Acute stroke management, Health professionals.
Stroke is a medical emergency which can cause permanent neurological damage, complications, and death. It is the leading cause of adult disability in the world. It is the number two cause of death worldwide and may soon become the leading cause of death worldwide. [1] A stroke, or cerebrovascular accident (CVA), is the rapid loss of
The objective is to assess the socio demographics and attitude towards of clinical expertise on acute stroke management among health professionals from December 2017 to April 2018.
The study was conducted in the Hidar 11hospital, Akesta from December 2017 to April 2018.
An institutional based cross sectional study was employed.
All among health professionals working at Hidar 11 Hospital, Aketsa, Ethiopia.
All health professionals working at Hidar 11 Hospital
The study subjects were be the selected health professionals who meet the inclusion criteria
Stratified simple random sampling used to select 102 subjects.
All health professionals working at Hidar 11 Hospital who are working as full time.
Health professionals who are severely ill and not available in working area during data collection
Attitude regarding acute stroke management
Age
Sex
Religion
Ethnicity
Marital status
Profession
Work experience
Qualification
Similar research
Positive attitude: Health professionals who scored the correct answers and agreed for attitude related questions above the mean.
Negative attitude: Health professionals who not agreed for attitude related questions below the mean.
Undecided: Health professionals who not decided for attitude related questions below the mean.
Self-administered structured questionnaires were administered to collect data. The questionnaires contain variables related to: Socio-demographic and Attitude of health professionals regarding acute stroke management. The questionnaires were prepared in English and; then, distributed for the Research Review Ethics Committee of Wollo University. After approval paper is taken from related hospital, the data distributed for the study subjects in English version. The data collection will be facilitated by trained BSC nurses.
Training was be given to data collectors 2 days before the actual data collection. Pre-test based feasible corrections will be made in questionnaires. Moreover, PIs will closely supervise the field activity on daily basis during data collection. At the end of each data collection day the principal investigator will check the completeness of filled questionnaires and quality of the recorded information. To evaluate the consistency of the questionnaires, pre-test was conducted on 10% of the sample size 1 week before the actual data collection using self-administered questionnaires. This Pre-test study will conducted among health professionals of other hospital which were not being included in main study.
Initially ethical clearance will be obtained from Wollo University, College of Medicine and Health Sciences, and Department of Comprehensive Nursing Research Review Ethical Committee. Then, the formal letter was given to Akesta Hospital to obtain the permission to conduct the study. All the participants’ response was kept confidential and their right to refuse to answer for the questions was be respected.
This part deals with distribution of participants according to their demographic characteristics. Data was analyzed using descriptive statistics and are summarized in terms of percentage.
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| 22-25 | 52 | 50.98 | |
| 26-30 | 44 | 43.13 | |
| 31-35 | 5 | 4.90 | |
| 36 & above | 1 | 0.98 | |
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| Male | 61 | 59.80 | |
| Female | 41 | 40.19 | |
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| Oromo | 7 | 6.86 | |
| Amhara | 84 | 82.35 | |
| Gurage | 1 | 0.98 | |
| Tigray | 8 | 7.84 | |
| Others | 2 | 1.96 | |
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| Orthodox | 49 | 48.03 | |
| Muslim | 49 | 48.03 | |
| Protestant | 4 | 3.92 | |
| Catholic | 00 | - | |
| Others | 00 | - | |
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| Single | 65 | 63.72 | |
| Married | 34 | 34.68 | |
| Divorced | 2 | 1.96 | |
| Widowed | 1 | 0.98 | |
| Others | 00 | - | |
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| General Practitioner | 10 | 9.80 | |
| Nurse | 45 | 44.11 | |
| Midwifes | 35 | 34.31 | |
| Others | 12 | 11.76 | |
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| Diploma | 28 | 27.45 | |
| BSc | 69 | 67.64 | |
| Medicine | 4 | 3.92 | |
| Others | 1 | 0.98 | |
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| 0-2 | 63 | 61.76 | |
| 3-5 | 29 | 28.43 | |
| 6-10 | 9 | 8.82 | |
| and above | 1 | 0.98 | |
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| Up to 5000 | 14 | 13.72 | |
| 5001-10000 | 20 | 19.60 | |
| 10001 and above | 68 | 66.66 | |
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| Yes | 25 | 24.5 | |
| No | 77 | 75.49 |
Above stated data revealed that percentage distribution of health professionals according to their age in years shows that the uppermost percentage (50.98%) of the respondents were in the age group between 22-25 years, 43.13% of the respondents were in the age between 26-30 years, 4.90% were 31-35 years and just (0.98% ) were in the age group of above 36 years.With respect to gender allocation of samples most (59.80%) of the respondents were males and 40.19% were female. Amongst participantsmajority (82.35) werebelongs to Amhara ethnicity and least were belongs to Gurage. Forty nine (48.03%) were belongs to orthodox and same (48.03%) with Muslims. Among 102 samples 63.72% were married and least (0.98%) are widowed. Giving out of sample according to their profession 9.80% were general practitioner, 44.11% & 34.31% nurses & midwives respectively and 11.76 % are other health professionals. Qualification reveals that highest percentage (67.64%) of the respondents from BSc Nursing, 27.45% are diploma holders, 3.92% are completed MD and 1% are others. Among selected health professionals majority (61.76%) of them have less than 2 years of experience and only 0.98% have 11 and above years of experience. Regarding monthly income of the health professionals more (66.66%) are earning 10000 and above. Greater part (75.49%) of the participants was not participated in similar study.
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| Do you think acute stroke management is very important in saving patient life? | 97 | 95.09 | 4 | 3.92 | 1 | 0.98 | |
| Do you think treating the brain attack in early hour is important? | 92 | 90.19 | 3 | 2.94 | 7 | 6.86 | |
| Are you using advanced management in treating Brain attack in future? | 74 | 72.54 | 16 | 15.68 | 12 | 11.76 | |
| Would you be willing to learn advanced stroke management and adopt in your practice? | 75 | 73.52 | 18 | 17.64 | 9 | 8.82 | |
| Would you be willing to practice this work flow regardless of conditions? | 79 | 77.45 | 14 | 14.28 | 9 | 8.82 | |
| Would you be willing to teach co-workers and patient about acute stroke management? | 73 | 71.56 | 13 | 12.74 | 16 | 15.68 | |
| Would you be willing to attend training on acute stroke management? | 68 | 66.66 | 15 | 14.70 | 19 | 18.62 | |
| Do you think acute stroke management can help for patient survival at 100 %? | 50 | 49.01 | 26 | 25.49 | 26 | 25.48 | |
| Do you think any professional training about acute stroke management will be useful? | 78 | 76.47 | 11 | 10.78 | 13 | 12.74 |
Among all respondents, majority of (95.09%) them agreed acute stroke management is very important in saving patient life, 3.92% disagree and only 0.98%of them were undecided. When asked do you think treating the brain attack in early hour is important. Most of them (90.12 %%) agreed, 6.86 % undecided and some (2.94%) of them disagree. Most of the samples (72.54%) contracted when we asked them, are you using advanced management in treating Brain attack in future? Of them 15.68 % were said No and 11.76% were uncertain. Conventional (73.52%) numbers were all set to learn advanced stroke management and adopt in practice, only small members (17.64 %) are not and very few (8.82%) were at ambiguous.
More (77.45%) had agreed to practice recent work flow regardless of conditions and 14.28% were not agreed and some (8.82) were tentative. Broadly held figure (71.56%) are positive towards to teach co-workers and patient about acute stroke management, 15.68% were not sure and 12.74% are not ready. About 66.66 % participants are willing to attend training on acute stroke management, 18.62% were undecided and 14.70% are not willing for the same. Many (49.01%) health professionals are sure that acute stroke management can help for patient survival at 100 %? Very close opinion (25.49%) not agree and 25.48% were don’t know clearly. Good numbers (76.47%) of professionals wish to have professional training regarding acute stroke management, while some (12.74%) were uncertain and few (10.78%) participants had negative attitude. The above cited data depict that, the attitude towards acute stroke management among health professionals difference ad categorized as agree, disagree and undecided with 9 items. It can be over and done with that, mainstream of the health professionals had positive attitude, very less negative and only few were uncertain.
A research from Brazil revealed the attitude that one-hundred forty-nine of 205 (73%) participants answered the questionnaire; 49% were women, average age of 37 years (range 21–59). Ninety (60%) were professionals allied to medicine (PAM–nurses, health auxiliary, dentists), six (4%) were physicians, and 53 (36%) were other professionals (secretary, driver). [9]
In this study the percentage distribution of health professionals according to their age in years shows that the uppermost percentage (50.98%) of the respondents was in the age group between 22-25 years. In gender allocation most (59.80%) of the respondents were males and 40.19% were female and majority (82.35) werebelongs to Amhara ethnicity and least were belongs to Gurage. Forty nine (48.03%) were belongs to orthodox and same (48.03%) with Muslims and 63.72% were married. Off 9.80% were general practitioner, 44.11% & 34.31% nurses & midwives respectively and 11.76 % are other health professionals. Qualification reveals that highest percentage (67.64%) of the respondents from BSc Nursing, 27.45% are diploma holders, 3.92% are completed MD and 1% are others. Among participants majority (61.76%) of them have less than 2 years of experience. The monthly income of the health professionals more (66.66%) are earning 10000 and above and greater part (75.49%) of the participants was not participated in similar study.
An Iran study shows that the attitude towards stroke risk factors in the general population of Shiraz is adequate. [10] This study revealed that, the attitude towards acute stroke management among health professionals difference ad categorized as agree, disagree and undecided with 9 items. It can be over and done with that, mainstream of the health professionals had positive attitude, very less negative and only few were uncertain.
The present study showed a gap between the lifestyle of the population of the city of S
The present study showed a gap between the lifestyle of the population of the city of S
The present study showed a gap between the lifestyle of the population
The present study showed a gap between the lifestyle of the population
The present study showed the attitude towards acute stroke management among health professionals difference and categorized as agree, disagree and undecided with 9 items. It can be over and done with that, mainstream of the health professionals had positive attitude, very less negative and only few were uncertain.
We acknowledge our gratitude to Almighty for his grace and blessings throughout the study. We express my sincere thanks Wollo University - CMHS. Our honest thanks to all Hidar 11 hospital participants who formed the core and basis for this study. Our intense gratitude extended to both the hospital authority, team members, friends and others.
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Benjamin et al. Heart Disease and Stroke Statistics—2017 Update A Report From the American Heart Association. Circulation. 135, 2017, 2017.
Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, et al. Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study Lancet 383, 2014, 245–255.
Chin JH Stroke in Sub-Saharan Africa: An Urgent Call For Prevention. Neurology 78, 2012, 1007–1008.
Beaglehole R, Bonita R, Alleyne G, Horton R, Li L, et al. UN High-Level Meeting on Non-Communicable Diseases: addressing four questions. Lancet 378, 2011, 449–455.
Davies Adeloye. An Estimate of the Incidence and Prevalence of Stroke in Africa: A Systematic Review and Meta-Analysis. PLoS One. 9(6), 2014, e100724.
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T. Fernandes et al. Perception and Attitude towards Stroke by Professionals of Emergency Medical Service in an Urban City in Southeastern Brazil. Journal of Stroke and Cerebrovascular Diseases, 18(3), 2009, 195-197.
Afshin B. et al. Knowledge and Attitude towards Stroke Risk Factors, Warning Symptoms and Treatment in an Iranian Population. Medical Principles and Practice 19(6), 2010, 468-72.