Jemal Kemal, Samuel Assegid, Geta Abiyu, Desalegn Fantanesh, Gebru Lidia, Tadele Tezera, Genet Ewnetu, Abate Mulugeta, Tafesse Nebiyou
Department of Nursing, College of medical and Health Sciences, Salale University, Fitche, Ethiopia.
Ministry of Health Ethiopia, Human Resource Development Directorate, Addis Ababa, Ethiopia.
Arch Public Health. 2022 Mar 16;80(1):84. doi: 10.1186/s13690-022-00845-y.
Compassionate respectful, and caring (CRC) creates a pleasant environment for health workforce (HWF), customers, and families. For the past five years, the Ethiopian Ministry of Health (EMoH) has developed a CRC plan to improve person-centered care. Therefore, we aimed to assess the implementation status of CRC and associated factors in the 16 model health facilities (MHFs) in Ethiopia.
A cross-sectional study was employed from February to April 2021. A structured and semi-structured questionnaire was used to assess the level of CRC implementation in model health care facilities. Epi-data version 4.3 and SPSS version 26 software were used for data entry and analysis, respectively. Binary logistic regressions analysis was used and significance was obtained at the odds ratio with a 95% confidence interval and P-value < 0.05.
A total of 429 HWF participated in a self-administered questionnaire. The prevalence of compassionate and respectful care among HWF were 60.4%, and 64% respectively. Nurse professionals, midwives, having training on CRC, leader promoting CRC, having a conducive working environment and burnout management for HWF were significantly associated with compassionate care practice. Leaders promoting CRC, having a conducive working environment, and burnout management for HWF were significantly associated with respectful care practice.
The findings identified distinct issues related to CRC implementation in each 16 MHF. Addressing HWF skill gaps, a conducive working environment, and burnout management are encouraged CRC continuity. Incorporate CRC in pre-service education, health system strengthening, and motivating HWF are important for CRC strategic implementation.
关爱、尊重和体贴（CRC）为卫生工作队伍（HWF）、客户及家庭营造了愉悦的环境。在过去五年里，埃塞俄比亚卫生部（EMoH）制定了一项CRC计划，以改善以人为本的医疗服务。因此，我们旨在评估埃塞俄比亚16家示范医疗机构（MHF）中CRC的实施状况及相关因素。
于2021年2月至4月开展了一项横断面研究。采用结构化和半结构化问卷来评估示范医疗机构中CRC的实施水平。分别使用Epi-data 4.3版和SPSS 26版软件进行数据录入和分析。采用二元逻辑回归分析，以比值比、95%置信区间和P值<0.05来确定显著性。
共有429名卫生工作者参与了自填式问卷调查。卫生工作者中关爱护理和尊重护理的比例分别为60.4%和64%。护士专业人员、助产士、接受过CRC培训、有促进CRC的领导、有良好的工作环境以及对卫生工作者进行倦怠管理与关爱护理实践显著相关。有促进CRC的领导、有良好的工作环境以及对卫生工作者进行倦怠管理与尊重护理实践显著相关。
研究结果确定了16家示范医疗机构中与CRC实施相关的不同问题。解决卫生工作者的技能差距、营造良好的工作环境以及进行倦怠管理有助于CRC的持续开展。将CRC纳入职前教育、加强卫生系统以及激励卫生工作者对于CRC的战略实施至关重要。
