Job Satisfaction, Engagement and Associated Factors Among Employees Working at Adama Hospital Medical College, Adama, Oromia Regional State, Ethiopia:Institution Based Cross Sectional Study

High level of professional satisfaction among healthcare workers earns high dividends such as higher worker force retention and patients satisfaction.The aim of this study is to assess level of employees satisfaction and associated factors among employees working in Adama hospital medical college town from January to March 2019.Institution based cross-sectional study design was employed.About 389 employees were interviewed.Multi variable logistic regression analysis was used to identify the relationship among predictors and outcome variable.Variables with P-value<0.25 at bivariate logistic regression analysis were entered into multi variable logistic regression.P-value<0.05 and adjusted odds ratio at 95%level of significance was be used to declare predictors of employees satisfaction.A total of 389 study participant responded to the questionnaires with response rate of 92.20%.More than half 212(54.5%)were male and the mean age of study participants were 32.24 years(SD±7.87).The overall level of job satisfaction was 185(47.6%)(95%CI:1.43,1.53).Factors like shisha smoking(AOR,0.4;95%CI:0.01,0.44),co-workers relationship(AOR,2.85;95%CI:1.21,6.72),working environment(AOR,4.08;95%CI:1.98,8.41),autonomy at their working(AOR,4.40;95%CI:1.89,11.19),commitment for their organization(AOR,2.48;95%CI:1.20,5.10),performance evaluation(AOR,5.69;95%CI:2.53,12.80),promotion or growth opportunity(AOR,9.58;95%CI:4.11,22.32)and relationship with immediate supervisor(AOR,4.59;95%CI:1.89,11.19)shows significant association with employees’job satisfaction.The overall level of employees satisfaction is low.The organization should work on factors associated with employees’job satisfaction in order to increase satisfaction levels of employees.

Prognostic models for acute liver failure

BACKGROUND: Acute liver failure (ALF) remains a dramatic and unpredictable disease with high morbidity and mortality. Early and accurate prognostic assessment of patients with ALF is critically important for optimum clinical pathway. DATA SOURCES: Five English-language medical databases, MEDLINE, Science Direct, OVID, Springer Link and Wiley Interscience were searched for articles on 'acute liver failure', 'prognosis', and related topics. RESULTS: Multi-variable prognostic models including the King's College Hospital criteria and the model for end-stage liver disease score have been widely used in determination of the prognosis of ALF, but the results are far from satisfactory. Other prognostic indicators including serum Gc-globulin, arterial blood lactate, serum phosphate, arterial blood ammonia, and serum alpha-fetoprotein are promising but await further assessement. CONCLUSIONS: A reliable prognostic model to be developed in the future should not only have predictive value for poor outcome but also help to predict the survival of patients without a liver transplantation. Further studies are necessary to assess the prognostic accuracy of any new models. (Hepatobiliary Pancreat Dis Int 2010; 9: 122-128)

Enhancing nursing education via academiceclinical partnership:An integrative review

A competent nursing workforce is important for an effective healthcare system.However,concerns on the poor quality of nursing care and poor competencies among nursing students,nurses,and midwives are increasing in Malawi.Anecdotal notes from stakeholders show shortfalls in nursing education.Furthermore,a large gap between theory and practice exists.This study described the role of academiceclinical partnership in strengthening nursing education.A search of ScienceDirect,PubMed,Medline,and PsychINFO on EBCSOhost and Google Scholar was conducted using the following key words:academic eclinical collaboration,academiceclinical partnership,academic practitioner gap,and college hospital partnership or/and nursing.Furthermore,peer reviewed reports on academiceclinical partnership in nursing were included in the search.Thirty-three records from 2002 to 2016 were reviewed.Six themes emerged from the review:mutual and shared goals,evidence-based practice,resource sharing and collaboration,capacity building,partnership elements,and challenges of academic clinical partnership.The review highlighted that academicepractice partnerships promote shared goal development for the healthcare system.The gap between theory and practice is reduced by the sharing of expertise and by increasing evidence-based practice.Academic clinical partnership improves competencies among students and the safety and health outcomes of patients.The study concluded that the nursing education implemented within an academic clinical partnership becomes relevant to the needs and demands of the healthcare system.