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1

Donkor, N. T., and L. D. Andrews. "Ethics, culture and nursing practice in Ghana." International Nursing Review 58, no. 1 (January 9, 2011): 109–14. http://dx.doi.org/10.1111/j.1466-7657.2010.00852.x.

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Christmals, Christmal D., Janet Gross, Lydia Aziato, and Susan J. Armstrong. "The State of Nursing Research in Ghana: An Integrative Literature Review." SAGE Open Nursing 4 (January 2018): 237796081878382. http://dx.doi.org/10.1177/2377960818783820.

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Introduction For nursing practice to be responsive to the needs of patients, it must be driven by contextual research evidence. To guide institutional and national nursing research policy, there is need to determine the quantity and quality of nursing research in Ghana. Purpose The purpose of this integrative literature review was to quantify, critically evaluate, and describe nursing research publication in Ghana from January 2007 to December 2016 with regard to the country's research capacity to sustain evidence-based practice. Results Sixty (60) out of 749 articles identified from EBSCOhost, ProQuest, PubMed, Science Direct, Scopus, Wiley Online Library, and Google Scholar using three keywords (nursing, health, and Ghana) were included. A total of 60,778 human subjects were used in these studies. There were more quantitative (28) studies than qualitative (23) studies. These studies recorded 219 authors from 120 institutions, 55 of which were outside Ghana. Forty-five percent of the articles were published in journals with impact factor. There was a steady increase in publication in Ghana over the decade. A majority of the studies published in education were in curriculum implementation and evaluation. Conclusions The increasing number of peer-reviewed nursing research publications in Ghana and the curriculum implementation and evaluation in Ghana signified an increasing capacity of the country to implement and sustain evidence-based practice. Recommendations It is recommended that regular research be conducted to evaluate the responsiveness to old and new nursing programs in Ghana.
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Donkor, N. T., and L. D. Andrews. "21st century nursing practice in Ghana: challenges and opportunities." International Nursing Review 58, no. 2 (February 14, 2011): 218–24. http://dx.doi.org/10.1111/j.1466-7657.2010.00856.x.

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Bam, VB, GA Oppong, and MB Ibitoye. "Stress and coping mechanisms of nursing students during clinical practice in Ghana." Journal of Science and Technology (Ghana) 34, no. 2 (February 13, 2015): 50. http://dx.doi.org/10.4314/just.v34i2.6.

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Adu-Gyamfi, Samuel, and Edward Brenya. "Nursing in Ghana: A Search for Florence Nightingale in an African City." International Scholarly Research Notices 2016 (March 24, 2016): 1–14. http://dx.doi.org/10.1155/2016/9754845.

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Nursing in Ghana is a crucial subject that permeates almost every issue in the society especially the field of hospital care. To a large extent, the frontiers of nursing have expanded since the time of Florence Nightingale. Globally some studies have been done to study nursing icons like her. The values in nursing practice however continue to preoccupy our minds. The need to accentuate the gains made by historical figures in nursing in present times as well as the nature of interactions between practitioners and patients continues to be of paramount concern to many across the globe and Ghana in particular. This study does an analysis of existing literature on Florence Nightingale and the nature of nursing in Ghana from the colonial times. Additionally, it analyzes responses concerning the activities of nurses and their interactions with patients in Kumasi. The varied information has been thematically pieced together to make inferences that are of great interest to nursing practitioners, policy makers, administrators, and educators among others. The findings to the study suggest among other things that the challenges faced by the nursing institution in modern times are similar to those of the earlier period. The study calls for the emulation of the positive ideas of Florence Nightingale to promote the interest of patients, a core objective championed by a revered nurse.
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Alhassan, Abdul. "Hepatitis B Knowledge, Attitude and Vaccination Status among Nurses of Tamale Central Hospital, Ghana." Clinical Research and Clinical Trials 3, no. 4 (May 28, 2021): 01–08. http://dx.doi.org/10.31579/2693-4779/035.

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Background: In our healthcare setting transmission of hepatitis B is a big challenge to handle for both patients and healthcare providers especially those in frequent contact with blood. Objectives: To determine Hepatitis B knowledge, attitude, and vaccination status among nurses of Tamale Central Hospital. Methods: This study was conducted using a descriptive cross-sectional survey. Data analysis was done with SPSS version 20. Bivariate analysis was done using chi-square to determine the relationships. Results: The study recorded a response rate of 92.5%. Majority (59.6%) had high, 36.4% had moderate and 4.0% had low knowledge hepatitis B. Hepatitis knowledge level was associated with: age X2 (4) = 17.789, P= 0.001, sex, X2(2) = 13.203, P = 0.001, educational level, X2(6) = 17.552, P = 0.007, nursing category, X2(4) = 19.226, P = 0.001, and duration of nursing practice X2(2) = 19.492, P ≤ 0.001. About 42.9% had positive attitude toward hepatitis B prevention and attitude level towards hepatitis B was associated with: marital status X2(1) = 11.090, P = 0.001, residential address X2 (2) = 11.411, P = 0.003 and duration of nursing practice X2(1) = 4.769, P = 0.029. About 84.8% of nurses started vaccination against hepatitis B and 77.3% completed at least three doses of the vaccination. The only factor with a statistically significant relationship with vaccination completeness status was respondent marital status X2(1) = 8.063, P = 0.005. Conclusion: Nurses' knowledge of hepatitis B was very good. And more than half of the nurses had a negative attitude towards hepatitis B prevention. In terms of vaccination more than three-fourth of them started and completed three doses of hepatitis B vaccination.
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Asirifi, Mary, Linda Ogilvie, Sylvia Barton, Patience Aniteye, Kent Stobart, Olenka Bilash, Cecilia Eliason, Gloria Ansong, Lydia Aziato, and Atswei Kwashie. "Assessing challenges of clinical education in a baccalaureate nursing program in Ghana." Journal of Nursing Education and Practice 7, no. 10 (May 25, 2017): 109. http://dx.doi.org/10.5430/jnep.v7n10p109.

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Background: A 2010 study of preceptorship as a clinical teaching model in Ghana revealed weaknesses related to high student-preceptor ratios and inadequate support from faculty in the educational institution. A four-cycle community-based participatory action research study was designed to further delineate clinical teaching and learning issues and partner with Ghanaian stakeholders in critical analysis of possibilities for positive change in clinical nursing education. The purpose of this paper, taken from Cycle One of the study, is to provide understanding of the challenges of the current clinical teaching model(s) used in the study institution from the perspectives of students and faculty. Early engagement of external stakeholders is described.Methods: Each university target group was invited to complete a semi-structured questionnaire. Interviews were conducted with representatives from the Ministry of Health, the Nursing and Midwifery Council of Ghana, and the Ghana Registered Nurses’ and Midwives’ Association. Clinical documents were examined.Results: Clinical teaching and learning issues identified included the need for: a) more effective clinical teaching and supervision; b) adequate equipment for practice; c) meaningful evaluation of performance; d) enhanced collaboration between the school and clinical settings; and, e) reduced travel time to clinical opportunities. External stakeholders became aware and supportive of the research endeavour.Conclusions: Participants acknowledged changes are needed in order to improve clinical nursing education in Ghana. Clinical teaching and learning issues were identified and formed a baseline from which more in-depth discussion of resources, constraints and possibilities for change could ensue in subsequent cycles of the study.
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Alhassan, Afizu, Mate Siakwa, Akwasi Kumi-Kyereme, and Michael Wombeogo. "Barriers to and Facilitators of Nurses’ Political Participation in Ghana." Policy, Politics, & Nursing Practice 21, no. 1 (January 19, 2020): 29–42. http://dx.doi.org/10.1177/1527154419899602.

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All aspects of nursing practice are regulated by politics and affected by changes in public policy. For that reason, nurses need to be active in the political process through which they may influence public policies on health. However, nurses’ participation in political activities in many countries is either low or moderate at best. Studies that explore political participation among nurses are rare in Africa. We conducted this study to identify factors that may enhance or hinder nurses’ political participation. Through a cross-sectional survey, we collected data from 225 registered nurses sampled from three hospitals and two nursing training schools in Tamale, Ghana, using a structured questionnaire. We analyzed the data using descriptive statistics and correlations. The most frequently reported barriers to political participation were having little free time, lack of trust in politicians, fear of conflict/confrontation, lack of educational preparation, and lack of access to the right connections. The major facilitators of political participation were identified as availability of free time and money, civic skills, personal interest in politics, self-belief and confidence, and a strong party affiliation. These findings call for integration of political content into the nursing education curriculum and for professional nursing organizations to create opportunities for their members to learn about the political process.
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Laari, Timothy Tienbia, Felix Apiribu, Timothy Gazari, Moses Haruna Akor, Adwoa Bemah Boamah Mensah, Gideon Awenabisa Atanuriba, Joseph Kuufaakang Kuunibe, and Philemon Adoliwine Amooba. "Strategies Adopted by Novice Nurse Educators to Facilitate Their Transition From Practice to Academia: A Qualitative Study in Ghana." SAGE Open Nursing 7 (January 2021): 237796082110352. http://dx.doi.org/10.1177/23779608211035209.

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Introduction The successful transition of nurses from clinical practice to academia is essential to the training of a proficient future nursing workforce. However, deprived of requisite support and guidance, novice nurse educators often find the transition from bedside nursing practice to the classroom challenging and hence, adopt some coping strategies to facilitate their transition. Yet, little is known about the strategies adopted by Ghanaian novice nurse educators to facilitate their transition. Objective This study explored the strategies adopted by novice nurse educators to facilitate their transition from practice to academia in three nursing training colleges in Ghana. Methods This study adopted a descriptive qualitative study design. The study used a purposive sampling technique to recruit 12 novice nurse educators. Data were generated through individual in-depth interviews using a semistructured interview guide. Interviews were audio-recorded, transcribed verbatim, and analyzed manually through thematic analysis. Results Novice nurse educators adopted a wide range of strategies to facilitate their transition from practice to academia. Four major themes emerged: (1) seeking support from peers, (2) attending workshops and conferences, (3) relying on performance appraisal and feedback, and (4) applying past clinical nursing knowledge. Conclusion The strategies adopted to facilitate the transition were mostly self-inspired and informal, which calls for more formal and evidence-based strategies to facilitate the transition process. College authorities must create, or adopt and modify faculty mentorship models to mentor novice nurse educators, develop and implement college-specific orientation programmes for novice nurse educators, and implement regular online tutor appraisals by students.
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Shalton, Krista, Shea-Lee Godin, Katrina Genereux, and Emily Donato. "The Role of the Nurse: A Comparison of the Canadian and Ghanaian Health Care Systems as Experienced by Undergraduate Nursing Students." Diversity of Research in Health Journal 2 (August 9, 2018): 102–18. http://dx.doi.org/10.28984/drhj.v2i0.138.

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Undergraduate nursing students were placed for three weeks in three small communities in Ghana as part of an international cross-cultural nursing elective. The main objectives of the placement were to learn about the country’s culture and health care system, and to participate in community nursing placements in both community clinic and school settings. As nursing students participating in this cross-cultural experience, we had the opportunity to work in Ghana’s health care system, where we were able to learn about the nursing role. It became evident that the nursing values, scope of practice, roles and responsibilities had some similarities, but also demonstrated several differences compared to nursing in Canada. A literature review was performed to contrast the cultural differences compared to nursing practice in Canada. Literature was also applied to our personal experiences to facilitate our understanding of the importance of providing culturally sensitive care. Overall, this valuable cross-cultural experience influenced our personal growth, allowing us to thoughtfully integrate our experience through further reflection and review of literature after the course was completed.
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Koduah, Adwoa Owusuaa, Angela Y. M. Leung, Doris Y. L. Leung, and Justina Y. W. Liu. "“I Sometimes Ask Patients to Consider Spiritual Care”: Health Literacy and Culture in Mental Health Nursing Practice." International Journal of Environmental Research and Public Health 16, no. 19 (September 25, 2019): 3589. http://dx.doi.org/10.3390/ijerph16193589.

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While health literacy influences better outcomes of mental health patients, sociocultural factors shape the nature of the relationship. On this matter, little is known about how sociocultural factors affect health literacy practices of nurses, especially in low-income countries. This paper examines how local precepts, within culture and language, shape mental health nurses’ (MHNs) practice and understanding of patients’ health literacy level in Ghana. The study used a qualitative descriptive design involving 43 MHNs from two psychiatric hospitals. Conventional content analysis was used to analyze the data. Although the MHNs acknowledged the importance of health literacy associated with patients’ health outcomes, their practice was strongly attributed to patients’ substantial reliance on cultural practices and beliefs that led to misinterpretation and non- compliance to treatments. MHNs shared similar sociocultural ideas with patients and admitted that these directed their health literacy practice. Additionally, numerous health system barriers influenced the adoption of health literacy screening tools, as well as the MHNs’ low health literacy skills. These findings suggest MHNs’ direct attention to the broader social determinants of health to enhance the understanding of culture and its impact on health literacy practice.
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Amankwaa, Isaac, Anabella Agyemang-Dankwah, and Daniel Boateng. "Previous Education, Sociodemographic Characteristics, and Nursing Cumulative Grade Point Average as Predictors of Success in Nursing Licensure Examinations." Nursing Research and Practice 2015 (2015): 1–8. http://dx.doi.org/10.1155/2015/682479.

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Introduction. Success in the licensure examination is the only legal prerequisite to practice as a nurse in Ghana. However, a large percentage of nursing students who sit fail this examination for the first time. This study sought to unravel whether prior education, sociodemographic characteristics, and nursing Cumulative Grade Point Average (CGPA) could predict performance in the licensure examinations.Methods. The study was a descriptive cross-sectional survey conducted from November 2014 to April 2015 in the Kumasi metropolis, Ghana on 176 past nursing students. Data was collected using questionnaires and analyzed using SPSS version 22. A logistic regression model was fitted to look at the influence of the explanatory variables on the odds of passing the licensure examinations. All statistical significances were tested atpvalue of <0.05.Results. Majority, 56.3%, were females and 86.4% were between the ages of 25 and 31 years. Most of the students (88.6%) entered the nursing training colleges with a WASSCE qualification and 38% read general science. 73.9% passed the licensure examinations and the mean CGPA of the students was 2.89SD=0.37. Sociodemographic characteristics and previous education had no influence on performance in the licensure examinations. CGPA had strong positive relationship with performance in licensure examinations (AOR = 15.27; 95% CI = 6.28, 27.11).Conclusion. Students CGPA could be a good predictor of their performance in the licensure examinations. On the other hand, students’ sociodemographic and previous educational characteristics might not be important factors to consider in admitting students into the nursing training programme.
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Asare, Richard Opoku, Akwasi Boakye Yiadom, and Paul Armah Aryee. "KNOWLEDGE, ATTITUDE AND PRACTICE REGARDING EPILEPSY AMONG NURSES IN ASUTIFI NORTH DISTRICT." American Journal of Health, Medicine and Nursing Practice 5, no. 1 (June 18, 2020): 43–65. http://dx.doi.org/10.47672/ajhmn.513.

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Purpose: To assess the knowledge, attitude and practice regarding epilepsy among nurses within the Asutifi North District with the aim of understanding their subjective experiences and knowledge on epilepsy in a sociocultural context and how their attitude shape their practice towards people with epilepsy. Methodology: The study employed an exploratory descriptive cross-sectional design. The study population consisted of nurses who have been licensed by the Nursing and Midwifery Council of Ghana and working in government facilities. The exclusion criteria were private health facilities, non-trained health professionals and other health professionals without nursing background, and student nurses on clinical attachment during the period of study in the district. Multistage sampling technique was used to select the study participants from the communities. A standard statistical formula was used to arrive at a sample size of 102. Data was collected by using a semi-structured questionnaire. Descriptive statistics involving frequencies and percentages were used in representing data. Responses on other items were cross-tabulated. The statistical tool that was used for analyzing the data was by STATA version 12.Results: Findings showed that 67.7% (69/102) of the nurses were aware of the causes of epilepsy, 59.8% have low level of knowledge on the disease. Though 82.4% of the nurses suspect people with epilepsy to have mental illness, 70.6% of the nurses had positive attitude towards epilepsy. However, 52.9% exhibited poor practices towards the disease. The socio-demographic characteristics of religion (Muslim) (p=0.017), area of specialty (RMN) (p=0.045) as well as close family relationship with epilepsy (p=0.001) were significantly associated with knowledge on epilepsy. Factors that were found to influence attitude towards epilepsy were sex (Female) (p=0.037), religion (Muslim) (p=0.012) and specialty area (RMN) (p=0.054). The area of specialty statistically influences their practices on epilepsy (p=0.001). There was no statistically significant association between knowledge on epilepsy and practice (p=0.134). However, attitude significantly related to practices on epilepsy (p=0.008) and indicated that negative attitude was more likely to be associated with poor practice.Conclusion: Nurses at the Asutifi North District tended to have low knowledge, positive attitude and poor practices on epilepsy.Recommendation: The Ghana Health Service in collaboration with the Ministry of Health should run intermediary workshops, at least every six months, to train nurses in epilepsy diagnoses to reduce the treatment gap. The health directorate should raise awareness and educate the communities on epilepsy to reduce stigma. Enhancing nursing education and training on epilepsy by the Ministry of Health and its agencies is imperative to improving health care delivery for people living with the disease.
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Asare, Richard Opoku, Akwasi Boakye Yiadom, and Paul Armah Aryee. "KNOWLEDGE, ATTITUDE AND PRACTICE REGARDING EPILEPSY AMONG NURSES IN ASUTIFI NORTH DISTRICT." American Journal of Health, Medicine and Nursing Practice 5, no. 1 (June 18, 2020): 43–65. http://dx.doi.org/10.47672/ajhmn.513.

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Purpose: To assess the knowledge, attitude and practice regarding epilepsy among nurses within the Asutifi North District with the aim of understanding their subjective experiences and knowledge on epilepsy in a sociocultural context and how their attitude shape their practice towards people with epilepsy. Methodology: The study employed an exploratory descriptive cross-sectional design. The study population consisted of nurses who have been licensed by the Nursing and Midwifery Council of Ghana and working in government facilities. The exclusion criteria were private health facilities, non-trained health professionals and other health professionals without nursing background, and student nurses on clinical attachment during the period of study in the district. Multistage sampling technique was used to select the study participants from the communities. A standard statistical formula was used to arrive at a sample size of 102. Data was collected by using a semi-structured questionnaire. Descriptive statistics involving frequencies and percentages were used in representing data. Responses on other items were cross-tabulated. The statistical tool that was used for analyzing the data was by STATA version 12.Results: Findings showed that 67.7% (69/102) of the nurses were aware of the causes of epilepsy, 59.8% have low level of knowledge on the disease. Though 82.4% of the nurses suspect people with epilepsy to have mental illness, 70.6% of the nurses had positive attitude towards epilepsy. However, 52.9% exhibited poor practices towards the disease. The socio-demographic characteristics of religion (Muslim) (p=0.017), area of specialty (RMN) (p=0.045) as well as close family relationship with epilepsy (p=0.001) were significantly associated with knowledge on epilepsy. Factors that were found to influence attitude towards epilepsy were sex (Female) (p=0.037), religion (Muslim) (p=0.012) and specialty area (RMN) (p=0.054). The area of specialty statistically influences their practices on epilepsy (p=0.001). There was no statistically significant association between knowledge on epilepsy and practice (p=0.134). However, attitude significantly related to practices on epilepsy (p=0.008) and indicated that negative attitude was more likely to be associated with poor practice.Conclusion: Nurses at the Asutifi North District tended to have low knowledge, positive attitude and poor practices on epilepsy.Recommendation: The Ghana Health Service in collaboration with the Ministry of Health should run intermediary workshops, at least every six months, to train nurses in epilepsy diagnoses to reduce the treatment gap. The health directorate should raise awareness and educate the communities on epilepsy to reduce stigma. Enhancing nursing education and training on epilepsy by the Ministry of Health and its agencies is imperative to improving health care delivery for people living with the disease.
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Atakro, Confidence Alorse, Jerry Paul Ninnoni, Peter Adatara, Janet Gross, and Michael Agbavor. "Qualitative Inquiry into Challenges Experienced by Registered General Nurses in the Emergency Department: A Study of Selected Hospitals in the Volta Region of Ghana." Emergency Medicine International 2016 (2016): 1–7. http://dx.doi.org/10.1155/2016/6082105.

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Registered General Nurses (RGNs) play crucial roles in emergency departments (EDs). EDs in Ghana are primarily staffed by RGNs who have had no additional formal education in emergency care. Additionally, basic, master’s, or doctoral level nursing education programs provide limited content on the complexities of emergency nursing. Nurses in EDs are affected by many challenges such as growing patient population, financial pressures, physical violence, verbal abuse, operational inefficiencies, overcrowding, and work overload. There is a paucity of research on challenges experienced by RGNs in EDs in the Volta Region of Ghana. In this qualitative study, twenty RGNs in EDs from three selected hospitals in the Volta Region of Ghana were interviewed. All recorded interviews were transcribed, reviewed several times by researchers and supervisors, and analyzed using content analysis. Five thematic categories were identified. These thematic categories of challenges were lack of preparation for ED role, verbal abuse from patients relatives, lack of resources in ED, stressful and time consuming nature of ED, and overcrowding in ED. Formal education of RGNs in the advanced role of emergency care, adequate supply of resources, increased hospital management support, and motivations for RGNs working in ED are necessary to improve the practice of emergency care.
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Konlan, Kennedy Dodam, Mavis Armah-Mensah, Rita Aryee, and Theresa Akua Appiah. "Expectation and Satisfaction with Nursing Care among Hypertensives Receiving Care at a Resource-Constrained Hospital in Ghana." Nursing Research and Practice 2020 (March 7, 2020): 1–11. http://dx.doi.org/10.1155/2020/6094712.

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Background. Hypertension accounts for a third of the global preventable premature deaths. In Sub-Saharan Africa, hypertension is the most rapidly increasing cardiovascular disease (CVD) and the second leading cause of death. Proper management of hypertension requires adherence to management by patients and this is partly possible if patients feel satisfied with the nursing care they receive. Satisfaction with nursing care is only possible if there is a congruence between the expectations of care and the actual care received from nurses. Aim. We explored the expectations and satisfaction of Ghanaian hypertensives with nursing care received at the Korle-Bu Teaching Hospital (KBTH). Methods. In this qualitative study, a phenomenological approach was used to gather data about the lived experiences of patients with hypertension about nursing care. In-depth interviews (IDIs) were conducted among sixteen (16) patients with hypertension from the hypertensive Out-Patient Department (OPD) Clinics of the Medical Department at the KBTH. Only patients with history of previous admission(s) at the KBTH during the immediate past six months were purposively recruited. The respondents were interviewed about the nursing care received during their immediate past admission(s) at the KBTH using an IDI-guide. The IDIs were recorded digitally, transcribed verbatim, and reviewed severally and thematic analysis was done. Nvivo 11 software was used to manage the data and aid with the thematic analysis. Results. The results of this study showed that Ghanaian hypertensive patients perceived nurses as key players in the management of patients. On the respondents’ expectations from nurses prior to their immediate past admissions at the KBTH, the data revealed the responsiveness of nurses to patient needs, prompt pain management, high confidentiality level of nurses, rendering of efficient health education, maintenance of therapeutic work environment, and ensuring effective communication as well as professional/ethical practice from the nurses. On the question of what made nursing care satisfying, it was observed from the respondents that they considered the competence of nurses, maintenance of therapeutic environment, and also effective handling of confidential information as determinants of their satisfaction with nursing care. Further, the respondents identified some key areas of dissatisfaction and these included the responsiveness of nurses to patient needs, prompt pain management, effectiveness of health education, and provision of culturally sensitive communication. Disproportionate distribution of nursing staff across the three nursing shifts, unethical practice among some nurses, inadequate resources for work, and low work morale of some nurses were identified as factors responsible for the gaps between patient expectations and actual care received. Conclusion. Our study concludes that continuous professional development programs for nurses should focus on the areas of dissatisfaction so as to improve care for hypertensives. We also recommend that nursing staff distribution across the various shifts should be of keen interest to nurse managers if hypertension care in particular and overall patient care in general are to improve.
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Dartey, Anita F., Gladys Dzansi, Constancia Atachie, Evelyn Sunnu, and Felix K. Nyande. "The Experiences of Ghanaian Midwives on the Use of Nonadjustable Delivery Beds: A Qualitative Study." SAGE Open Nursing 7 (January 2021): 237796082110382. http://dx.doi.org/10.1177/23779608211038204.

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Background Hospital beds are of great assistance to both clients and caregivers as they give lots of choices to the users. More often, clients have difficulty getting in and out of beds, but the adjustable features of the beds make it possible for them to be comfortable, regardless of their condition. This situation may not be the same if nonadjustable delivery beds (NADBs) are used in conducting deliveries at health care facilities. This study explored the experiences of midwives using NADBs in selected Christian Health Association of Ghana (CHAG) hospitals in the Volta Region of Ghana. Methods The study employed an exploratory qualitative research design with purposive sampling. Semistructured interview data were audio recorded. The inclusion criteria were professional midwives with at least 1 year of working skills and the midwives should have conducted deliveries using NADBs during their practice. Data were collected concurrently with data transcription and analyzed using content analysis. Saturation was reached after the 20th interview. Results Three themes emerged from the study: NADBs not comfortable to work with, assumption of awkward postures, and the nature of the delivery beds. Conclusion The findings of the study show that midwives experience several setbacks in the use of NADBs in conducting deliveries as they sacrifice their health for work.
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Kusi Amponsah, Abigail, Evans Frimpong Kyei, John Bright Agyemang, Hanson Boakye, Joana Kyei-Dompim, Collins Kwadwo Ahoto, and Evans Oduro. "Nursing-Related Barriers to Children’s Pain Management at Selected Hospitals in Ghana: A Descriptive Qualitative Study." Pain Research and Management 2020 (January 21, 2020): 1–7. http://dx.doi.org/10.1155/2020/7125060.

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Staff shortages, deficient knowledge, inappropriate attitudes, demanding workloads, analgesic shortages, and low prioritization of pain management have been identified in earlier studies as the nursing-related barriers to optimal children’s pain management. These studies have mainly been undertaken in developed countries, which have different healthcare dynamics than those in developing countries. The current study, therefore, sought to identify and understand the nursing-related barriers to children’s pain management in the Ghanaian context. A descriptive qualitative study was conducted among 28 purposively sampled nurses working in the pediatric units of five hospitals in the Ashanti region of Ghana. Over the course of three months, participants were interviewed on the barriers which prevented them from optimally managing children’s pain in practice. Recorded interviews were transcribed verbatim and deductively analysed based on a conceptual interest in pain assessment and management-related barriers. NVivo 12 plus software guided data management and analyses. The mean age of participating nurses was 30 years, with majority being females (n = 24). Participants had worked in the nursing profession for an average of five years and in the pediatric care settings for an average of two years. The nursing-related barriers identified in the present study included communication difficulties in assessing and evaluating pain management interventions with children who have nonfunctional speech, insufficient training, misconceptions on the experience of pain in children, lack of assessment tools, and insufficient number of nurses to manage the workload and nurses’ inability to prescribe analgesics. The present study revealed some barriers which prevented Ghanaian nurses from optimally managing children’s pain. Nurses should be educated, empowered, and supported with the requisite material resources to effectively manage children’s pain and improve outcomes for families, healthcare systems, and the nation. Future studies should explore the facilitators and barriers from other stakeholders involved in pediatric pain management.
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Achempim-Ansong, Gloria, Atswei Adzo Kwashie, and Adelaide Ansah Ofei. "Exploring the benefits and challenges of administrative clinical supervision in nursing and midwifery." Journal of Nursing Education and Practice 12, no. 1 (August 27, 2021): 14. http://dx.doi.org/10.5430/jnep.v12n1p14.

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Objective: To explore the benefits and challenges of administrative clinical supervision at the unit.Methods: Clinical Supervision has been recognised as a core component of professional support for present-day nursing and midwifery practice. Effective administrative clinical supervision is beneficial to employees by providing support leading to the development of self-esteem, reducing emotional stress and improving commitment to an organisation’s vision and goals. Using aesthetic phenomenological approach, nurses' lived experience with administrative clinical supervision in a clinical unit of the hospital was explored and allowed in-depth description of administrative clinical supervision thoroughly. The participants were purposively sampled from six hospitals in Accra and comprised supervisors (n = 18) and supervisees (n = 12).Results: The benefits of administrative clinical supervision include reduction in infection rates, improved competence, client satisfaction, reduction in negligence, efficiency, accountability and feeling of being appreciated. Challenges of administrative clinical supervision were managerial challenges, limited time, interpersonal conflict with colleagues, and increased workload.Conclusions: Practical Implications: Administrative clinical supervision has implications for nursing and midwifery education and practice. This calls for measures that promote practitioners’ personal and professional development through fostering a supportive relationship and working alliance. Originality: This study employed the use of Aesthetic Phenomenology to tell the stories of clinical supervision from the personified interpretations unlike other studies that simply adopt descriptive phenomenology. It is the first of its kind in Ghana to the best of our knowledge.
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Fedoniuk, L. Ya, E. Burgess-Pinto, S. Yastremska, and C. Shumka. "HEALTHY POPULATION STUDY – OPPORTUNITIES TO DEVELOP GLOBAL CITIZENS AND HEALTH CARE PROFESSIONALS." Вісник медичних і біологічних досліджень, no. 2 (January 31, 2020): 55–58. http://dx.doi.org/10.11603/bmbr.2706-6290.2019.2.10579.

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The aim of the work. Cooperation between MacEwan University and I. Horbachevsky Ternopil National Medical University in the realization of the educational programme of Public Health. Materials and Methods. 23 students of the MacEwan University Nursing Faculty (including Canada, Ghana, Nigeria, and India) spent one week at I. Horbachevsky Ternopil National Medical University (TNMU). The work of students and teachers was focused on interactive learning of questions of global/planetary health issues and included flipped classroom format, seminars, team-based learning and field clinics coordinated by MacEwan faculty members in partnership with the TNMU members. Results and Discussion. Cooperation between TNMU and MacEwan University corresponds to the strategy of the MacEwan University Nursing Faculty: Nurses making a difference in the health of global communities and mission: transformative learning in nursing education and professional practice. The educational course was organized to the students to align with three essential components of planetary health: relationality, sustainability, and ways of knowing. Through interactive learning in an international setting, students developed a shared understanding of how people relate to each other and to their environments, compared Canadian and Ukrainian approaches to the Sustainable Development Goals, and created space for understanding different ways of knowing and how these enhance health and wellbeing. Students visited a variety of health care facilities, including pediatric clinics, mental health hospital, HIV clinic, perinatal centre, orphanages, and rehabilitation centres. Conclusions. Co-creation of the program, and involving Ukrainian students offers opportunities to examine and change nursing education and professional practice. The face-to-face format of the trip is invaluable in enhancing emotional and informal learning as well as developing capacity as global citizens. The course provides an excellent foundation for students who wish to pursue graduate studies in global health either in Nursing or in Public Health.
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Asamani, James Avoka, Florence Naab, and Adelaide Maria Ansah Ofei. "Leadership styles in nursing management: implications for staff outcomes." Journal of Health Sciences 6, no. 1 (March 19, 2016): 23–36. http://dx.doi.org/10.17532/jhsci.2016.266.

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Introduction: Nursing is a people-centred profession and therefore the issue of leadership is crucial for success. Nurse managers’ leadership styles are believed to be important determinant of nurses’ job satisfaction and retention. In the wake of a global nursing shortage, maldistribution of health workforce, increasing healthcare costs and expanding workload, it has become imperative to examine the role of nurse managers’ leadership styles on their staff outcomes. Using the Path-Goal Leadership theory as an organised framework, this study investigated the leadership styles of nurse managers and how they influence the nursing staff job satisfaction and intentions to stay at their current workplaces.Methods: The study employed a cross-sectional survey design to collect data from a sample of 273 nursing staff in five hospitals in the Eastern Region of Ghana. Descriptive and regression analyses were performed using SPSS version 18.0Results: Nurse managers used different leadership styles depending on the situation, but were more inclined to the supportive leadership style, followed by the achievement-oriented leadership style and participative leadership style. The nursing staff exhibited moderate levels of job satisfaction. The nurse managers’ leadership styles together explained 29% of the variance in the staff job satisfaction. The intention to stay at the current workplace was low (2.64 out of 5) among the nursing staff. More than half (51.7%) of the nursing staff intended to leave their current workplaces, and 20% of them were actively seeking the opportunities to leave. The nurse managers’ leadership styles statistically explained 13.3% of the staff intention to stay at their current job position.Conclusions: These findings have enormous implications for nursing practice, management, education, and human resource for health policy that could lead to better staff retention and job satisfaction, and ultimately improve patient care.
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Ridge, Laura Jean, Victoria Vaughan Dickson, and Amy Witkoski Stimpfel. "The Occupational Health of Nurses in the Economic Community of West African States: A Review of the Literature." Workplace Health & Safety 67, no. 11 (July 31, 2019): 554–64. http://dx.doi.org/10.1177/2165079919859383.

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Nurses provide the majority of health care in sub-Saharan Africa, which has high rates of Hepatitis B Virus (HBV) and human immunodeficiency virus (HIV). This systematic review used PRISMA methodology to synthesize the literature published between January 2008 and December 2018 examining the occupational health of nurses practicing in the Economic Community of West African States (ECOWAS). The United States’ National Institute for Occupational Safety and Health’s Hierarchy of Controls is used to frame the findings. This research was mostly conducted in Nigeria and Ghana and focused on administrative controls. Nurses practicing in ECOWAS are at high risk of acquiring a bloodborne illness due to inadequate engineering and administrative controls, as well as limited access to personal protective equipment (PPE). These findings indicate interventions to improve these controls would likely lower the occupational risks faced by nurses practicing in ECOWAS. Research in more countries in ECOWAS would likely find differences in occupational health practices in Nigeria and Ghana, which are relatively wealthy, and other countries in the region. This literature showed nurses practicing in ECOWAS did not have adequate protection from biological hazards. Regional health groups, such as the West African Health Organization, should commit to improving occupational health practice. Needle recapping and double gloving must be discontinued, and PPE must be made more widely available in ECOWAS. Occupational health professionals in the region should advocate for better distribution of PPE and consider offering trainings on these behaviors.
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Cudjoe, Ebenezer, and Alhassan Abdullah. "Drawing on Kinship Care Support for Older People during a Pandemic (COVID-19): Practice Considerations for Social Workers in Ghana." Journal of Gerontological Social Work 63, no. 4 (April 24, 2020): 254–56. http://dx.doi.org/10.1080/01634372.2020.1758271.

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Adam, Alhassan Basour, Andrew Adjei Druye, Akwasi Kumi-Kyereme, Wahab Osman, and Afizu Alhassan. "Nursing and Midwifery Students’ Satisfaction with Their Clinical Rotation Experience: The Role of the Clinical Learning Environment." Nursing Research and Practice 2021 (April 14, 2021): 1–9. http://dx.doi.org/10.1155/2021/7258485.

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Background. The clinical learning environment and clinical rotation experience of students are integral to nursing curriculum and are a crucial component of nursing education which helps transform theoretical knowledge to clinical practical skills. Objective. This study was aimed at assessing the role of the clinical learning environment on undergraduate nursing and midwifery students’ satisfaction with their clinical rotation experience. Method. The study employed a quantitative cross-sectional survey design. Data was collected from a sample of 240 undergraduate nursing and midwifery students of the University for Development Studies, Tamale, Ghana, using a structured questionnaire. Ethical approval was obtained from the University of Cape Coast Ethics Review Board. Descriptive analysis was displayed as frequencies and percentages. Inferentially, Fisher’s exact test, linear regression, and Spearman’s correlation tests were used to test for and quantify associations between independent and dependent variables at p ≤ 0.05 . Results. The level of students’ satisfaction with both clinical rotation experience and the clinical learning environment was high (65.6% and 63.5%, respectively). A statistically significant association of the students’ satisfaction with their clinical rotation experience was found. There was a statistically significant relationship between the clinical learning environment (χ2 (9, N = 224) = 80.665, p < 0.001 ), pedagogical atmosphere in the clinical area (rs = 0.379, p < 0.001 ), the leadership style of the ward manager (rs = 0.340, p < 0.001 ), the premises of nursing in the ward environment (rs = 0.501, p < 0.001 ), and the students’ satisfaction with their clinical rotation experience. Conclusion. These findings provide nurse educators and clinicians with meaningful understanding about areas to prioritise when planning clinical learning opportunities in such a way that skills learning and practice of nursing skills are successful and satisfactory for undergraduate student nurses and midwives.
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Burgess-Pinto, E., S. O. Yastremska, L. Ya Fedoniuk, Yv Shelast, and L. P. Martynyuk. "SUSTAINABLE DEVELOPMENT PRINCIPLES IN HEALTH PROMOTION AND NURSING EDUCATION." Медична освіта, no. 4 (February 14, 2020): 67–73. http://dx.doi.org/10.11603/me.2414-5998.2019.4.10863.

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The Sustainable Development Goals (SDGs), otherwise known as the Global Goals, are a universal call to action to end poverty, protect the planet and ensure that all people enjoy peace and prosperity. These 17 Goals build on the successes of the Millennium Development Goals, while including new areas such as climate change, economic inequality, innovation, sustainable consumption, peace and justice, among other priorities. The goals are interconnected – often the key to success on one will involve tackling issues more commonly associated with another. The collaboration with I. Horbachevsky Ternopil National Medical University (TNMU) and the Faculty of Nursing MacEwan University students and teachers in the realization of the Sustainable Development goals proposes the possibilities to study and change the professional practice and nursing education. Co-creation involves strategy: nurses making a difference in the health of global communities. 25 students spent one week at TNMU, focusing on global/planetary health issues and SDGs. Participants include faculty members and Ukrainian students as well as International students from several countries (including Canada, Ghana, Nigeria, and India). Instruction focused on interactive learning and included flipped classroom format, seminars, team-based learning and field clinics coordinated by MacEwan faculty members in partnership with the TNMU members. Through interactive learning in an international setting, students developed a shared understanding of how people relate to each other and to their environments, compared Canadian and Ukrainian approaches to the Sustainable Development Goals, and created space for understanding different ways of knowing and how these enhance health and wellbeing. The face-to-face format of the trip was invaluable in enhancing emotional and informal learning as well as developing capacity as global citizens. The course provides an excellent foundation for students who wish to pursue graduate studies in global health either in Nursing or in Public Health.
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Opoku, Eric N., and Peter O. Ndaa. "Awareness and Knowledge of Final Year Health Science Students on Occupational Therapy in a Public University in Ghana." Third Edition of the HSI Journal: Volume 2 Issue 1, 2021 Publication. 2, no. 1 (June 29, 2021): 189–95. http://dx.doi.org/10.46829/hsijournal.2021.6.2.1.89-195.

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Background: Occupational therapists play a major role in the healthcare team in the provision of holistic care to patients. Successful healthcare depends on collaboration and understanding among health professionals and recognition of each health professional’s role in a team. Objective: The study aimed to determine the awareness and knowledge of final-year health sciences students of the University of Ghana on occupational therapy(OT). Methods: A cross-sectional study was employed by means of a questionnaire with final year students in the Medicine, Nursing and Allied Health Professional programmes (physiotherapy, dietetics, radiography, and medical laboratory sciences) of the University of Ghana. Participants were randomly selected and requested to complete a questionnaire. Data was analysed using IBM SPSS Statistics, Version 23.0. Results: The results showed anoverall OT awareness of 94.66% (n = 195/206). About 35.0% (n = 69/206)of participant learned about OT as a health profession through other means rather than their academic curriculum. Collectively, participants demonstrated an average actual knowledge on OT services of 14.43 ± 3.17. The results also showed that, the importance participants accorded OT profession in the healthcare team did not depend on their knowledge on OT scope of practice (rs=0.162, p>0.05). Conclusion: Actions should be channelled towards enabling health science students to learn about OT and other health professions through their university curriculum. Furthermore, OT students should endeavour to sensitise fellow health science students on the unique roles and responsibilities of the OT profession in the healthcare team
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Dadzie, Grace, and Lydia Aziato. "Perceived Interpersonal and Institutional Challenges to Patient Advocacy in Clinical Nursing Practice: A Qualitative Study from Ghana / Interpersonelle ind Institutionelle Herausforderungen für Die Rolle Als Patientenfürsprecher/-In Aus Sicht Der Pflege: Eine Qualitative Studie Aus Ghana." International Journal of Health Professions 7, no. 1 (April 6, 2020): 45–52. http://dx.doi.org/10.2478/ijhp-2020-0005.

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AbstractBackgroundNurses often speak on patients’ behalf and safeguard their safety through their advocacy role. However, some challenges like the negative attitude of team members and lack of institutional support often hamper this role. These challenges have not been well studied in the Ghanaian context.AimThis study explores the perceived environmental challenges to patient advocacy among nurses in Ghana.SettingThe study was conducted at a regional hospital in Ghana.ParticipantsParticipants were nurses or midwives working in the hospital.MethodsA qualitative exploratory descriptive design was employed in the study of 15 purposively sampled participants. Participants were interviewed individually and data were analysed using content analysis.FindingsThe study revealed interpersonal challenges and institutional challenges to patient advocacy, such as hierarchical nurse–doctor relationships and ineffective multidisciplinary team, time constraints and lack of institutional support. Nurses often failed to advocate because they did not want to risk conflict with doctors. Limited interprofessional interaction, suspicion and resentment in the multidisciplinary team negatively affected nurses’ role as patient advocates. Inadequate curricular support for patient advocacy and lack of support for training programmes or to undertake further studies were the additional challenges.ConclusionPatient advocacy could be a stressful role for nurses; thus, efforts to strengthen teamwork and increase nurse involvement in hospital decision-making are required.Implications for nursing and health policyThe findings could influence hospital management policies to enhance stronger interprofessional collaboration, increase opportunities for professional advancement for nurses and nurses’ inclusion in decision-making.
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Ofei, Adelaide M. A., and Yennuten Paarima. "Perception of nurse managers’ care coordination practices among nurses at the unit level." International Journal of Care Coordination 24, no. 1 (March 2021): 17–27. http://dx.doi.org/10.1177/2053434521999978.

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Introduction Nursing practice demands coordination of activities within and across units to enable quality delivery of healthcare services. Nurse managers are best positioned to ensure effective care coordination at the operational level in the hospitals. The purpose of this study was to examine the care coordination practices of nurse managers at the unit level. Methods A quantitative exploratory descriptive approach using a cross-sectional survey design was used to collect data from 522 nurses in 19 hospitals in the Greater Accra region of Ghana. Descriptive and regression analyses were performed to describe the sample and to predict the behaviour of nurse managers. The systems model was used as a conceptual framework for the survey. Data collection was from October 2015 to March 2016. Results The response rate for collection of data was 95.7%. Nurse managers exhibited an acceptable level of care coordination practices. Nurse managers’ characteristics together predicted the care coordination practices at the unit (R2=0.111, p < 0.001). The unit, unit workload, experience as a nurse manager, and work duration with nurses were the significant predictors in the regression model. Discussion Care coordination is needed at the unit level to prevent conflict, overlapping, and constant interdepartmental friction which enables nurses to take a broad overview of coordinated care instead of myopic observation and reflection in the unit. Nurse managers are best positioned to coordinate care due to their vast professional knowledge and experience. Effective communication, good interpersonal relationship, and good listening skills are essential coordination practices critical to the efficiency of the unit.
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Syam, Heriza, Jehanara Jehanara, and Nurdjasmi Nurdjasmi. "Perbandingan Faktor-Faktor yang Mempengaruhi Pengetahuan Tentang Asi Ekslusif Antara Ibu yang Melahirkan di BPM Dengan Puskesmas." SEAJOM: The Southeast Asia Journal of Midwifery 5, no. 1 (April 21, 2019): 39–42. http://dx.doi.org/10.36749/seajom.v5i1.45.

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Mother's knowledge is one factor in the success of exclusive breastfeeding. Research in Ghana (2008), 1.3 million infant deaths can be prevented by the provision of breast milk (ASI) in infants from the first day of birth until under the age of 5 years. If breastfeeding starts in the first 1 hour after birth, This figure rises to 22% from 16%,. This study aims to determine the differences in knowledge about Exclusive Breastfeeding and the factors that influence it in post partum mothers in BPM with Puskesmas in the East Jakarta area. Research Design: Observational analytic study with the approach used is cross sectional. The results showed that there were significant differences (P = 0.001) between the place of labor and the knowledge of nursing mothers. Mothers who gave birth at the Good Knowledge Midwife Practice (PMB) were 78.6%, while those in the Puskesmas were only 38.5%. Characteristics of respondents related to knowledge of post partum mothers about breastfeeding were Education (P 0.01), Economy, (P 0.000) and ethnicity (P 0.019). Factors-education, economy and ethnicity influence mother's knowledge about exclusive breastfeeding. Place of birth in the Independent Practice Midwives have the opportunity to increase knowledge of exclusive breastfeeding 3 times compared to the knowledge of mothers who give birth at the Puskesmas after controlled by the Education variable.
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Boakye, Priscilla N., Elizabeth Peter, Anne Simmonds, and Solina Richter. "An examination of the moral habitability of resource-constrained obstetrical settings." Nursing Ethics 28, no. 6 (March 11, 2021): 1026–40. http://dx.doi.org/10.1177/0969733020988311.

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Background: While there have been studies exploring moral habitability and its impact on the work environments of nurses in Western countries, little is known about the moral habitability of the work environments of nurses and midwives in resource-constrained settings. Research objective: The purpose of this research was to examine the moral habitability of the work environment of nurses and midwives in Ghana and its influence on their moral agency using the philosophical works of Margaret Urban Walker. Research design and participants: A critical moral ethnography was conducted through the analysis of interviews with 30 nurses and midwives, along with observation, and documentary materials. Ethical considerations: After receiving ethics approval, signed informed consent was obtained from participants before data collection. Results: Five themes were identified: (1) holding onto the values, identities, and responsibilities of being a midwife/nurse; (2) scarcity of resources as limiting capacity to meet caring responsibilities; (3) gender and socio-economic inequities shaping the moral-social context of practice; (4) working with incoherent moral understandings and damaged identities in the context of inter- and intra-professional relationships; and (5) surviving through adversity with renewed commitment and courage. Discussion: The nurses and midwives were found to work in an environment that was morally uninhabitable and dominated by the scarcity of resources, overwhelming and incoherent moral responsibilities, oppressive conditions, and workplace violence. These situations constrained their moral agency and provoked suffering and distress. The nurses and midwives negotiated their practice and navigated through morally uninhabitable work environment by holding onto their moral values and commitments to childbearing women. Conclusion: Creating morally habitable workplaces through the provision of adequate resources and instituting interprofessional practice guidelines and workplace violence prevention policies may promote safe and ethical nursing and midwifery practice.
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Benefo, Kofi D., Amy O. Tsui, and Joseph De Graft Johnson. "Ethnic differentials in child-spacing ideals and practices in Ghana." Journal of Biosocial Science 26, no. 3 (July 1994): 311–26. http://dx.doi.org/10.1017/s0021932000021404.

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SummaryPostpartum sexual abstinence may be a major determinant of fertility and of maternal and child health in sub-Saharan Africa. This study examines the relationship between ethnicity and abstinence using data from the 1988 Ghana Demographic and Health Survey. There is considerable diversity in the length of abstinence although only for one ethnic group, the Mole-Dagbani and other Ghanaians, is abstinence, both actual and ideal, very long. Respondents in most ethnic groups believe their abstinence to be adequate. A key motivation for abstinence is the unwillingness to have sexual intercourse with nursing mothers. Education, urbanisation, changes in marriage patterns and religious traditions are major factors shaping the ethnic differentials in abstinence. In comparison to breast-feeding, abstinence appears to have relatively little impact on the length of the birth interval and, for Ghana, has relatively few implications for fertility and child health.
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Akansuke, Martin Amalitinga, Albert Luguterah, Sylvester Dodzi Nyadanu, Derek Ngbandor Nawumbeni, and Timothy Adampah. "Profiling the Determinants of Baby Weights in Bolgatanga Municipality of Ghana." Journal of Biology and Life Science 6, no. 2 (February 26, 2015): 1. http://dx.doi.org/10.5296/jbls.v6i2.7162.

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Introduction:Birth weights and subsequent weights (weight-for-age of babies) have been found to play a vital role in early childhood development and have profound effect on later lives of children. The weight-for-age of babies, as a measure of child’s growth, was found in several literatures as one of the key determinants of under-five mortality. This paper therefore deemed it crucial to explore how prognostic factors are influencing infants’ growth in the weights of babies in Ghana using Bolgatanga municipality in the Upper East region of Ghana as case study.Method:The post-natal records of three hundred (300) nursing mothers were retrospectively followed from January to December 2013 in the seven health facilities of the municipality for the study. Inclusion criterion was used to recruit two hundred and thirty five (235) qualified subjects. The weight-for-age of babies and socio-demographics of the babies and the mothers were recorded. The determinants of infant growth in the weights of the babies were profiled.Results:The study disclosed that the mean birth weight in both sexes, 2.71kg for males and 2.74kg for females, were higher than the standard normal birth weights of 2.50kg by WHO. The multivariate analysis of variance showed a nonlinear infants growth profile in the weights of babies during their first developmental year. The profile of the determinants showed that factors such as educational status and age of mother, breastfeeding type and sex of baby did not differ in the infants’ weights by these groups even-though higher education and nonexclusive breastfeeding had positive effects. However, maternal factors such as: religious affiliations (socio-cultural practices), occupation, parity, injection as at last type of family planning practiced by nursing mothers were significant, highlighting the effect of these maternal socio-demographics and biological factors on infant growth and child survival.Conclusion:The profiles of the effects of the maternal determinants on the weights of babies considered in this study established that infant growth is non-linear. It could also be stated on the basis of the profile analysis that, the weights of babies in this municipality could be modeled for predictions using the maternal determinants such as occupation, parity group, injectable family planning method, breastfeeding type, educational level and socio-cultural practices (religion). The profile analysis of the effects of the maternal socio-demographics and biological factors on infant weights established that the infant’s growth can be improved significantly by the nursing mothers, health service providers and the government if efforts are made to improve and/or modify the significant health indicators.
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Menlah, Awube, Isabella Garti, Sarah Ama Amoo, Confidence Alorse Atakro, Caleb Amponsah, and Dorcas Frempomaa Agyare. "Knowledge, Attitudes, and Practices of Postoperative Pain Management by Nurses in Selected District Hospitals in Ghana." SAGE Open Nursing 4 (January 2018): 237796081879038. http://dx.doi.org/10.1177/2377960818790383.

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Introduction There is documented evidence pointing to the fact that there are numerous challenges with postoperative pain (POP) management globally. However, these challenges with POP management are more profound in developing countries. Purpose The purpose of this study is to examine the knowledge, attitude, and practices of nurses concerning POP management in four selected district hospitals in Ghana. Methodology A descriptive, cross-sectional survey was employed to evaluate nurse's knowledge, attitude, and practices pertaining to POP management. Multistaged sampling was used to draw the respondents. An adapted version of the Nurses Knowledge and Attitudes Survey Regarding Pain instrument was used to test the knowledge, attitude, and practices of nurses and midwives. Descriptive statistics were used to analyze the data in order to present quantitative descriptions of variables in this study. Results This study showed that nurses in the four district hospitals had knowledge deficits regarding POP management. Eighty-one representing 48% of nurses had low knowledge on POP management. An overwhelming majority of nurses (97.6%) relied on routinely rendered basic nursing skills to relieve POP and a few used pharmacological interventions. However, nurses had good attitudes toward POP management. Conclusions POP is ineffectively managed by nurses in district hospitals in Ghana. Nurses and midwives in Ghana need to adhere to best practices in POP management by increasing their theoretical and practical knowledge, so that there will be tangible positive change in POP management in Ghana. Recommendations Nurses must be empowered through continuous development programs to keep abreast with changing trends that pertain to POP management.
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Asare, Richard Opoku, Akwasi Boakye, and Paul Armah Aryee. "KNOWLEDGE AND ATTITUDE REGARDING EPILEPSY AMONG NURSES IN ASUTIFI NORTH DISTRICT." European Journal of Health Sciences 5, no. 1 (June 18, 2020): 12. http://dx.doi.org/10.47672/ejhs.514.

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Background: Epilepsy is one of the world’s oldest known brain disorders among several medical conditions. A recent study has indicated that 70 million people are estimated to suffer from this disease. Despite the increase education and health care, some health professionals continue to linger in darkness about cause and treatment options of the disease.Purpose. The main objective of this study was to assess the knowledge and attitude regarding epilepsy among nurses within the Asutifi North District with the aim of understanding their subjective experiences and knowledge on epilepsy in a socio-cultural context and how their attitude shaped their practice towards people with epilepsy.Methodology. The study employed an exploratory descriptive cross-sectional design with 102 participants using a standard statistical formula. Data was collected using a paper based semi-structured self-administered questionnaire and analysis was by STATA version 12.Results. Findings showed that 67.7% (69/102) of the nurses were aware of the causes of epilepsy whereas 59.8% have low level of knowledge on the disease. Results indicated that 82.4% of the nurses suspect PWE have mental illness, 70.6% of the nurses had positive attitude towards epilepsy. The socio-demographic characteristics of religion (Muslim) (p=0.017), area of speciality (RMN) (p=0.045) as well as close family relationship with epilepsy (p=0.001) were significantly associated with knowledge on epilepsy. Factors that were found to influence attitude towards epilepsy were sex (Female) (p=0.037) and religion (Muslim) (p=0.012). However, specialty area (RMN) (p=0.054) did not statistically impact on the study. Nurses at the Asutifi North District therefore tended to have low knowledge and positive attitude on epilepsy. It is important to improve training and health care delivery for epilepsy.Recommendation. The Ghana Health Service in collaboration with the Ministry of Health should run intermediary workshops, at least every six months, to train nurses in epilepsy diagnoses to reduce the treatment gap. The health directorate should raise awareness and educate the communities on epilepsy to reduce stigma. Enhancing nursing education and training on epilepsy by the Ministry of Health and its agencies is imperative to improving health care delivery for people living with the disease
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Amoo, Sara Ama, Awube Menlah, Isabella Garti, and Evans Osei Appiah. "Bullying in the clinical setting: Lived experiences of nursing students in the Central Region of Ghana." PLOS ONE 16, no. 9 (September 23, 2021): e0257620. http://dx.doi.org/10.1371/journal.pone.0257620.

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Introduction Nursing students are confronted with bullies in the classroom and during clinical placement. Acquisition of the necessary psychomotor skills intended during clinical placements may be impeded when workplace bullies intimidate students. This study aimed to describe the various bullying behaviours experienced by nursing students and their effects during clinical placement in the Central Region of Ghana. Methods A qualitative phenomenological descriptive approach using a semi-structured interview guide was employed to collect data from nursing students in focus groups. Overall, six (6) focus groups were used, with five (5) students in each group comprising males and females. The sample size was based on data saturation and was saturated on the six focus group discussions giving a sample size of 30. Purposive sampling was used to select students who had been on the ward at least three clinical placements and had experienced bullying in the clinical setting. In-depth interviews were conducted, recorded, transcribed verbatim and analysed using content analysis. Results The study revealed that nursing students had experienced bullying practices such as shouting, isolation, humiliation and being assigned tasks below their competency level. In addition, findings showed that bullying led to a loss of confidence and caused stress and anxiety in nursing students. Conclusion Therefore, it is recommended that nursing students are mentored holistically in a caring and accepting environment where they will be supported to achieve their learning goals, build their confidence, and develop their personal and professional identity.
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Puni, Albert, and Sam Kris Hilton. "Dimensions of authentic leadership and patient care quality." Leadership in Health Services 33, no. 4 (August 17, 2020): 365–83. http://dx.doi.org/10.1108/lhs-11-2019-0071.

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Purpose The purpose of this study is to investigate the causal relationships between the dimensions of authentic leadership and patient care quality in the nursing profession of Ghana. Design/methodology/approach The study used explanatory and cross-sectional survey designs. The data were obtained from 400 respondents, consisting of 200 nurses and 200 patients in selected general hospitals. The analysis was done using descriptive statistics, correlation and multi-linear regression techniques. Findings The study found that all four dimensions of authentic leadership, namely, self-awareness, internalized moral perspective, balanced processing and relational transparency positively correlated with patient care quality, however, only internalized moral perspective and self-awareness have positive significant association with patient care quality and internalized moral perspective being the highest predictor. Thus, the results suggest that authentic leadership can positively predict patient care quality. Practical implications The study contributes to the understanding of how dimensions of authentic leadership practices affect patient care quality. This understanding is relevant to academics in general and Ghanaian policymakers in particular. Originality/value The research makes a significant contribution to the existing authentic leadership literature by establishing that the dimensions of authentic leadership predict patient care quality with an internalized moral perspective being the highest predictor followed by self-awareness. Furthermore, the authors anticipate that the outcomes of this research, which so far is the first study in the Ghanaian context, can significantly shape nursing leadership discourse, practices and policies in Ghana and in other developing countries to improve patient care quality.
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Essel, Harry Barton, Michael Boakye-Yiadom, and Shamsudeen Mohammed. "Internal quality assurance practices of nursing and midwifery training colleges and the role of regulatory bodies: The perspectives of health tutors." Journal of Nursing Education and Practice 8, no. 10 (May 16, 2018): 68. http://dx.doi.org/10.5430/jnep.v8n10p68.

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In the era of quality orientation, human rights, and a consumer-driven society, Nursing and Midwifery Education Institutions (NMEI) are expected to produce qualified graduates who will meet the needs and expectations of society. The aim of the study was to assess the internal quality assurance practices of Nursing and Midwifery Training Colleges (NMTCs) in the Northern Region of Ghana. An analytical cross-sectional design was adopted for the study with a sample size of eighty-eight (88). Purposive sampling method was used to select health tutors (participants) from three NMTCs in the Northern Region of Ghana. Data for the study were collected with a questionnaire and analysed. The study revealed that the NMTCs have quality assurance units/committees responsible for monitoring the quality of teaching and learning. In this study, only 39.8% of the health tutors were satisfied with the monitoring and inspection of training institutions by regulatory bodies. The results show a significant difference among the perspectives of the health tutors on the implementation of staff professional development (F(2, 87) = 4.74, p = .011), academic staffs motivation in the direction of refining the value of academic programs (F(2, 87) = 3.43, p = .037), working conditions of staffs (F(2, 87) = 3.32, p = .041) and the effectiveness of quality assurance systems in enhancing the quality of teaching and assessment (F(2, 87) = 3.27, p = .043). There is the need to ensure uniformity in staff professional development, working conditions, and motivation of health tutors in the training institutions. Regulatory bodies must intensify the monitoring of NMTCs and offer accreditation to new NMTCs based on the state of educational resources and facilities.
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Tankpara, Philip Anyelba, Dickson Adom, and Joe Adu-Agyem. "Quality assurance policies and implementation in nursing and midwifery training colleges in Ghana." International Journal of Evaluation and Research in Education (IJERE) 10, no. 2 (June 1, 2021): 455. http://dx.doi.org/10.11591/ijere.v10i2.21027.

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<span lang="EN-US">The study assessed internal quality assurance (QA) systems in health training institutions in the Upper West Region. The study adopted the cross-section analytical design with a sample size of 272 (67 health tutors and 205 final year nursing students) using systematic and purposive sampling techniques. Data for the study were collected with a questionnaire and analyzed using SPSS and Stata. The study revealed that the majority (5 of 7) of nursing and midwifery colleges (NMTCs) in the Upper West Region have no quality assurance policy available, 65.7% of tutors indicated their institutions had quality assurance units/committees however these committees are inactive the total level of QA practices/implementation rate was low among colleges in the region. The study also revealed a lack of participatory governance and the existence of a poor communication system between staff and heads. The study contended that there is a need for heads (principals) of NMTCs in the Upper West region in Ghana should ensure the formation and functioning of QA units in their various institutions. These units should be empowered and allowed by heads to function as per recommendations by the regulatory bodies to support and to ensure quality training of nurses and midwives.</span>
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39

Boakye, Dorothy Serwaa, and Azwihangwisi Helen Mavhandu-Mudzusi. "Nurses knowledge, attitudes and practices towards patients with HIV and AIDS in Kumasi, Ghana." International Journal of Africa Nursing Sciences 11 (2019): 100147. http://dx.doi.org/10.1016/j.ijans.2019.05.001.

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40

Bediako, Agnes Asare, Rasheed Ofosu-Poku, and Andrews Adjei Druye. "Safe Blood Transfusion Practices among Nurses in a Major Referral Center in Ghana." Advances in Hematology 2021 (March 2, 2021): 1–13. http://dx.doi.org/10.1155/2021/6739329.

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Errors in transfusion of blood and blood products can lead to preventable morbidity and mortality. Nurses constitute a significant aspect of the transfusion process as they are the last in the chain of getting blood directly to the patient. They must, therefore, be conversant with the current standard of national and international guidelines on blood transfusion and appropriate management of adverse transfusion events. This study assesses the knowledge and practices of blood transfusion safety among nurses at Komfo Anokye Teaching Hospital. A descriptive cross-sectional design was employed, and structured questionnaire (Routine Blood Transfusion Knowledge Questionnaire) was used to collect data from 279 nurses from seven clinical directorates of the hospital. The data were processed with Stata version 14.0. Variables were analyzed using descriptive statistics, and relationships were drawn using inferential statistics. Over 90% of the respondents had a minimum of a diploma in nursing or midwifery, 63% had performed blood transfusion at least 5 times, and 46% had never received any training on blood transfusion. The mean score obtained in all four categories of blood transfusion knowledge assessed was 29, with 54% of the respondents scoring below the mean. The highest overall score on knowledge was 53%. This indicates that nurses had poor knowledge regarding safe blood transfusion practices as stipulated in the clinical guidelines for blood transfusion by Ghana’s National Blood Service. There was no statistically significant relationship between training/experience and knowledge of safe blood transfusion practices. Regular and continuous update training and audit are needed to safeguard patient safety during blood transfusion.
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41

Chaponniere, Paulette A., and Laura E. Hall. "To prompt or not to prompt: A descriptive study of journaling practices used by nursing students during study abroad trips." Journal of Nursing Education and Practice 9, no. 8 (April 26, 2019): 46. http://dx.doi.org/10.5430/jnep.v9n8p46.

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Background: Reflective journaling has been widely used as an education tool. Minimal research has occurred to determine whether prompted or open format journaling nurtures cultural competence.Methods: The efficacy of journal prompts as a pedagogical tool was assessed in this descriptive study. Undergraduate nursing students (N = 49) reflected on their clinical experiences during 2-week trips to Ghana over 4 years (2013-2016). The 1st, 2nd and 4th trip, students were assigned open reflective journaling. The 3rd trip, students were given prompted questions to answer. Entries were coded using Atlas.ti 7.Results: The prompted format produced shorter entries with less rich and reflective substance. Some entries only allowed for two codes. Unprompted entries provided up to 28 codes.Conclusions: During cross-cultural encounters, unprompted journaling may produce the richest results. When prompts are used, the format needs to be carefully selected to facilitate transformative learning.
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Adeyinka, Tella, Falaye Jibola, Aremu Oyesoji, and Tella, Adedeji. "A Hospital-Based Assessment of Breast-Feeding Behaviour and Practices among Nursing Mothers in Nigeria and Ghana." Pakistan Journal of Nutrition 7, no. 1 (December 15, 2007): 165–71. http://dx.doi.org/10.3923/pjn.2008.165.171.

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43

Koduah, Adwoa Owusuaa, Padmore Adusei Amoah, Jacob Oppong Nkansah, and Angela Y. M. Leung. "A Comparative Analysis of Student and Practising Nurses’ Health Literacy Knowledge in Ghana." Healthcare 9, no. 1 (January 4, 2021): 38. http://dx.doi.org/10.3390/healthcare9010038.

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This study examined student and practising nurses’ health literacy knowledge, and its correlates in Ghana. It was underpinned by an adapted version of the Institute of Medicine’s (IOM) conceptual framework of health literacy. We used convenience and snowball sampling techniques to collect data from 876 nurses (477 student nurses and 399 practising nurses) in a cross-sectional survey from February 2019 to June 2019. The respondents were drawn from all the former ten administrative regions of Ghana. Approximately 75.4% of the respondents had heard of health literacy. However, health literacy knowledge was generally low (average score of 6.6 out of 20) among both groups, with student nurses (average score of 5.8 out of 20) having significantly lower scores than practising nurses (average score of 7.4 out of 20). Factors associated with health literacy knowledge among student nurses included gender (male, B = −0.499, p < 0.01), trust in others (B = −0.874, p < 0.001), cultural values (B = 0.276, p < 0.001), year of study (B = 0.244, p < 0.05), and frequency of curative care use (B = −0.236, p < 0.05). For practising nurses, trust (B = −1.252, p < 0.01), cultural values (B = 0.357, p < 0.01), and working experience (B = 0.612, p < 0.01) were associated with their health literacy knowledge. Thus, responses targeted at gaps in health literacy knowledge of student and practising nurses must be sensitive to personal characteristics (e.g., gender), social values (e.g., issues of trust, and cultural beliefs and practices), as well as factors relating to nursing education and experience.
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Anyan, Frederick, and Birthe Loa Knizek. "The Coping Mechanisms and Strategies of Hypertension Patients in Ghana: The Role of Religious Faith, Beliefs and Practices." Journal of Religion and Health 57, no. 4 (November 6, 2017): 1402–12. http://dx.doi.org/10.1007/s10943-017-0517-7.

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45

Ramli, Roslawati, Elizabeth G. M. Chong, and Weng Keong Yau. "100 Knowledge of Nurses about the Morse Falls Scale." Age and Ageing 48, Supplement_4 (December 2019): iv18—iv27. http://dx.doi.org/10.1093/ageing/afz164.100.

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Abstract Introduction Falls in the hospital is common. Morse Fall Scale was introduced in 2013 to Hospital Kula Lumpur as a tool for risk assessment in order that prevention strategies could be instituted in accordance to the falls risk. However, the rate of falls was on the rise in the last 5 years despite the use of the tool. The concern was that there is a lack of understanding in the use of the tool or that the scoring was not performed correctly by the nurses. Method A validated structured questionnaire regarding the knowledge of Morse Fall Scale was distributed to the registered nurse of the Medical Department Hospital Kuala Lumpur. Results 209 responses to the questionnaire were collected. The average correct answers were 7 points. Almost a quarter of the nurses had less than 5 correct answers. 50% of this group of nurses has less than 5 years of working experience; most of them only had a diploma and were working in the active medical wards. 17% had full scores, in which 92 % of them had more than 5 years’ experience and had higher nursing qualifications. Overall, the nurses with longer working experience scored 1 point higher than those with a diploma. However, there is no difference in the average score with regards to their place of work, either in clinic or ward. The highest scoring (97.6%) question was the question regarding the purpose of Morse Falls Scale. The least correctly answered (41.6 %) was the question regarding the number of categories in the Morse Falls Scale. Conclusion The nurses with more experience understood the use of the scoring and usage of the Morse Falls Scale better. Generally, with an average score of only 7 out of 10, may reflect an inadequacy in the understanding in falls prevention. References 1. SG Lim, SW Yam. The level of knowledge and competency in the use of the Morse Fall Scale as an assessment tool in the prevention of patient falls, IeJSME, 2016, 10(3): 14-23 2. Cruza S, AL Carvalho P, Barbosa BL. Morse fall scale user’s manual: Quality in supervision and in nursing practice. Procedia - Social and Behavioral Sciences 2015; 171: 334–9. 3. Enein NAE, Ghany ASAE, Zaghloul AA. Knowledge and performance among nurses before and after a training programme on patient falls. Open Journal of Nursing 2012; 2: 358–64.
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Nukpezah, Ruth Nimota, Fatemeh Khoshnavay Fomani, Marzieh Hasanpour, and Alireza Nikbakht Nasrabadi. "A qualitative study of Ghanaian pediatric oncology nurses’ care practice challenges." BMC Nursing 20, no. 1 (January 12, 2021). http://dx.doi.org/10.1186/s12912-021-00538-x.

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Abstract Background Pediatric cancer is a global problem, and some studies have emphasized that nurses caring for these children experience work-related challenges. This has caused many children diagnosed with cancer to have a prolonged hospital stay and suffer unnecessary pain. However, there is insufficient documentary evidence on this issue. This study aims to explore and understand the challenges faced by pediatric oncology nurses in caring for children in Ghana. Methods An exploratory qualitative research design study was conducted from August 2019 to April 2020. The study was conducted at the pediatric oncology unit which is located at the Tamale Teaching Hospital (TTH), Ghana. The study was conducted among 14 Ghanaian pediatric oncology nurses who were purposively sampled. A semi-structured interview guide was used to collect data. The interviews were recorded, transcribed verbatim, and analyzed inductively using Elo and Kyngas content analysis approach. The criteria proposed by Guba and Lincoln were used to ensure the validity of the study. Results From the analysis of participants transcripts, eight subcategories emerged from two major categories. The subcategories were; time-consuming care, low job motivations, inadequate logistics, work stress, reduced labour force, low knowledge level, lack of teamwork and the perception of contracting cancer. Conclusions The results point to several organizational and personal constraints experienced by the nurses who work at the pediatric oncology ward. It is hoped that by addressing these challenges, it would lead to further improvement in the care that is provided to children with cancer. There is the need for the administrative managers of hospitals, government and other stakeholders to invest in human, material and financial resources for delivering childhood cancer care services.
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Dzomeku, Veronica Millicent, Adwoa Bemah Boamah Mensah, Emmanuel Kweku Nakua, Pascal Agbadi, Jody R. Lori, and Peter Donkor. "Midwives’ experiences of implementing respectful maternity care knowledge in daily maternity care practices after participating in a four-day RMC training." BMC Nursing 20, no. 1 (March 10, 2021). http://dx.doi.org/10.1186/s12912-021-00559-6.

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Abstract Background In Ghana, studies documenting the effectiveness of evidence-based specialized training programs to promote respectful maternity care (RMC) practices in healthcare facilities are few. Thus, we designed a four-day RMC training workshop and piloted it with selected midwives of a tertiary healthcare facility in Kumasi, Ghana. The present paper evaluated the impact of the training by exploring midwives’ experiences of implementing RMC knowledge in their daily maternity care practices 4 months after the training workshop. Methods Through a descriptive qualitative research design, we followed-up and conducted 14 in-depth interviews with participants of the RMC training, exploring their experiences of applying the acquired RMC knowledge in their daily maternity care practices. Data were managed and analysed using NVivo 12. Codes were collapsed into subthemes and assigned to three major predetermined themes. Results The findings have been broadly categorized into three themes: experiences of practising RMC in daily maternity care, health facility barriers to practising RMC, and recommendations for improving RMC practices. The midwives mentioned that applying the newly acquired RMC knowledge has positively improved their relationship with childbearing women, assisted them to effectively communicate with the women, and position them to recognize the autonomy of childbearing women. Despite the positive influence of the training on clinical practice, the midwives said the policy and the built environment in the hospital does not support the exploration of alternative birthing positions. Also, the hospital lacked the required logistics to ensure privacy for multiple childbearing women in the open labour ward. The midwives recommended that logistics for alternative birthing positions and privacy in the ward should be provided. Also, all midwives and staff of the hospital should be taken through the RMC training program to encourage good practice. Conclusion Despite the report of some RMC implementation challenges, the midwives noted that the 4-day RMC training has had a positive impact on their maternity caregiving practice in the hospital. Policies and programs aimed at addressing the issue of disrespect and abusive practices during maternity care should advocate and include the building of facilities that support alternative birthing positions and privacy of childbearing women during childbirth.
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Poku, Collins Atta, Ernestina Donkor, and Florence Naab. "Determinants of emotional exhaustion among nursing workforce in urban Ghana: a cross-sectional study." BMC Nursing 19, no. 1 (December 2020). http://dx.doi.org/10.1186/s12912-020-00512-z.

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Abstract Background The subject of emotional exhaustion organisations has become important because of the emerging trends in employment and its associated challenges. Unhealthy practice environment is a major threat in the incidence of emotional exhaustion among nurses; and any organisational culture that do not support its personnel has huge burnout costs. The study aimed at assessing rate of emotional exhaustion; determining factors that accounts for it and also ascertaining the coping strategies used by nurses to overcome it in the Ghanaian health care setting. Methods A cross-sectional study with a proportionate stratified sampling was used to draw a sample from five health facilities. A standardized questionnaire of Professional Practice Environment Scale of Nursing Work Index, Maslach Burnout Inventory and Coping Scale were used to assess variables under study. The STROBE guidelines were followed in reporting this study. Results Out of the 232 registered nurses studied, 91.1% of them reported experiencing moderate to high rate of emotional exhaustion. The practice environment of the nurses explained 39.6% of the variance in emotional exhaustion. Emotion-focused and problem-focused approaches were identified to be used by registered nurses to cope with emotional exhaustion. Conclusion When appropriate and effective intervention are employed, emotional exhaustion will be reduce and this will enrich the effectiveness of quality care delivery to patients.
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Mensah, Olivia Nyarko, Mary Ani-Amponsah, Albert Opoku, Yussif Issah Sumaila, Veronica Oduro-Kwarteng, Egya Gyanzah Eshun, Ajaratu Lampinley, Faisal Adomako Duku, Ransford Sarfo Mensah, and Bright K. Avuglah. "Experiences of Ghanaian Student Nurses’ and Midwives’ during Clinical Practice in the Kumasi Metropolis: An Ethnographic Study." Asian Journal of Education and Social Studies, January 27, 2021, 21–32. http://dx.doi.org/10.9734/ajess/2021/v14i230351.

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Background: The clinical practice component in nursing and midwifery education is a neglected area of research. There is far ranging evidence that clinical exposure and skills acquisition is not equitable in Ghana. Researchers have focused mostly on clinical supervision with students’ needs still not prioritized. Therefore, this research sought to explore students’ views and stories about their clinical practicum experiences and to help gain a deeper understanding into their knowledge, competency acquisition, clinical learning, and transition to practice. Methods: We utilized focused ethnography design with Roper & Shapira’s methods on 12 students during their intra-practicum period in a tertiary hospital situated in the Kumasi Metropolis of the Ashanti-Region of Ghana. Within the period of 4 weeks intra practicum, participants were conveniently and purposively sampled and with an interview guide with a grand tour question participants’ were involved in conversation to elicit information through focus group discussions (FGD) in their natural setting. The FGDs were conducted on weekly basis during debrief sessions for 3 weeks until participants repeated what they have already said in the previous weeks indicating data saturation. Results: Nursing and midwifery students’ face diverse realities in the clinical sites, and are least supported in their skills and competency acquisitions, leading to theory practice confusion and inconsistencies, as students face challenges with the clinical component of their training. It was found that there were lack of preceptors and limited ward nurses’ preparedness to support students during clinical sessions hence students were subjected to excessive unproductive errands during the periods of practicum. It was also found that there is lack of collaboration between tutors and practicing nurses in the students training further exacerbating the theory-practice confusion. Conclusion and Recommendations: The identified gap is calling for a collaboration between clinicians and tutors to strengthen the clinical practice component of student nurse training. This will address the challenge of “theory-practice confusion and inconsistencies” among others.
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Mensah, Kofi Akohene, Enoch Acheampong, Francis Owusu Anokye, Paul Okyere, Emmanuel Appiah-Brempong, and Rose Odotei Adjei. "Factors influencing the practice of exclusive breastfeeding among nursing mothers in a peri-urban district of Ghana." BMC Research Notes 10, no. 1 (September 7, 2017). http://dx.doi.org/10.1186/s13104-017-2774-7.

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