Browsing by Author "Achempim-Ansong, G."
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Item Exploring the planning practices of nurse managers in the unit: a study of nurse managers in the greater Accra region(Emerald Publishing Limited, 2022) Ofei, A.M.A.; Parima, Y.; Achempim-Ansong, G.; Barnes, T.Purpose – Nurse managers’ planning practices are essential to the practice of management in the unit, and the overall efficiency of the healthcare service delivery. This study aims to explore the planning practices of nurse managers in the Greater Accra Region, Ghana. Design/methodology/approach – A descriptive phenomenological design was employed to explore nurse managers’ planning practices. In total, 15 nurse managers and 47 nurses from 19 primary and secondary hospitals of the Ghana Health Service and two specialized hospitals in the Greater Accra Region, Ghana, were involved in the study. Data were collected using semi-structured interview guides and probes. Findings – The findings suggested that plans were widely common to all the units of the hospitals and were considered satisfactory by nursemanagers. However, most of these plans were not effectively utilized. Nurse managers had only fair knowledge about the planning process and were moderately involved and communicated ideas to colleagues in the process. Furthermore, nurse managers do not frequently share the vision neither do they even communicate expectations to achieve unit goals and objectives with subordinates. Originality/value – The research emphasizes the relevance of planning in healthcare management. It highlights the management practice of planning in the context of nurse managers and accentuates the values the healthcare system derives with effective planning practices.Item Improving the quality of life of women with Metabolic syndrome using lifestyle intervention program(University of Ghana, 2020-02-25) Achempim-Ansong, G.Metabolic syndrome (MetS), an emerging global pandemic with high socioeconomic cost, predisposes individuals to the risk of developing cardiovascular diseases, type 2 diabetes, stroke, and coronary artery disease. Studies have shown an increase in the prevalence of MetS among women globally and among Ghanaian women. Market work related factors such as physical inactivity and lack of proper nutrition due to preoccupation with trading activities, as well as lack of knowledge regarding the effect of this kind of work environment predispose market women to the development of MetS. The study sought to examine the effects of a lifestyle intervention programme on the quality of life of market women with metabolic syndrome in Kaneshie Accra, Ghana. The one group pre and post-test intervention design was employed in the study. A lifestyle intervention programme was designed and piloted among 70 MetS positive market women between the ages of 25 to 65. The quality of life of the women was assessed using the WHOQOL Bref 26 item questionnaire developed by WHO. Data were analysed using STATA and Tukey tests. Findings from the study revealed a significant improvement in participants’ MetS parameters and quality of life after the intervention programme. The results of the study indicated that a 3-month physical activity, diet and health education programme for market women with MetS, contributed significantly in reducing the incidence of MetS and improving their quality of life. There is therefore the need for regular screening for MetS as well as awareness creation of the general public on MetS.Item Perceptions of nurses regarding quality of adult cardiopulmonary resuscitation in Ghana: a qualitative study(BioMed Central Ltd, 2023) Achempim-Ansong, G.; Gbordzoe, N.I.; Amoako-Mensah, E.; et al.Abstract Objectives Cardiopulmonary resuscitation (CPR) is a necessary life-saving emergency intervention for patients with cardiac arrest and other medical conditions. The study’s primary objective was to qualitatively explore nurses’ perceptions of the quality of adult cardiopulmonary resuscitation in Ghana. Methods An exploratory descriptive qualitative study was conducted among 13 purposively sampled nurses in Ghana. We collected thirteen face-to-face and telephone interviews using a semi-structured interview guide. Data were transcribed verbatim and analysed using the thematic analysis approach recommended by Braun and Clarke. Results Data analysis revealed that nurses were filled with positive emotions when patients regained consciousness following resuscitation. When the otherwise happens, they tend to become tortured psychologically and filled with negative emotions. Besides, environmental factors such as the time of initiating CPR following a cardiac arrest, the availability and appropriateness of equipment and medications, workplace ergonomics, and institutional regulations affected the quality of resuscitation practices of nurses. Participants perceived that attitudes of condemnation, prejudice, apathy and skills deficiency also impacted the quality of resuscitation practices. Significant aspects of self-reported behavioural competence that affected resuscitation were knowledge and skills of CPR, confidence in initiating CPR, and the need for effort maximisation. Conclusion This study revealed several non-medical factors that influenced the resuscitation practices of nurses from their perspective. Nurses need to maximise their effort toward seeking further education in speciality areas such as emergency nursing and critical care nursing to guide their CPR practices and other newly emerging evidence-based protocols.Item Psychosocial and physical experiences of haemodialysis patients in Ghana.(Africa Journal of Nursing and Midwifery, 2012) Achempim-Ansong, G.; Donkor, E. S.The chronicity of end-stage renal disease and the uncertainties surrounding the course of the disease and its treatment necessitate ongoing psychosocial assessment of these patients. This study explored the psychosocial and physical experiences of haemodialysis patients. A qualitative study was conducted in one medical unit of a teaching hospital in Accra, Ghana. A sample of 10 female and male end-stage renal disease patients, undergoing haemodialysis, were recruited. Interviews were audio taped. Data were transcribed verbatim and were analysed through content analysis, coding and categorisation. From the experiences narrated by the participants, four main themes emerged, which were divided into sub-themes. These included: psychological experiences (anxiety, depression, anger, worrying, and fear of death); social experiences (intentional isolation, inability to attend social functions, and effect of dialysis on marriage); economic encounters (difficulty in financing the treatment, loss of income, lowered productivity); and physical experiences (problems with sleeping, with fluid and diet restrictions, and with accessing the treatment site). Based on these findings, it is recommended that counselling centres should be attached to dialysis units in order to counsel patients and their families before haemodialysis commences. Future studies should capture how haemodialysis patients cope with their psychosocial experiences.Item Reconceptualising Preceptorship in Clinical Nursing Education in Ghana(International Journal of Africa Nursing Sciences, 2019-04) Asirifi, M.; Ogilvie, L.; Barton, S.; Aniteye, P.; Stobart, K.; Bilash, O.; Eliason, C.; Achempim-Ansong, G.; Kwashie, A.; Aziato, L.Clinical teaching in nursing education is a worldwide challenge that needs to be context specific (Vitale, 2014) in relation to local health needs, current and potential nursing roles within the health system, and availability of human, fiscal, and clinical resources. Resource constraints, however, pose greater challenges in low and middle-income countries. In 2016, we engaged in a four-cycle community-based participatory action research (CBPR) study to examine current issues in clinical nursing education in one school of nursing in Ghana and worked collaboratively with stakeholders in visioning possibilities for improvement. Congruent with the CBPR approach (Caine & Mill, 2016), a four-member Collaborative Research Team from the School of Nursing engaged in the study consulted in the development of the research as it progressed, collaborated in data analysis, determined priorities for action, and participated in devising and implementing recommendations.