Browsing by Author "Kyei, J."
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Item Beliefs and misconceptions about hypertension disease: A qualitative study among patients in a peri-urban community in Ghana(Original Research Article, 2023) Otemah, J.; Ohene, L.A.; Kyei, J.; Owusu-Darkwa, I.Objective: This study aims to explore beliefs and perceptions about hypertension among patients living with hypertension in a local district in the Eastern region of Ghana. Methods: A descriptive qualitative approach was adopted, and the Health Belief Model was used to guide the data collection, analysis, and organization of the study findings. Overall, seventeen participants were interviewed. In-depth interviews were conducted using a semistructured interview guide. Participants were conveniently selected from a district local Government Hospital. Data gathered were transcribed verbatim and analyzed using thematic analysis. Results: Almost all the participants acknowledged hypertension as a severe but chronic illness that can cause sudden death. They also identified that lifestyle practices and individual attitudes were associated with the hypertension condition’s causes, management, and control. The findings revealed several unscientific misconceptions and beliefs about hypertension, which could influence their disease management and control decisions. Discussion: Patients’ decisions on alternative treatment for hypertension are primarily based on beliefs and misconceptions based on the information they receive from unregulated media and peers. The prevention and control of hypertension should focus on behavior and lifestyle modification which needs reinforcement through health education and promotion.Item Female adolescent sexual reproductive health service utilization concerns: A qualitative enquiry in the Tema metropolis of Ghana(Female adolescent sexual reproductive health service utilization concerns, 2024) Agbenu, I.; Naab, F.; Kyei, J.Background Evidence globally indicates that female adolescents face numerous sexual and reproductive health (SRH) risks. Utilization of sexual reproductive health services among adolescents is of global health importance and plays a crucial role in adolescent sexual and reproductive health outcomes and their quality of life. Aim The current study explored sexual reproductive health service utilization concerns among female adolescents in the Tema Metropolis in Southern Ghana using the Anderson and Newman Behavioral model of Health Service Utilization as a guiding framework. Methods The study utilized a qualitative exploratory-descriptive design. Purposive sampling was used to recruit female adolescents. In-depth face-to-face interviews were conducted using a semi-structured interview guide. In all, 12 interviews were conducted. Each interview lasted between 45 and 60 minutes. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic content analysis. Thematic analysis was guided by the constructs of Anderson and Newman Behavioral model of health service utilization. Results Utilization of sexual reproductive health services among female adolescents is low in the Tema metropolis. Factors such as unprotected non-consensual sexual activity or an unwanted pregnancy sometimes triggered the use of these services. Barriers to utilization identified include lack of awareness on sexual reproductive health services, unreliable sources of SRH information, underestimation of the severity of sexual reproductive health problems faced, unmet expectations and poor experiences with service providers.Conclusion The current study identified poor utilization of sexual reproductive health services among female adolescents within the Tema metropolis of Ghana. There is a need to increase the number of adolescent health corners, increase awareness about SRH services among adolescents, improve parent-child SRH communication and provide adequate training for healthcare providers to improve provider attitude towards adolescent SRH service delivery in order to increase utilization of sexual reproductive health services among female adolescents in the Metropolis.Item The Image of Nurses and Midwives in Ghana: Patient and Family Perspectives(Global Qualitative Nursing Research, 2022) Ohene, L.A.; Acheampong, A.K.; Dzansi, G.; Kyei, J.; Adjei, C.A.; Adjorlolo, S.; Asante, I.N.A.; Woolley, P.; Nyante, F.; Aziato, L.This study aims to explore the perceptions of patients and family caregivers on the image of nurses and midwives in Ghana. The study adopted a qualitative exploratory descriptive approach. A total of 25 participants were interviewed during data collection. Content and thematic analysis were applied in the data analysis to develop themes. The findings are captured under two major themes that describe the primary influences on participant images of nurses: Thus, (1) nurses’ and midwives’ attributes with four subthemes; staff appearance, communication strategies and behaviors, work attitudes, and professional competence and (2) patients’ status and subthemes were; uneducated poor and educated rich. We conclude that patients and families in Ghana recognize the professional attributes of the nurse and midwife, which reflect in their personality, grooming, communication, competencies, and attitudes. However, low publicity of the professional roles of nurses and midwives may have negative repercussions for their professional image. A policy to perform a regular public audit on the image of the Nurse/Midwife is important for professional advancement.Item Keeping Hope Alive on a Lonely Path: Perspectives of women with Infertility Undergoing Assisted Reproductive Technology (ART)(University of Ghana, 2019-10-29) Kyei, J.Infertility remains a challenge for some couples globally. Evidence show that one in every six couples will face a fertility problem in their reproductive age. For the past four decades, Assisted Reproductive Technology (ART) has been an alternative treatment for infertility in many countries, including Ghana. The complexities associated with the ART process underscore the relevance of coping throughout the treatment cycle. To understand the multiple factors negatively affecting couples undergoing ART, I used a convergent parallel mixed-method research design to investigate the phenomenon in the Greater Accra region of Ghana. Overall, 223 women participated in the study. The Ways of Coping (WOC) validated questionnaire and interview protocols were used to collect the quantitative and qualitative data, respectively. Data were processed using Stata version 14.0 and Nvivo QSR version 10. The findings showed that couples, particularly women, attach importance to childbearing in many cultures in Ghana. But in an event where the expectation of procreation is unmet, psychological and emotional wellbeing become distorted. Mental health issues reported by women as consequences of infertility included depression, anxiety, self-stigma, and enacted stigma. All participants opted for ART as an alternative solution to their infertility. The process of ART also presented challenges to the women such as high cost of ART, long-distance to ART centres, and anxiety about treatment outcome. The women, however, adopted various coping strategies, including confrontation, distancing, self-control, social support, acceptance, avoidance, problem-solving, and positive reappraisal to deal with the ART challenges. The increasing demand for ART as an alternative treatment to infertility in Ghana calls for integration of ART services into the existing regular obstetric and gynecological services in public hospitals in Ghana. This could remove barriers to ART access for couplesItem Nurses’ and midwives’ perspectives on participation in national policy development, review and reforms in Ghana: a qualitative study(BMC Nursing, 2021) Acheampong, A.K.; Ohene, L.A.; Asante, I.N.A.; Kyei, J.; Dzansi, G.; Adjei, C.A.; Adjorlolo, S.; Boateng, F.; Woolley, P.; Nyante, F.; Aziato, L.Background: The World Health Organization has admonished member countries to strive towards achieving universal health coverage (UHC) through actionable health policies and strategies. Nurses and midwives have instrumental roles in achieving UHC via health policy development and implementation. However, there is a paucity of empirical data on nurses and midwives’ participation in policy development in Ghana. The current study explored nurses and midwives’ participation in policy development, reviews and reforms in Ghana. Methods: A qualitative descriptive exploratory design was adopted for this study. One-on-one individual interviews were conducted after 30 participants were purposefully selected. Data was audiotaped with permission, transcribed and analyzed inductively using the content analysis procedures. Results: Two main themes emerged from the data: participation in policy development and perspectives on policy reviews and reforms. The findings showed that during health policy development and reviews, nurses in Ghana were overlooked and unacknowledged. Policy reforms regarding bridging the pre-service preparation gap, staff development and motivation mechanisms and influence on admission into nursing schools were raised. Conclusion: The authors concluded that nurses and midwives are crucial members of the healthcare systems and their inputs in policy development and reviews would improve health delivery in Ghana.Item Nursing Workforce Retention in Rural Ghana: The Predictive Role of Satisfaction, Rural Fit, and Resilience(Journal of Nursing Management, 2023) Poku, C.A.; Mensah, E.; Kyei, J.; Ofei, A.M.A.Introduction. High turnover of nurses in rural healthcare settings contributes to challenges in healthcare delivery. Various incentive packages have been introduced in rural healthcare settings to curb this phenomenon, but the canker still exists. The study aimed at assessing the predictive role of job satisfaction, rural fit, and resilience on nurses’ retention in rural Ghana. Materials and Methods. A multicenter cross-sectional design was adopted to collect data from 462 nurses. Analysis through descriptive statistics, one-way ANOVA, Pearson moment product correlation, and multiple regression was done. Results. There was low resilience and rural fit among nurses with higher turnover intention, which was predicted by average daily attendance (β 0.108), rural fit (β −0.144), resilience (β −0.350), satisfaction with prospects (β −0.187), and satisfaction with prospect and pay (β −0.171) at the significance of 0.05. Conclusion. Policymakers can be assured that not just improving financial incentives to nurses, but the integration of nurses to rural settings, commensurate workload and improving pay and prospects for professional growth and resilience are needed for rural retention. Implications for nursing management, nurse managers, and policymakers have a role to develop sustainable strategies to integrate rural fit, resilience, and job satisfaction to help reduce turnover among nurses.Item Perceptions and Cues to Action as Predictors of Nurses’ Vaccination Intentions at Two Primary Health Care Facilities in Ghana(American Journal of Tropical Medicine and Hygiene, 2023) Tagbor, S.; Ohene, L.A.; Adjei, C.A.; Kyei, J.Uptake of hepatitis B vaccination by health care providers remains suboptimal in Ghana, although it is considered an effective strategy against the hepatitis B virus. This study aimed to identify the predictors of nurses’ hepatitis B vaccination intentions at two municipal health care facilities in Ghana. A descriptive cross-sectional survey was adopted. A section of the health belief model-based questionnaire was administered to 181 nurses conveniently sampled from the two facilities. Data analysis was done using Statistical Product and Service Solutions software version 23.0. Frequencies and percentages were used to assess the demographic characteristics of participants. Pearson r coefficients were used to assess the intercorrelations between individual perceptions, and the cues to action on vaccination intentions. Simple and multiple regression was used to estimate the prediction of individual perceptions, and the cues to action on hepatitis B vaccination intentions of nurses. The findings showed that nurse-perceived benefits and cues to action were positive and significantly related to hepatitis B vaccination intentions of nurses (r 5 0.14, P , 0.05; r 5 0.17, P , 0.05). Perceived susceptibility and perceived barrier were negative and significantly related to vaccine intentions (r 5 20.13, P , 0.05; r 5 20.24, P , 0.01). Notably, perceived barrier predicted hepatitis B vaccination intentions (b520.22, t 5 22.48, P 5 0.01). Nurses’ vaccination behavioral intentions were positive. It was recommended that perceived barriers to hepatitis B vaccination such as vaccination ineffectiveness, time constraints, high costs, and side effects should be addressed to increase nurses’ vaccination uptake.