School of Nursing

Permanent URI for this collection

Browse

Recent Submissions

Now showing 1 - 20 of 175
  • Item
    Self-Care Practices Among Elderly Patients With Type 2 Diabetes Mellitus At The Greater Accra Regional Hospital
    (University Of Ghana, 2022-09) Amakye-Nyame, N.C.
    Diabetes Mellitus (DM) has become a major public health problem in Ghana, Sub-Saharan Africa (SSA), and the entire globe. Diabetes is among the four non-communicable diseases globally. Studies have revealed that Ghana has been experiencing an increased number of aged populations who are likely to suffer from chronic diseases such as diabetes and increase demand for healthcare. Therefore, diabetes self-care practices among the elderly living with type-2 diabetes mellitus are very crucial in its management as poor self-care results in complications. However, in Ghana, little scholarly attention has been given to diabetes self-care practices among older adults living with Type 2 Diabetes Mellitus. Therefore, the reason for conducting a qualitative study was to explore the self-care practices of elderly patients with Type 2 Diabetes Mellitus at the Greater Accra Regional Hospital. Albert Bandura's Social Cognitive Theory (1986) was used to guide the study. An exploratory descriptive design with a purposive sampling technique was used to recruit twelve (12) participants after saturation was achieved. A face-to-face interview was done using a semi structured interview guide and audiotaped. Transcriptions of the collected data were done verbatim. Thematic content analysis was used to analyze the data received. Four major themes emerged after the analysis of collected data. These were: Knowledge of diabetes self-care, Self-regulation practices in diabetes management, Barriers that affect the management of diabetes, and a support system received by elderly patients in diabetes management. The findings of the study revealed that some of the participants knew self-care practices such as eating healthy, self-monitoring of blood glucose levels, and foot care practices among others, and were empowered, motivated, and achieved good results whilst others too were not engaging in effective diabetes self-care activities due to certain environmental impediments which served as barriers. It revealed financial hardship as one of the major barriers faced by elderly diabetes patients despite partial coverage of the National Health Insurance Scheme (NHIS). Therefore, diabetes patients should be given high-quality adequate diabetes education, and delivery of diabetes education should include other formats such as video, leaflets, and written). Diabetes education can also be done at the community level for elderly diabetes. The government should make diabetes carefree for older adults with Type 2 Diabetes Mellitus. Developing theory-based approaches to care for individuals with diabetes can create a more progressive, coherent body of knowledge to assist healthcare providers in effectively teaching and coaching patients’ diabetes self-care. Diabetes self-care among elderly patients is suboptimal. Therefore, Diabetes education by health professionals should also include patient empowerment and culturally sensitive approaches that will be accepted by individuals with diabetes. In managing diabetes, it can be concluded that diabetes self-care practices which are healthy eating, medication adherence, self-monitoring of blood glucose, physical activity, and foot care practices are the key elements required for diabetes patients to stay healthy with improved quality of life. For that barriers to diabetes management should be given serious attention by stakeholders (hospitals, health professionals, health programmers, community leaders, government, etc) of this group.
  • Item
    Exploring Social Media Adoption By Nurses For Nursing Practice In Catholic Hospital Battor In The North Tongu District Of Volta Region, Ghana
    (University Of Ghana, 2021-09) Gamor, Nathan
    There is an ongoing social media technological revolution globally and this is impacting people’s approach to work and organizational outputs. The health care industry is not left out of this intriguing, drastic, and far-reaching change that social media has brought forth. Healthcare organizations and individuals are said to be adopting social media for nursing care in Ghana. It remains largely undetermined the factors influencing nurses in the Catholic Hospital Battor to adopt social media to enhance nursing care. The study, therefore, seeks to explore social media adoption by nurses for nursing care in Catholic Hospital Battor using the technology acceptance model as the guiding framework. An exploratory descriptive qualitative study design with a purposive sampling technique was employed to recruit twelve (12) participants for the study. A semi-structured interview guide was used to conduct in-depth interviews which were audiotaped, transcribed verbatim, coded, and analyzed. Thematic analysis was used to analyze the data with NVivo. The findings revealed that nurses found social media to be useful for the accomplishment of nursing tasks, dissemination, and reception of information, professional development and enhanced referral networks. Apart from its usefulness, participants believe it is easy to navigate its apps, clear and understandable to use and its usage in nursing does not involve much mental effort hence their favourable attitude toward use. Notwithstanding, some participants also believe that inaccurate information, privacy and confidentiality concerns, distraction, and addiction were some potential risks that are associated with its usage in nursing practice. Due to this, some participants developed a negative attitude toward its usage as a result of the unpleasant experience they have with its usage. This study, therefore, recommends prudential use of social media in health institutions. It also advocates for the development of policies to govern its use in healthcare facilities.
  • Item
    Factors Influencing New-Born Resuscitation Practices Among Nurses And Midwives In The Eastern Region, Ghana.
    (University of Ghana, 2022-01) Berko, Y.D.
    The study explored the factors that influence New-born resuscitation (NR) practices among nurses and midwives in the Eastern Region of Ghana. The focus of the thesis was to describe the attitudes and explain the beliefs and perceptions (subjective norms) of nurses and midwives towards New-born resuscitation. The study sought out to identify the behavioural intentions of nurses and midwives and examined the practices (behaviour) of new-born resuscitation among nurses and midwives. This was a qualitative study and was carried out using face-to-face, in-depth semi-structured interviews. Seventeen nurses and midwives who work in the Neonatal Intensive Care Units and Maternity wards from the Nsawam Government Hospital and the Regional Hospital, Koforidua were interviewed. The study found that good knowledge and understanding of NR had a positive impact on the attitude of nurses and midwives. Also, people of referents and the family had a great influence on NR performance. In addition, culture, and religion, directly and indirectly, impacted practice. On the contrary, traditions from the ward and belief in the archaic ways of managing new-borns with breathing difficulties had adverse impact on NR practice. Also, other factors such as lack of training, shortage of human and material resources, inadequate space, poor supervision, and monitoring were identified as barriers to NR performance among the nurses and midwives. There is the need for regular training, inculcating family centred care in training, monitoring, and provision of the necessary amenities for effective NR which will go a long way to improve the nurse or midwife's behaviours towards NR.
  • Item
    Parents’ Perspectives On The Quality Of Life Of Adolescents Living With Autism Spectrum Disorder: A Study In The Accra Metropolis.
    (University Of Ghana, 2022-03) Atchulo, K.
    Autism Spectrum Disorder remains one of the growing public health conditions that have devastating effects on the wellbeing and quality of life of adolescents. Using the quality of life model by Betty Ferrel propounded in 1996 as an organizing framework, this study investigates the parents‘ perspectives on the quality of life of adolescents living with autism .The objectives which are based on the constructs of the model were investigated including the physical wellbeing, social wellbeing, psychological wellbeing and spiritual wellbeing. The study was an exploratory descriptive study involving 13 participants in the Accra metropolis. With the consent of the participants, data was collected using a semi structured interview guide. The responses were recorded, transcribed, coded and subsequently into subthemes and themes. A thematic content analysis revealed (5) themes and (17) subthemes. According to this study findings, adolescents with autism were found to have low quality of physical wellbeing. They were not physically independent, suffered other conditions as result of autism and could not perform basic life functions without assistance. They had a good social wellbeing evident by their cordial relationship with their peers and relatives at the same time they had poor oral communication. Adolescents with autism were found to have reduced psychological wellbeing. They are moody, irritated, isolated at times, interactive and sometimes aggressive. Furthermore, adolescents with autism had improved spiritual wellbeing and could engage in religious activities. Also, there were no support systems thus recreational centers, job opportunities and educational support. Muslim respondents were not available for this study due to their cultural beliefs, children with Autism in the Muslim community were taken to the villages and left there. This gab should be researched in the future. In conclusion, the public should be sensitized and educated on Autism spectrum disorder and government as well as non- governmental organizations should provide training and educational support for autistic adolescents.
  • Item
    Health Behaviour Of Pregnant Women Towards The Pregnancy School In The Greater Accra Regional Hospital
    (University of Ghana, 2021-09) Egyir, S.C.
    ABSTRACT Antenatal care is viewed as an important point of contact between health workers and women and an opportunity for provision of health education including how to detect pregnancy complications and development of a birth plan to ensure safe delivery at a health facility. Quality antenatal care and education given to pregnant women during antenatal visits could be used as one of the measures to curb maternal mortality since these somewhat preventable maternal deaths have hugely been attributed to the lack of quality contacts between the pregnant women and the professional caregiver. Owing to the fact that little has been done over the years on the health behaviour of pregnant women towards the pregnancy school, the study therefore explored the health behaviour of pregnant women towards the pregnancy school in the Greater Accra Regional Hospital using the theory of Information Motivation-Behavioural-Skill model to guide the research. A qualitative explorative approach was employed. Data were collected from Greater Accra Regional hospital using a purposive sampling method. Fourteen (14) participants who consisted of three (3) pregnant and eleven (11) postpartum women who consented to participate in the study were interviewed face to face using a semi structured interview guide which lasted for 30-45minutes. Data were analysed thematically. Four (4) main themes and eighteen (18) subthemes were formulated from the constructs of the IMB model and the objectives of the study. The results of the study emphasized that, the participants found the information given at the classes to be very useful and had concerns with the time frame of the classes. The findings suggest that although the pregnancy school is a good initiative all stakeholders should support in order to improve it. Future research should focus on the information needs of the husbands and partners attending pregnancy schools. Keywords – Pregnancy school, antenatal care, pregnant woman.
  • Item
    Strategic Management Practices Of Nurse Managers At The Greater Accra Regional Hospital
    (University of Ghana, 2022-12) Ayishetu, N.
    Strategic management practice is essential in the health care system especially, among nurse managers, since nurses are front liners in health care delivery. The study sought to explore the strategic management practices of nurse managers. A conceptual framework of the strategic management process was used to guide the study. A qualitative exploratory, descriptive design was utilized. Twelve (12) participants were purposively sampled from the Greater Accra Regional Hospital (GARH). A semi-structured interview guide was used to collect data from the participants, and thematic analysis was used to analyse data. Five themes were identified from the data: environmental scanning practices, strategy formulation practices, strategy implementation practices, strategy evaluation and control practices, and challenges encountered in Strategic Management. The study's results showed that nurse managers scanned their internal environment using methods like observation, round checks, and supervision, as well as SWOT analysis as the tool, but the external environment received little attention, so opportunities were not maximized and threats were not reduced. The study recommends that nurse managers should give as much attention to external environmental scanning as the internal environment for efficient and effective strategy formulation and implementation practices. Furthermore, the management of the Greater Accra regional hospital, should give nurse managers support as well as training on strategic management to better equip their skills in contributing to the achievement of the hospital‟s objectives.
  • Item
    Experiences Of Frontline Nurses Managing Patients With Coronavirus Disease At Ga East Municipal Hospital, Accra
    (University Of Ghana, 2022-09) Atuwo – Ampoh, E.E.
    The coronavirus disease 2019 (COVID-19) pandemic has affected many healthcare systems globally. Its impact was considered a serious risk to healthcare providers and had far reaching consequences on their lives. In Ghana, treatment centers were designated to help patients isolate for treatment under the care of healthcare workers. Frontline nurses managing patients with COVID-19 experienced physical and psychological challenges whilst on their duty and were perceived as carriers of coronavirus. This study aimed to explore the nurses’ experiences managing patients with COVID-19 at the Ga East Municipal Hospital, Accra. The ABC-X model of family stress and coping developed by Hill in 1949 underpinned this study. The study employed an exploratory descriptive qualitative research design to explore and describe the experiences of fourteen (14) purposively sampled nurses using a semistructured interview guide. The interviews were audiotaped with participants’ permission, transcribed verbatim, and analyzed using thematic content analysis. This study’s findings identified four themes: COVID-19 care challenges, multi-dimensional support, care-related stressors, and perceived care outcomes. The frontline nurses experienced some physical and psychological stressors whilst managing patients with COVID-19 at Ga East Municipal Hospital. They were also perceived as carriers of coronavirus who might infect their friends and family. The nurses utilized diverse strategies and support from various individuals and groups as the pandemic unfolded. The frontline nurses-built resilience amidst the challenges encountered. The stressful experiences of the frontline nurses and other healthcare personnel in the facility should be considered and addressed, with sustainable interventions outlined to reduce the stress on healthcare workers.
  • Item
    Experiences Of Family Caregivers Of Patients With End Stage Renal Disease In The Accra Metropolis, Ghana.
    (University Of Ghana, 2022-04) Asante, C.S.
    End-Stage Renal Disease (ESRD) has been on the rise and is a major public health concern. It affects both family caregivers and their patients adversely. The near-death nature of ESRD coupled with its impact on quality of life has compelled family caregivers to provide needed care from as basic as personal hygiene to complex care like wound care both in and out of health facilities. The level of participation of these family caregivers, however, is undefined and their experiences in their caregiving role are not properly understood. This among other challenges has confused the role played. Given this, the study sought to explore the experiences of family caregivers of patients with ESRD using the Caregiver Health Model. This study employed an exploratory descriptive qualitative design situated within the constructivist paradigm. Purposive sampling technique aided in the recruitment of fifteen (15) participants from The Trust Hospital. Data was collected using a semi-structured interview guide via a face-to-face interview model. The interviews were audio-recorded. Thematic Analysis was used to review interviews, code, and group the themes. Thematic analysis was aided by using constructs of the caregiver health model while ensuring the trustworthiness of data was through member check. Family Caregiver experiences were reflected in the narratives, which highlighted caregivers’ needs, tasks, competencies, beliefs, attitudes, and health behaviors as was expected. According to study findings, Family caregivers encountered numerous challenges which they believed could be bearable with support. An emergent theme was identified overreaching the constructs of the used framework.
  • Item
    Child Adoption Awareness Among Women With Infertility In The Greater Accra Region
    (University Of Ghana, 2021-09) Abankwah, B.N.A.
    The traditional Ghanaian society is pro-natal, where marriage's ultimate purpose is to reproduce children to continue the family lineage. Infertility is the most common reason for married women not having children. Infertility is one of the most challenging life experiences for women, and finding a solution can be difficult. Child adoption is an alternative coping strategy for couples to deal with infertility. The situation awareness model which was used as an organizing framework investigated child adoption awareness among women with infertility in the Greater Accra Region. A descriptive exploratory design was employed. Purposive and snowball sampling techniques were used to conduct semistructured interviews with 14 women with infertility. Women with infertility in the community who visited St. Moses Hospital provided data. Analyses of the data were conducted using thematic content analysis after audio-recorded interviews were transcribed verbatim. Six significant themes and nineteen subthemes emerged. The findings demonstrated that childless women were aware of child adoption, but they were unknowledgeable about where to go or the procedure involved. Discrimination, cultural beliefs, property inheritance concerns, and procedural bottlenecks are the hurdles to child adoption. These findings have implications for nursing practice, research, and community sensitization. There is the need for education on child adoption as an alternative coping strategy for infertility.
  • Item
    Child Adoption Awareness Among Women With Infertility In The Greater Accra Region
    (University Of Ghana, 2021-09) Abankwah, B.N.A.
    The traditional Ghanaian society is pro-natal, where marriage's ultimate purpose is to reproduce children to continue the family lineage. Infertility is the most common reason for married women not having children. Infertility is one of the most challenging life experiences for women, and finding a solution can be difficult. Child adoption is an alternative coping strategy for couples to deal with infertility. The situation awareness model which was used as an organizing framework investigated child adoption awareness among women with infertility in the Greater Accra Region. A descriptive exploratory design was employed. Purposive and snowball sampling techniques were used to conduct semistructured interviews with 14 women with infertility. Women with infertility in the community who visited St. Moses Hospital provided data. Analyses of the data were conducted using thematic content analysis after audio-recorded interviews were transcribed verbatim. Six significant themes and nineteen subthemes emerged. The findings demonstrated that childless women were aware of child adoption, but they were unknowledgeable about where to go or the procedure involved. Discrimination, cultural beliefs, property inheritance concerns, and procedural bottlenecks are the hurdles to child adoption. These findings have implications for nursing practice, research, and community sensitization. There is the need for education on child adoption as an alternative coping strategy for infertility.
  • Item
    Caesarean Section Wound Infection Prevention Practices Among Nurses And Midwives In The Upper East Regional Hospital
    (University of Ghana, 2020-10) Yinpok, G.M.
    Caesarean section (CS) is deemed a life-saving procedure. However, Caesarean wound infection is a common complication and accounts for about 12% of mortality in women who deliver by CS. The purpose of this study was to explore and describe the practices used by nurses and midwives to prevent Caesarean wound infections in the Upper East Regional Hospital. The Donabedian Quality Care Model was used as a framework to guide the study. An exploratory descriptive qualitative research design was used for the study. Purposive sampling was used to invite nurses and midwives who met the inclusion criteria to participate in the study. Twelve (12) interviews were conducted, using a semi-structured interview guide. Thematic content analysis was used to analyze data. Four (4) themes were identified and described as follows: Structures influencing CS wound infection prevention, Processes used to prevent CS wound infections, Outcomes of nursing care, and Integration of evidence-based practices in wound care. The findings described the different nursing care provided to patients to prevent wound infections after CS. Prevention of CS wound infections was enabled by skin preparation, education, timely administration of medications, wound dressing, communication, and teamwork to prevent wound infection and facilitate wound healing. However, organizational structures may influence the outcomes of these processes. The participants felt gratified when their patients’ wounds healed without being infected. In conclusion, strategies to enhance the integration of Evidence-based practices (EBP) into wound care must be initiated.
  • Item
    Health Seeking Behaviours Of Men Experiencing Infertility In The Accra Metropolis
    (University of Ghana, 2020-10) Boadi
    Health seeking behaviours are closely linked to a nation’s health status and its economic growth, and they are important as they define the disease outcomes and acceptance of health care. In Ghana, little is known about the health seeking behaviours of men experiencing infertility. The aim of this study was to explore the health seeking behaviours of men experiencing infertility in the Accra Metropolis. The theory of planned behaviour (TPB) was used as a guiding framework. An exploratory descriptive design was employed, and snowball and purposive sampling techniques were used to recruit 13 men diagnosed with and self-reported to have infertility. In-depth face-to-face interviews were conducted using a semi-structured interview guide. On average, each interview lasted between 45 and 60 minutes. The interviews were audio-recorded, transcribed verbatim, and analysed using thematic content analysis. Five major themes emerged based on the constructs of the TPB and three emerging themes were identified from the data. Participants described their health seeking behaviours in eight categories of behaviours. In addition, they also reported some barriers to their health seeking behaviours. Therefore, to improve the health seeking behaviours of men experiencing infertility, there is a need for health care providers to address the barriers identified by the participants. The findings of this study have implications for nursing practice, policy formulation, and infertility research.
  • Item
    Digitalization Of Paper-Based Enterprise Content And Workflow In A Public Sector Institution: A Developing Country Case Study
    (University of Ghana, 2019-10) Cudjoe, E.K.
    In an attempt to go paperless, public sector institutions (PSIs) in developing countries are beginning to position themselves in a manner that drives them to implement the necessary digital technologies to achieve this aim. Enterprise Content Management (ECM) systems are one of the technologies that enhances digital transformation by managing a wide range of contents and business processes or workflows of institutions. This research sets out to understand ECM implementation and use in a developing country’s PSI. The study extends the existing knowledge on ECM systems by drawing on the interpretive case study approach and a qualitative research methodology to explore the phenomenon. In order to gain a more detailed insight on the phenomenon, this empirical strategy and the affordance theory was used as a theoretical lens to understand the subjective meanings that various stakeholders in a PSI associate to why and how a PSI in a developing country implements an ECM system and the consequences encountered. The findings revealed that the PSI implemented the ECM system to meet government directive for digital transformation, mitigate problems associated the paper-based system, and make the institution a digital workplace. The ECM system was therefore implemented to fulfil regulatory requirement and meet institutional demands and expectations. These demands and expectations originate from management, the in-house technical team and staff of the institution. In view of this, the study revealed that when there is interest especially from government and management of a PSI, cost is not seen as a hindrance in the selection of an IS so far as the system is capable of meeting stakeholders’ expectations and demands. Though the idea to select the specific ECM system originated from the in-house technical team, management had to be interested and own the idea before the system was implemented. From the findings, the ECM system went through a seven stage process. During the planning stage of the implementation, factors such as compatibility with existing systems, robustness, usefulness, user-friendliness and readily availability of support in terms of maintenance and customization were considered. Also, the system was implemented in a manner that conforms to institutional policies. As such, an on-premise data centre was opted for at the expense of the system’s cloud services. The institution is keen in making sure that its sensitive contents are protected and prevented from unauthorized access in the system. As such, the findings revealed that the institution activated authentication and authorization mechanisms by assigning access control rights to specific users of the ECM system to ensure accountability, auditability and non-repudiation of activities. Further, the findings also revealed that the usefulness and ease of use of the ECM system, vendor’s timely systems support and staff interests and readiness for digital transformation influenced the effective interaction between the users and the ECM system. Though the ECM system helped the PSI to meet government directives and mitigate majority of the paper-based system problems, it did not make the institution a complete digital workplace as some contents were still managed manually. This is due to difficulty in the admissibility of electronic contents as evidence in the country’s legal system. Also, network connectivity problem due to server failures is a constraint of the ECM system. The institution did not subscribe to the system’s online and web-based cloud services due to data protection policy so when its data centre server is down, it leads to business discontinuity unless it relies on the manual approach. These findings contribute to the body of knowledge on the implementation and use of an ECM system in a PSI. The study is unique as it delved into the full implementation of the ECM system in a developing country’s public sector perspective. This study provides an in-depth insight on ECM systems implementation in the viewpoint of a public sector institution. The study also looks at the concept of ECM systems in a digital transformation perspective. compatibility with existing systems, robustness, usefulness, user-friendliness and readily availability of support in terms of maintenance and customization were considered. Also, the system was implemented in a manner that conforms to institutional policies. As such, an on-premise data centre was opted for at the expense of the system’s cloud services. The institution is keen in making sure that its sensitive contents are protected and prevented from unauthorized access in the system. As such, the findings revealed that the institution activated authentication and authorization mechanisms by assigning access control rights to specific users of the ECM system to ensure accountability, auditability and non-repudiation of activities. Further, the findings also revealed that the usefulness and ease of use of the ECM system, vendor’s timely systems support and staff interests and readiness for digital transformation influenced the effective interaction between the users and the ECM system. Though the ECM system helped the PSI to meet government directives and mitigate majority of the paper-based system problems, it did not make the institution a complete digital workplace as some contents were still managed manually. This is due to difficulty in the admissibility of electronic contents as evidence in the country’s legal system. Also, network connectivity problem due to server failures is a constraint of the ECM system. The institution did not subscribe to the system’s online and web-based cloud services due to data protection policy so when its data centre server is down, it leads to business discontinuity unless it relies on the manual approach. These findings contribute to the body of knowledge on the implementation and use of an ECM system in a PSI. The study is unique as it delved into the full implementation of the ECM system in a developing country’s public sector perspective. This study provides an in-depth insight on ECM systems implementation in the viewpoint of a public sector institution. The study also looks at the concept of ECM systems in a digital transformation perspective.
  • Item
    Health - Seeking Behaviour Of Men Living With Prostate Cancer – A Qualitative Study In The Volta Region
    (University of Ghana, 2020-10) Dumor, E.K.
    Prostate cancer (PCa) is the most common male diagnosed cancer and the second leading cause of cancer death globally. The treatment involves huge financial commitments from patients and their families. In Ghana, there is a dearth of literature on the health-seeking behaviour of men living with PCa hence, the need for this study to explore the health-seeking behaviour of men living with PCa in the Volta Region using the Theory of Reasoned Action as a guiding framework. An exploratory descriptive qualitative study design with a purposive sampling technique was employed to recruit ten (10) participants for the study. An in-depth interview was conducted using a semi-structured interview guide. The interviews were audiotaped, transcribed, coded, and analyzed using thematic content analysis techniques. Five major themes emerged: attitude, subjective norms, health-related factors, behavioural intention, and behaviour. The finding revealed that personal beliefs, emotions, and behaviour greatly influenced the participants' attitudes towards health-seeking. The participants sought interventions such as traditional, medical, and complementary therapies. Secrecy due to perceived negative judgment, ignorance, misinterpretation of the early clinical manifestation, and financial difficulties contributed to delayed health-seeking behaviour. Therefore, there is a need for more education on urological conditions especially PCa to promote early health-seeking behaviour
  • Item
    Exploring The Psychosocial Effects Of Burns And Coping Strategies Among Burn Injury Survivors At Korle Bu Teaching Hospital
    (University of Ghana, 2020-12) Cudjode
    The aftermath of severe burn injury has a lifelong effect on functionality and wellbeing. The disfigurement and disability suffered by burn survivors are devastating, distressing, affecting their psychological, social and physical wellbeing. The study explored the psychosocial effects of burns and coping strategies among burn injury survivors at Korle Bu Teaching Hospital (KBTH) in the Accra Metropolis using the Transactional Model of Stress and Coping as the guiding theoretical framework. The study design was the qualitative exploratory descriptive research design. Using the purposive sampling technique, 12 burn survivors from the National Reconstructive Plastic Surgery & Burns Centre, KBTH were engaged in a face-to-face and phone-interviewing for data collection. The interviews were audiotaped, transcribed verbatim and analyzed using thematic content analysis. The results showed that burn injuries negatively impact the lives of burn survivors, as they experience psychological problems such as anxiety and depression; and social effects such as stigmatization, social withdrawal and isolation. The study discovered that, developing strong self-efficacy, endurance, covering their burn injuries or scars, ignoring looks and comments and limited outing are the coping strategies adopted by burns survivors. The roles played by health professionals, family and friends in the form of social support of different kinds (tangible, informational, emotional and companionship) were identified to be crucial in the treatment and recovery process of burn survivors. In conclusion, this study found that burn survivors experience psychological and social problems for which reason they adopt several coping strategies. It is recommended that collaborative efforts from family, friends, health professionals, government and other relevant stakeholders need to be pooled to support burn survivors to make their post-burn life as close as possible to their pre-burn life. This requires, health professionals rendering counselling and emotional support; government formulating policies that include burn survivors.
  • Item
    Health Professionals’ Self-Efficacy In Managing Depression In People Living With HIV: An Interpretive Descriptive At Study Techiman Municipality
    (University of Ghana, 2019-07) Gyabaah, E.
    The management of depression among People Living with HIV (PLWHIV) is a significant concern in the trajectory of HIV care. Healthcare professionals’ competence in managing depression in PLWHIV will influence the integration of this aspect of care in routine HIV care activities. The self-efficacy of health professionals in managing depression among people living with HIV in Techiman, Brong-Ahafo was explored using Bandura’s self-efficacy model. A qualitative interpretive descriptive approach was employed for the study. Purposive sampling technique was used to recruit sixteen (16) participants relative to data saturation. Face-to-face interviews were conducted using a semi-structured interview guide. All interviews were transcribed verbatim and analysed inductively and deductively using thematic content analysis approach. The rights of participants were upheld through ensuring voluntary participation and signing of informed consent. Methodological rigour included peer scrutiny and prolonged engagement. Findings revealed that participants lacked competence in managing depression in PLWHIV. They also had inadequate knowledge of mental health assessment and tools used for assessing depression. Mentoring and preceptorship developed the communication skills and relationships with the clients but did not build the competence of the mentees in managing depression in PLWHIV. Religious affiliation and dedication of experienced care providers were the primary sources of motivation. It was also found that the emotional states of the HIV care providers influenced the quality of care rendered to the clients. Limited knowledge of depression assessment tools hampered the detection and management of depression. Health professionals need massive training on the management of depression to render holistic care to PLWHIV
  • Item
    Leadership Behaviours Of Nurse Managers As Perceived By Nurses In The 37 Military Hospital Ghana
    (University of Ghana, 2019-07) Emeagha, I.M.;
    ABSTRACT The perception of nurses about the leadership behaviours of their Nurse Managers is essential in determining the kind of leadership behaviours Nurse Managers adopt, what influences these leader behaviours and their effectiveness. This study investigated the leadership behaviours of Nurse Managers as perceived by nurses in the 37 Military hospital Ghana. A quantitative crosssectional approach was used to collect data from 205 nurses who met the inclusion criteria took part in the study, with a 98% (201) response rate. Data were processed and analysed using descriptive and inferential statistics. Descriptive statistics revealed that nurses had the perception that the predominant leadership behaviour adopted by the Nurse Manager, was the directive leader behaviour (M=3.95, SD=0.66). The participative leader behaviour (M=3.36, SD=0.64), was the least adopted leadership behaviour. A moderator analysis was done to determine the influence of employee and task characteristics on the relationship between leadership behaviours and leader effectiveness. The moderator analysis indicated that 88% of nurses between the ages of 22-42years had the perception that their Nurse Managers adopted the supportive, participative, and achievement-oriented leadership behaviours. Educational qualifications also had a significant moderator effect on directive leader behaviour. For task characteristics, the study revealed that nurses had the perception that when the task is well structured and outlined, their Nurse Managers employed the supportive, participative and achievement-oriented leader behaviours; and the participative and achievement-oriented leader behaviours for team dynamics A multiple linear regression analysis was used to examine the relationship between leadership behaviours and leader effectiveness. The study further revealed that nurses had the perception that when their Nurse Managers used the directive and participative leader behaviours, it led to leader effectiveness. The findings have implications for nursing management and practice, ii Leadership Behaviours of Nurse Managers as Perceived by Nurses nursing education and future research. It is hoped that further research will be done on the perception of nurses on the leadership behaviours of their Nurse Managers, and the influence of employee and task characteristic on the leadership behaviours of Nurse Managers. The finding of this study further supports that situational leadership is used by nurse leaders.
  • Item
    Psychosocial Effects Of Traumatic Injuries In Road Traffic Accident Victims In The Kumasi Metropolis
    (University of Ghana, 2020-07) Assah, A.Y
    ABSTRACT Mental health problems, especially depression, are major causes of disabilities globally. Among the causes of mental health problems, injuries, including those resulting from road traffic accidents (RTAs) are major contributors. Efforts are therefore made earnestly by every country globally, as well as Ghana over the years to control and reduce the incidence and mortality of RTA and its related injuries. However, mental health problems associated with RTA injuries are marginalized during the care of RTA injured victims, whilst focusing on their physical problems. Using the Lazarus and Folkman’s Transactional Stress model, this study sought to identify the psychosocial problems resulting from injuries sustained from RTAs, whilst assessing the impact of appraisals, coping styles and social support in the development of psychosocial problems. A cross-sectional survey was used to collect data from 382 accident victims with injuries in three hospitals within the Kumasi metropolis, using validated data collection tools. The statistical Package for Social Sciences (SPSS) version 21 was used to analyze the collected data, using descriptive, Pearson’s Chi square, Analysis of Variance (ANOVA), Independent t-test, Correlational and Hierarchical Multiple Regression tests. The findings indicated that, a number of patients with RTA injuries developed psychosocial distress (40.6%) and Post-traumatic stress disorder (22.0%). Most victims appraised their injuries as threat but controllable. The most common coping style adopted by respondents was the task-oriented coping with most participants demonstrating moderate to high perceived social support. Significant associations were found between injury characteristics and psychosocial problems but not with demography. ANOVA and Independent t-test indicated significant variations in psychosocial problems on the various types, locations and post-injury duration of injuries. Hospitalized patients also demonstrated higher levels of psychosocial problems compared with non-hospitalized patients. Appraisal of threat, centrality, and uncontrollability significantly and negatively correlated with psychosocial problems. Appraisal of challenge and controllability as well as total perceived stressfulness of the injuries showed significant positive relationship with psychosocial problems. On coping styles, task oriented and avoidant coping styles were significantly and negatively related with psychosocial distress but not with PTSD. Emotion focused coping also showed significant positive relationship with psychosocial distress. Social support was a significant moderator of avoidant coping and psychosocial problems. In conclusion, RTA victims with injuries have increased risk for developing psychosocial problems. The findings therefore demonstrate the need for comprehensive psychosocial assessment of injured RTA victims for early recognition and treatment of psychosocial morbidities.
  • Item
    Exploring The Psychosocial Effects of Burns and Coping Strategies Among Burn Injury Survivors at Korle Bu Teaching Hospital
    (University of Ghana, 2020-12) French-Cudjoe, E.A.
    The aftermath of severe burn injury has a lifelong effect on functionality and wellbeing. The disfigurement and disability suffered by burn survivors are devastating, distressing, affecting their psychological, social and physical wellbeing. The study explored the psychosocial effects of burns and coping strategies among burn injury survivors at Korle Bu Teaching Hospital (KBTH) in the Accra Metropolis using the Transactional Model of Stress and Coping as the guiding theoretical framework. The study design was the qualitative exploratory descriptive research design. Using the purposive sampling technique, 12 burn survivors from the National Reconstructive Plastic Surgery & Burns Centre, KBTH were engaged in a face-to-face and phone-interviewing for data collection. The interviews were audiotaped, transcribed verbatim and analyzed using thematic content analysis. The results showed that burn injuries negatively impact the lives of burn survivors, as they experience psychological problems such as anxiety and depression; and social effects such as stigmatization, social withdrawal and isolation. The study discovered that, developing strong self-efficacy, endurance, covering their burn injuries or scars, ignoring looks and comments and limited outing are the coping strategies adopted by burns survivors. The roles played by health professionals, family and friends in the form of social support of different kinds (tangible, informational, emotional and companionship) were identified to be crucial in the treatment and recovery process of burn survivors. In conclusion, this study found that burn survivors experience psychological and social problems for which reason they adopt several coping strategies. It is recommended that collaborative efforts from family, friends, health professionals, government and other relevant stakeholders need to be pooled to support burn survivors to make their post-burn life as close as possible to their pre-burn life. This requires, health professionals rendering counselling and emotional support; government formulating policies that include burn survivors.
  • Item
    Planned Behaviour of Mother In-Laws about Traditional Newborn Care Practices in the North Gonja District
    (2021-07) Amankwah, A.
    Majority of neonatal morbidity and mortality occur within the first week of life which is attributed to poor care practices provided by informal caregivers at home. Among the plethora of literature read, studies have indicated that non-adherence to standard newborn care practices at home and socio-cultural factors contributed to the crawling decrease in newborn morbidity and mortality. It was observed in the North Gonja district population that, women in labor attend health facilities accompanied by their mother in-laws. Therefore, this study explored the planned behaviour of mother in-laws about traditional newborn care practices in the North Gonja District, using the Theory of Planned Behaviour as an organizing framework. An explorative descriptive design was used. Face-to-face interviews were conducted on 14 mother in-laws who met the inclusion criteria. A semi-structured interview guide through purposive sampling technique was used to collect data. Thematic content analysis was used to analyze the data after verbatim transcription of the audio taped interviews. Seven major themes were derived from the data which included; five (5) theoretic and two (2) emerged from the data. The findings suggested that mother in-laws traditionally have more authority over the care of their grandchildren even when it is against the wish of their daughter in-laws (daughter in-laws must accept their decisions on newborn care practices). The findings of the study also discovered that, mother in-laws were influenced by their traditional norms. These beliefs can be traced to their customary roots which they find difficult to avoid in the care of the newborn grandbaby. However, attention was drawn to the fact that financial constraints, inadequate health information, among others were possible factors to practice traditional newborn care. These findings of the study have implications for Nursing practice, Nursing research, and Nursing Education.