Strategies to optimize quality of nursing care of patients in public hospitals in the Bono Region, Ghana

- Atinga Ba-Etilayoo

Title
Strategies to optimize quality of nursing care of patients in public hospitals in the Bono Region, Ghana
Creator
Atinga Ba-Etilayoo
Subject
Nursing -- Ghana
Subject
Nurse and patient
Subject
Communication in nursing
Date Issued
2024-12
Date
2024-12
Type
Doctoral theses
Type
text
Identifier
http://hdl.handle.net/10948/69749
Identifier
vital:78016
Description
The quality of nursing care delivery is closely tied to positive patient outcomes and satisfaction. However, in Ghana's public hospitals, particularly in the Bono region, the standard of nursing care often falls short. Media reports have highlighted instances of poor nursing care, leading to increased patient morbidity and mortality in this area. Consequently, this study aimed to develop strategies that could be implemented by stakeholders to optimize the quality of nursing care for patients in public hospitals within the Sunyani municipality in the Bono region of Ghana. The Donabedian model of quality was the theoretical framework that underpinned this study. A qualitative, explorative, descriptive and contextual research design was employed. The study was conducted in four phases: Phase One: This empirical phase explored and described participants' perceptions of nursing care quality in Bono region's public hospitals. Data were collected through semi-structured interviews including purposively selected patient participants (n=18), professional nurses (n=18) and nurse managers (n=3) and analysed qualitatively following Creswell and Tesch’s (2021) six-step process. From this analysis, three main themes related to perceptions emerged-facilitators of, barriers to and outcomes of quality nursing care—and were thoroughly discussed. Phase Two: An integrative literature review was conducted to search, select, appraise, extract, and synthesise existing relevant literature on quality nursing care in public hospitals of lower to middle-income countries (LMICs). This review followed four stages recommended by Whittemore and Knafl (2005). The identified literature was critically appraised using the John Hopkins Nursing Evidence and Non-Research Evidence appraisal tools. The appraised literature was analysed, yielding nine strategies for optimizing the quality of nursing care in public hospitals from 12 articles under two themes: “Daily nursing care-related strategies” and “Organizational related strategies”. Phase Three: The findings from Phases One and Two were synthesised to develop a conceptual framework for strategies to optimize quality nursing care in Bono region's public hospitals. This framework was based on Dickoff et al.’s (1968) theory development outline. The resulting framework guided the drafting of the (I-CARE) strategies, an acronym for Implementing ABSTRACT v organizational strategies, Commitment to attributes and practices, Augmenting outcomes, Rendering holistic and patient-centered care, and Enhancing resources and support for quality nursing care. Phase Four: The I-CARE strategies were reviewed and validated by four experts with extensive backgrounds in strategy development and quality nursing care. The experts' modifications and recommendations were incorporated in finalizing the strategies. The strategies, when implemented, are expected to enhance the optimization of nursing care quality in Bono region's public hospitals, ultimately leading to better patient outcomes and satisfaction.
Description
Thesis (PhD) -- Faculty of Health Sciences, School of Clinical Care & Medicinal Sciences, 2024
Format
computer
Format
online resource
Format
application/pdf
Format
1 online resource (267 pages)
Format
pdf
Publisher
Nelson Mandela University
Publisher
Faculty of Health Sciences
Language
English
Rights
Nelson Mandela University
Rights
All Rights Reserved
Rights
Open Access
  • Hits: 29
  • Visitors: 31
  • Downloads: 5

Collections

NMU School of Clinical Care Sciences
  • Disclaimer
  • Privacy
  • Copyright
  • Contact