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Appiah EO, Oti-Boadi E, Appiah S, Bakkari MA, Menka MA, Awuah DB, Kontoh S, Menlah A, Garti I, Boateng SA. Acceptance of HPV vaccination in boys among mothers from selected churches in Accra, Ghana. BMC Public Health 2023; 23:1053. [PMID: 37264392 DOI: 10.1186/s12889-023-16028-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 05/31/2023] [Indexed: 06/03/2023] Open
Abstract
BACKGROUND Almost all cases of cervical and anal cancer have been linked to the human papillomavirus (HPV). However, in addition to women who develop HPV-related cervical cancer, both men and women can also develop cancers of the anus, oral cavity, and oropharynx that are attributed to HPV. However, literature on HPV vaccination among boys globally, in Africa, and most especially in Ghana is scarce. Thus, the main objective of this study was to explore the acceptance of HPV vaccination in boys among mothers from selected churches in Accra, Ghana. METHODS In this study, a qualitative exploratory design was utilized to enlist 30 mothers who have male children aged between 9 and 12 years from the Greater Accra Region of Ghana. The recruitment of participants was carried out using a purposive sampling technique, and they were subsequently interviewed in-depth in a face-to-face setting, with the entire conversation being recorded for reference. After transcription, the recorded data were analyzed through content analysis. FINDINGS Upon analyzing the data, two (2) primary themes and 11 sub-themes emerged. The research showed that although the majority of the mothers were unaware of HPV in boys, they perceived it as a positive initiative and expressed a willingness to allow their sons to receive the vaccine. However, some participants mentioned certain factors that they believed could hinder the acceptance of HPV vaccination in boys among mothers. These included concerns about injection-related pain, high cost, and fears that the vaccine could make men immoral or infertile. CONCLUSION The study revealed poor awareness of HPV vaccination in boys among mothers, and hence, suggested the need to increase the awareness on HPV vaccination in boys among mothers as well as the public to increase its acceptance.
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Affiliation(s)
- Evans Osei Appiah
- School of Nursing and Midwifery, Department of Midwifery, Valley View University, P.O. Box DT 595, Oyibi, Ghana.
- Purdue University, West Lafayette, USA.
| | - Ezekiel Oti-Boadi
- School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
| | - Stella Appiah
- Department of Nursing, Valley View University, Box AF 595, Adentan, Accra, Ghana
| | - Mohammed Ali Bakkari
- Department of pharmaceutics, College of Pharmacy, Jazan University, Jazan, Saudi Arabia
| | | | | | - Samuel Kontoh
- School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
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Appiah EO, Oti-Boadi E, Ani-Amponsah M, Mawusi DG, Awuah DB, Menlah A, Ofori-Appiah C. Barriers to nurses' therapeutic communication practices in a district hospital in Ghana. BMC Nurs 2023; 22:35. [PMID: 36750943 PMCID: PMC9902829 DOI: 10.1186/s12912-023-01191-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 01/25/2023] [Indexed: 02/09/2023] Open
Abstract
BACKGROUND Patients accessing health care enter the hospital environment with extreme anxiety, fear and distress which impacts their interactions with nurses and other health care professionals who are expected to help allay these anxieties in order to enhance patients care satisfaction. However, evidence suggests that there is a lack of effective therapeutic nurse-patient interaction in hospitals and the clinical environment globally, especially in sub-Saharan Africa. METHODS A qualitative research approach with an exploratory design was used to purposively select 30 participants who were engaged in face-face interactions. A semi-structured interview guide was used to conduct five audio-recorded FGDs with the 30 participants (6 in each group-2 males and 4 females) after which the discussions were transcribed verbatim, and content analyzed. FINDINGS Two (2) main themes and 10 sub-themes emerged from the analysis of the data. The two themes were: Therapeutic communication practices and Barriers to therapeutic communication. Some of the factors identified by patients to impede therapeutic nurse-patient interaction include family interference, negative attitude from patients, patient condition, a discriminatory attitude of nurses, increased workload, and stress. CONCLUSION Communication practices identified in this study include nurses' manner of communication, use of touch, positive reassurance, and nurses' demeanor. Several obstacles affect communication practices, hence the need to implement measures to improve nurse-patient interaction.
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Affiliation(s)
- Evans Osei Appiah
- Department of Midwifery, School of Nursing and Midwifery, Valley View University, P.O. Box DT 595, Oyibi, Ghana.
| | - Ezekiel Oti-Boadi
- grid.449914.50000 0004 0647 1137School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
| | - Mary Ani-Amponsah
- grid.8652.90000 0004 1937 1485Maternal and Child Health Department, School of Nursing and Midwifery/ College of Health Sciences, University of Ghana, Legon, West-Africa Ghana
| | - Dorcas Goku Mawusi
- grid.449914.50000 0004 0647 1137Department of Nursing, Nursing School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
| | - Dorothy Baffour Awuah
- grid.449914.50000 0004 0647 1137School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
| | - Awube Menlah
- grid.449914.50000 0004 0647 1137Department of Nursing, Nursing School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
| | - Cindy Ofori-Appiah
- grid.442291.80000 0004 0418 517XGhana Christian University College, Amrahia, Ghana
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Osei Appiah E, Appiah S, Kontoh S, Mensah S, Awuah DB, Menlah A, Baidoo M. Pediatric nurse-patient communication practices at Pentecost Hospital, Madina: A qualitative study. Int J Nurs Sci 2022; 9:481-489. [PMID: 36285089 PMCID: PMC9587402 DOI: 10.1016/j.ijnss.2022.09.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2022] [Revised: 09/08/2022] [Accepted: 09/14/2022] [Indexed: 11/29/2022] Open
Abstract
Purpose Delivering quality health care requires effective communication between health care providers and their patients. Nurse-patient effective communication remains a challenge in Ghana, despite criticism and concern expressed by the public. The study, therefore, aims to assess the effective nurse caregivers’ communication practices among pediatric nurses at Pentecost Hospital, Madina. Methods A qualitative exploratory and purposive sampling technique were used. Participants were engaged in Focus group discussions or face-to-face interviews. In all, 4 focus group discussions were conducted with 7 participants in each group and 15 face-face in-depth interviews, with a total sample size of 43. The data was content analyzed. Interviews were taped recorded and transcribed verbatim. Results The data analysis yielded 3 themes and 11 subthemes. The main themes were: effective communication practices, factors influencing effective communication, and attitudes towards effective communication. The study revealed how the participants communicated with patients who are deaf-mute, anxious, and those who refused treatment. In addition, participants reported how they used techniques such as silence, listening, and leading cues in communicating with patients and their relatives. Conclusion Effective communication between pediatric nurses, patients, and their parents is ascertained to be a key tool in the delivery of quality health care. However, several factors are found to hinder this therapeutic communication. Hence, further studies are needed to improve effective communication skills among pediatric nurses and their patients to enhance health care for children.
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Affiliation(s)
- Evans Osei Appiah
- School of Nursing and Midwifery, Valley View University, Ghana
- Purdue University, West Lafayette, USA
- Corresponding author. School of Nursing and Midwifery, Valley View University, Ghana.
| | - Stella Appiah
- School of Nursing and Midwifery, Valley View University, Ghana
| | - Samuel Kontoh
- School of Nursing and Midwifery, Valley View University, Ghana
| | | | | | - Awube Menlah
- School of Nursing and Midwifery, Valley View University, Ghana
| | - Michael Baidoo
- School of Nursing and Midwifery, Valley View University, Ghana
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Osei EA, Appiah S, Oti-Boadi E, Hammond D, Awuah DB, Menlah A, Garti I, Baidoo M. Experiences of women awaiting cervical CANCER screening results from selected hospitals in Accra, Ghana. BMC Public Health 2022; 22:1467. [PMID: 35915420 PMCID: PMC9342593 DOI: 10.1186/s12889-022-13874-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 07/26/2022] [Indexed: 11/10/2022] Open
Abstract
Background The rate at which cervical cancer is diagnosed among women worldwide is alarming, nevertheless, millions of women have never undergone cervical cancer screening, and many more with cervical cancer die prematurely without accessibility to quality healthcare or effective treatment. Women’s experiences following cervical cancer screening have not been extensively studied especially in advancing countries like Ghana. Hence, the researchers aim to explore the experiences of women awaiting cervical cancer results at selected hospitals in Accra. Methods An exploratory-descriptive qualitative design was adopted to purposively sample 48 participants engaged in face-face in-depth interviews, which were audio-taped and transcribed verbatim after. The interviews were guided by semi-structured interviews. Findings The findings revealed 3 themes and 10 subthemes. The themes were pre-screening experience, intra-screening experience, and post-screening experience. Participants narrated the challenges they face before the screening, during the screening, and as they waited for their results to get ready. Despite some challenges reported, most of the participants indicated that they were willing to come for a retesting if recommended. Conclusion In conclusion, participants who have undergone CCS have several experiences that may either motivate or discourage them from subsequent screening. Being aware of such experiences could help the nurses address them in order to increase the interest of the women in CCS.
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Affiliation(s)
- Evans Appiah Osei
- School of Nursing and Midwifery, Department of Midwifery, Valley View University, P.O. Box DT, 595, Oyibi, Ghana.
| | - Stella Appiah
- Head of the Department of Nursing, Valley View University, Box AF 595, Adentan, Accra, Ghana.
| | - Ezekiel Oti-Boadi
- School of Nursing and Midwifery, Valley View University, Oyibi, Ghana.
| | | | | | - Awube Menlah
- School of Nursing and Midwifery, Valley View University, Oyibi, Ghana.
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Appiah EO, Appiah S, Oti-Boadi E, Oppong-Besse A, Awuah DB, Asiedu PO, Oti-Boateng LE. Practices of herbal management of malaria among trading mothers in Shai Osudoku District, Accra. PLoS One 2022; 17:e0271669. [PMID: 35849609 PMCID: PMC9292099 DOI: 10.1371/journal.pone.0271669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 07/05/2022] [Indexed: 11/17/2022] Open
Abstract
Background Malaria is one of the leading causes of morbidity in the world. It is a significant health concern in most developing countries, including Ghana. Even though there are several orthodox medications used for decades in treating malaria effectively, a substantial number of individuals in developing countries are resorting to the use of herbs in the treatment of malaria. The study aim at exploring the practices of herbal management of malaria among trading mothers in Shai Osudoku District, Accra. Methods A qualitative approach with an exploratory, descriptive design was adopted in analyzing the research problem. Purposive sampling technique was used to select twenty (20) participants to partake in a face-face interview, guided by a semi-structured interview guide. The data were transcribed verbatim and analysed by adopting content analysis. Results Two significant themes and seven subthemes were generated following the analysis of this study. The main themes were; preferences for herbal malaria treatment and the practices and effectiveness of herbal medicine used for malaria treatment. It was worth noting that the women’s cultural beliefs did not influence their preference for herbal malaria treatment. The main challenge associated with the herbal malaria treatment was inappropriate dosage specification. Conclusion This study discovered that several factors influenced participants’ preferences for malaria treatment. Participants further listed some traditional ways of treating malaria which implies that there is herbal malaria practice. However, literature in this area is inadequate, and most herbs lack specifications for use. It is therefore recommended that future research focus on scientific herbal malaria treatment. Also, regulating bodies should ensure that quality herbal drugs are sold for consumption.
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Affiliation(s)
- Evans Osei Appiah
- Department of Midwifery, School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
- * E-mail:
| | - Stella Appiah
- Head of Nursing Department, School of Nursing and Midwifery, Valley View University, Accra, Ghana
| | - Ezekiel Oti-Boadi
- Department of Nursing, School of Nursing and Midwifery, Valley View University, Accra, Ghana
| | | | - Dorothy Baffour Awuah
- Department of Nursing, School of Nursing and Midwifery, Valley View University, Accra, Ghana
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Appiah EO, Appiah S, Menlah A, Baidoo M, Awuah DB, Isaac NB. Experiences of infection prevention and control in clinical practice of nursing students in the Greater Accra Region, Ghana: An exploratory qualitative study. SAGE Open Med 2021; 9:20503121211054588. [PMID: 34721873 PMCID: PMC8552381 DOI: 10.1177/20503121211054588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 10/02/2021] [Indexed: 11/16/2022] Open
Abstract
Introduction Globally, infections acquired from hospitals pose a major obstacle to patients' safety. Health care workers, especially, nursing students are at high risk for Hospital Acquired Infections (HAIs) as they are always in contact with clients. Therefore, this study aims to explore experiences of infection prevention and control in the clinical practice of nursing students in the Greater Accra Region, Ghana. Methods The study utilized a qualitative exploratory design to interview 42 participants (7 focus groups, comprising of 6 members each). A purposive sampling technique was employed to select the participants, who were engaged in 50-90 min' focus group discussions. Data collection lasted for 3 months and was analyzed using content analysis. NVivo version 12 Software was used to identify recurrent themes from the transcribed data. Results The results revealed two main themes: preventive practices against hospital-acquired infections and barriers toward infection prevention practices. The subthemes under the preventive practices were as follows: views on HAIs preventive practices, barrier nursing, hand washing and use of sanitizers, aseptic techniques, and sterilization. Increased workload, lack of superior support, and inadequate resources emerged under the barriers toward infection prevention practices. Conclusion It was concluded from the study that most of the student nurses had adequate information about HAIs and wish to adhere to the Infection prevention protocols. However, the participants observed poor infection prevention practices among the staff they were learning from. It is therefore recommended that more attention is focused on infection prevention and control in clinical practice among nurses.
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Affiliation(s)
- Evans Osei Appiah
- Department of Midwifery, School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
| | - Stella Appiah
- Department of Nursing, School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
| | - Awube Menlah
- Department of Nursing, School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
| | | | - Dorothy Baffour Awuah
- Department of Nursing, School of Nursing and Midwifery, Valley View University, Oyibi, Ghana
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