Availability of resources for emergency care at a second-level hospital in Ghana: A mixed methods assessment

Japiong, Kennedy B.; Asiamah, Godfried; Owusu‐Dabo, Ellis; Donkor, Peter; Stewart, Barclay T; Ebel, Beth E.; Mock, Charles

doi:10.1016/j.afjem.2015.06.006

Cited by 38 publications

(57 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Emergency nursing as a profession is very new to Africa and therefore the availability of guidelines and standards is also limited [17]. Improvements in training such as developing an education curriculum for staff in all areas of the emergency care, holding in-service training on protocols for triage, and emergency care could improve nursing care in ED [18]. There should be enough protocols to help nurses deal with emergency cases in EDs.…”

Section: Discussionmentioning

confidence: 99%

“…Existing emergency care systems in Ghana are rudimentary in comparison to those in developed countries [12]. An assessment of an ED at Police Hospital, a second-level hospital in Accra, Ghana, revealed marked deficiencies in many essential items and services [18]. Nurses in Ghana are currently an underdeveloped resource for the provision of high quality emergency care [13].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Qualitative Inquiry into Challenges Experienced by Registered General Nurses in the Emergency Department: A Study of Selected Hospitals in the Volta Region of Ghana

Atakro

Ninnoni

Adatara

et al. 2016

Emergency Medicine International

View full text Add to dashboard Cite

Registered General Nurses (RGNs) play crucial roles in emergency departments (EDs). EDs in Ghana are primarily staffed by RGNs who have had no additional formal education in emergency care. Additionally, basic, master's, or doctoral level nursing education programs provide limited content on the complexities of emergency nursing. Nurses in EDs are affected by many challenges such as growing patient population, financial pressures, physical violence, verbal abuse, operational inefficiencies, overcrowding, and work overload. There is a paucity of research on challenges experienced by RGNs in EDs in the Volta Region of Ghana. In this qualitative study, twenty RGNs in EDs from three selected hospitals in the Volta Region of Ghana were interviewed. All recorded interviews were transcribed, reviewed several times by researchers and supervisors, and analyzed using content analysis. Five thematic categories were identified. These thematic categories of challenges were lack of preparation for ED role, verbal abuse from patients relatives, lack of resources in ED, stressful and time consuming nature of ED, and overcrowding in ED. Formal education of RGNs in the advanced role of emergency care, adequate supply of resources, increased hospital management support, and motivations for RGNs working in ED are necessary to improve the practice of emergency care.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Qualitative Inquiry into Challenges Experienced by Registered General Nurses in the Emergency Department: A Study of Selected Hospitals in the Volta Region of Ghana

Atakro

Ninnoni

Adatara

et al. 2016

Emergency Medicine International

View full text Add to dashboard Cite

show abstract

“…Furthermore, the lack of clinical protocols in most of the hospitals added another perplexity in trauma management of the injured patients. Implementation of the standardized protocol for trauma care in most of the LMIC's is an area of concern [43][44][45][46] . Moreover, the equipment to manage resuscitation followed by the lack of physical resources such as imaging technologies are some of the barriers to providing effective trauma care.…”

Section: Discussionmentioning

confidence: 99%

Perception of the healthcare professionals towards the current trauma and emergency care system in Kabul, Afghanistan: A mixed method study

Khudadad¹,

Aftab²,

Ali³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Trauma and injury contribute to 11% of the all-cause mortality in Afghanistan. We aimed to explore the perceptions of the healthcare providers (pre and in-hospital), hospital managers and policy makers of the public and private health sectors to identify the challenges in the provision of an effective trauma care in Kabul, Afghanistan.Methods: A concurrent mixed method design was used, including key-informant interviews (healthcare providers, hospital managers and policy makers) of the trauma care system (N=18) and simultaneous structured emergency care system assessment questionnaire (N = 35) from July 15 to September 25, 2019. Interviews were analyzed using thematic analysis and structured questionnaire data were descriptively analyzed.Results: Four themes were identified that describe the challenges: 1) pre-hospital care, 2) cohesive trauma management system, 3) physical and human resources and 4) stewardship. We found some key challenges related to scene and transportation care, in-hospital care and emergency preparedness within the wider trauma care system. Less than 25% of the population is covered by the pre-hospital ambulance system (n=23, 65.7%) and there is no communication process between health care facilities to facilitate transfer (n=28, 80%). Less than 25% of patients with an injury requiring emergent surgery have access to surgical care in a staffed operating theatre within two hours of injury (n=19, 54.2%) and there is no regular assessment of the ability of the emergency care system to mobilize resources (human and physical) to respond to disasters, and other large-scale emergencies (n=28, 80%). Conclusion: This study highlighted major challenges in the delivery of trauma care services across Kabul, Afghanistan. Systematic improvement in the workforce training, structural organization of the trauma system and implementing externally validated clinical guidelines for trauma management could possibly enhance the functions of the existing trauma care services. However, an integrated state-run trauma care system will address the current burden of traumatic injury more effectively within the wider healthcare system of Afghanistan.

show abstract

“…Using mixed methods, Japiong et al reported from Ghana concerning marked deficiencies in many essential items and services such as basic airway supplies, chest tubes, and several emergency medications. Similarly, substantial deficiencies in capacity were demonstrated across a range of indicators and predominantly affecting publicly funded facilities in Sierra Leone .…”

Section: Introductionmentioning

confidence: 99%

Assessment of nationwide emergency systems in Thailand, a middle‐income country setting with UHC

Suriyawongpaisal

Srithamrongsawad

Thongtan

2019

Health Planning & Management

View full text Add to dashboard Cite

Summary Background Evidence has been limited regarding broader emergency systems assessment in low‐ and middle‐income countries. The aim of the present study was to provide the empirical evidence of Thai emergency department (ED) workforce vis‐à‐vis workload on a national scale, the availability of services for selected high‐priority health burdens, and the governance obstacles in addressing the workforce management. Method One hundred thirty public Thai EDs that provide 24‐hour emergency medical care were identified across Thailand as meeting the inclusion criteria. The mailed questionnaires were administered to collect data related to the objectives of the research study. Result Responses were received from 91 of 130 (70%) hospitals. The median number of patients visiting hospital EDs was 51 221 per year with 32.8% considered nonurgent (ESI levels 4‐5). University hospital EDs were staffed with a higher number of ER professionals than EDs of service‐based secondary care and tertiary care hospitals under Ministry of Public Health (MOPH). Almost all hospitals expressed concerns about the deficiency of doctors and nurses especially emergency physician (EP) and emergency nurses. The percentage of hospitals reporting the availability of coronary artery catheterization (34%) and thrombolytic infusion for acute thrombotic stroke (24%) was limited. The governance obstacles to manage emergency systems were considered. Conclusion ED staffing seems to positively correlate with workloads except university hospitals, in our study, which may suggest the influence of teaching status on the allocation of the human resource. Among the governance obstacles in ED management, a better response to nonurgent patients requires flexibility for hospitals to set financial disincentives or mobilization and management of human resources.

show abstract

Availability of resources for emergency care at a second-level hospital in Ghana: A mixed methods assessment

Cited by 38 publications

References 29 publications

Qualitative Inquiry into Challenges Experienced by Registered General Nurses in the Emergency Department: A Study of Selected Hospitals in the Volta Region of Ghana

Qualitative Inquiry into Challenges Experienced by Registered General Nurses in the Emergency Department: A Study of Selected Hospitals in the Volta Region of Ghana

Perception of the healthcare professionals towards the current trauma and emergency care system in Kabul, Afghanistan: A mixed method study

Assessment of nationwide emergency systems in Thailand, a middle‐income country setting with UHC

Contact Info

Product

Resources

About