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An educational intervention for nurses in the upper east region of Ghana on patient and family centered care implementation in the peri-operative context
Thesis (PhD)--Stellenbosch University, 2023.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2023
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| _version_ | 1867614072371937280 |
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| access_status_str | Open Access |
| author | Adugbire, Atinyagrika Bernard |
| author2 | Jordan, Portia J. |
| author_browse | Adugbire, Atinyagrika Bernard Jordan, Portia J. |
| author_facet | Jordan, Portia J. Adugbire, Atinyagrika Bernard |
| author_sort | Adugbire, Atinyagrika Bernard |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (PhD)--Stellenbosch University, 2023. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/129341 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:46:13.197Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/129341 An educational intervention for nurses in the upper east region of Ghana on patient and family centered care implementation in the peri-operative context Adugbire, Atinyagrika Bernard Jordan, Portia J. Young, Cornelle Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing and Midwifery. Nurses -- Training of -- Ghana Nursing -- Study and teaching -- Ghana Nursing education -- Ghana Family nursing -- Ghana Health services administration -- Ghana Patient-centered health care -- Ghana UCTD Thesis (PhD)--Stellenbosch University, 2023. ENGLISH SUMMARY: Patient and Family Centred Care (PFCC) promotes partnerships between patients, families, and nurses. The core concepts of PFCC include dignity and respect, information sharing, participation, collaboration, and professional education. Patient and Family Centred Care was not well integrated into the peri-operative context in hospitals in the Upper East Region of Ghana. With this study, an educational intervention was developed for nurses in the Upper East Region to implement PFCC in a peri-operative context. The educational intervention might assist in the translation of evidence, with the probability of changing practices, attitudes, and behaviour of nurses toward PFCC. The study was conducted in three phases. Phase 1 comprised a scoping review of literature in search of available evidence on strategies and content international nurses used to implement PFCC in a peri-operative context. Phase 2 comprised a qualitative approach. A self-designed, semi-structured interview guide was used, with individual and focus group interviews, to explore nurses’ perceptions of PFCC, barriers, and facilitators to the implementation of PFCC in a peri-operative context. The data were analysed using thematic analysis, which resulted in the identification of four major themes and their sub-themes. The main themes were as follows: (1) Nurses’ understanding of the concept of PFCC; (2) the benefits of PFCC practices to nurses, patients and families, and the health system; (3) barriers to PFCC implementation relating to nurses, patients, and families, managerial and health system; (4) the need for training of nurses, patients, and families, monitoring and supervision, and integration of PFCC into the nursing curriculum. In Phase 3, an educational intervention with the appropriate content, learning objectives, and implementation strategies for nurses to implement PFCC in a peri-operative context was developed. The Implementation of Change (IoC) model of Grol and Wensing guided the overall study. The ADDIE instructional model, which was created by the Centre for Educational Technology at Florida State University in the United States in 1975 and adapted by Branson, Rayner, Cox, Furman, King, Hannum guided the development of the educational intervention. The application of Kolb’s experiential learning theory informed the appropriate strategies to deliver an educational intervention to nurses. Eight expert panel members reviewed the educational intervention for its simplicity, generality, feasibility and relevance by way of a draft provided to them. A pilot of the intervention were presented to peri-operative nurses at the regional hospital to assess its feasibility and to make recommendations. The format for the evaluation of the intervention was based on the criteria of Chinn and Kramer. The assessment indicated that the education intervention was simple, general, feasible and relevant to implement PFCC in a peri-operative context in hospitals in the Upper East Region of Ghana. Ethical consideration was maintained throughout the study. The findings showed that nurses could use an educational intervention to implement PFCC in a peri-operative context in hospitals in the Upper East Region of Ghana. AFRIKAANSE OPSOMMING: Pasient en Familie Gesentreerde Sorg (PFGS) bevorder vennootskappe tussen pasiente, families, en verpleegkundiges. Die hoof konsep van PFGS sluit in waardigheid en respek, meedeling van inligting, deelname, samewerking, en professionele onderrig. Pasient en Familie Gesentreerde Sorg is nie goed geintegreer binne die peri-operatiewe konteks in hospitale in die Boonste Oostelike Streek van Ghana. Met hierdie studie was ‘n opvoedkundige intervensie ontwikkel vir verpleegkundiges in die Boonste Oostelike Streek van Ghana, om PFGS te implementeer in ‘n peri-operatiewe konteks. Hierdie opvoedkundige intervensie kan bydrae lewer/tot voordeel strek tot die verskaffing van onderrig vir verpleegkundiges oor PFGS, met die moontlikheid van verandering in praktyke, houdings, en gedrag van verpleegkundiges teenoor PFGS. Die studie was uitgevoer in drie fases. Fase een behels ‘n omvang hersiening van literatuur in die soeke na beskikbare bewyse van strategiee en inhoud wat deur internasionale verpleegkundiges gebruik is om PFGS in ‘n peri-operatiewe konteks te implementeer. Fase twee behels ‘n kwalitatiewe benadering wat persepsies van verpleegkundiges oor PFGS, hindernisse daarvan, en fasiliteerders van PFGS in ‘n peri-operatiewe konteks verken. Die onderhoud gids gebruik vir hierdie studie, was self-ontwerp en semi-gestruktureerd, met individuele en fokus groep onderhoude. Data was ge-analiseer deur middel van tematiese analise, wat aldus gelei het tot vier hooftemas met hul sub temas. Die hooftemas was soos volg: (1) Verpleegkundiges se insig oor die konsep van PFGS; (2) die voordele van PFGS praktyke vir verpleegkundiges; (3) Hindernisse tot PFGS implementering rakende verpleegkundiges, pasiente en families, bestuur-en gesondheid praktyke; (4) die behoefte aan opleiding vir verpleegkundiges, pasiente en families, monitering en toesig, sowel as integrasie van PFGS in die verpleeg curriculum. In Fase drie, ‘n opvoedkundige intervensie was ontwikkel met die geskikte inhoud, leer doelwitte, en implementerings strategiee vir verpleegkundiges om PFGS in ‘n peri-operatiewe konteks te implementeer. Die Implementering van Verandering model van Grol en Wensing het die algehele studie gelei. Die ADDIE Instruktionele ontwerp model wat geskep was in 1975 deur die Sentrum van Opvoedkundige Tegnologie by die Florida Staats-Universiteit in die Verenigde State, en later aangepas is deur Branson, Rayner, Cox, Furman, King, en Hannum; het die ontwikkeling van die opvoedkundige intervensie gelei. Die toepassing van Kolb se eksperimentele leerteorie het die geskikte strategiee bekendgestel om opvoedkundige intervensies aan verpleegkundiges te lewer. Die paneel het beskik oor agt kenners van hierdie veld, en hulle het die opvoedkundige intervensie hersien vir eenvoudigheid, veralgemening, uitvoerbaarheid en toepaslikheid deur middel van ‘n konsep aan hulle verskaf. ‘n Steekproef van die intervensie was voorgedra aan peri-operatiewe verpleegkundiges by ‘n streeks hospitaal om toekom te verkry oor die uitvoerbaarheid en ook om aanbevelings te maak. Die formaat vir die evaluasie van die intervensie was gebaseer op die kriteria van Chinn en Kramer. Die assessering het aangedui dat die opvoedkundige intervensie eenvoudig, algemeen, toepaslik en relevant was om PFGS te implementeer in ‘n peri-operatiewe konteks in hospitale in die Boonste Oostelike Streek van Ghana. Etiese beginsels was gehandhaaf gedurende die studie om te verseker dat data wat verkry is kredietwaardig, betroubaar, bevestigbaar en deursigtig was. Die bevindinge toon dat verpleegkundiges kan gebruik maak van ‘n opvoedkundige intervensie om PFGS in ‘n peri-operatiewe konteks in hospitale in die Boonste Oostelike Streek van Ghana, te implementeer. Doctoral 2023-10-04T21:48:27Z 2024-02-20T08:10:29Z 2023-10-04T21:48:27Z 2024-02-20T08:10:29Z 2023-10-04 Thesis https://scholar.sun.ac.za/handle/10019.1/129341 en_ZA Stellenbosch University xiv, 245 pages : illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Nurses -- Training of -- Ghana Nursing -- Study and teaching -- Ghana Nursing education -- Ghana Family nursing -- Ghana Health services administration -- Ghana Patient-centered health care -- Ghana UCTD Adugbire, Atinyagrika Bernard An educational intervention for nurses in the upper east region of Ghana on patient and family centered care implementation in the peri-operative context |
| title | An educational intervention for nurses in the upper east region of Ghana on patient and family centered care implementation in the peri-operative context |
| title_full | An educational intervention for nurses in the upper east region of Ghana on patient and family centered care implementation in the peri-operative context |
| title_fullStr | An educational intervention for nurses in the upper east region of Ghana on patient and family centered care implementation in the peri-operative context |
| title_full_unstemmed | An educational intervention for nurses in the upper east region of Ghana on patient and family centered care implementation in the peri-operative context |
| title_short | An educational intervention for nurses in the upper east region of Ghana on patient and family centered care implementation in the peri-operative context |
| title_sort | educational intervention for nurses in the upper east region of ghana on patient and family centered care implementation in the peri operative context |
| topic | Nurses -- Training of -- Ghana Nursing -- Study and teaching -- Ghana Nursing education -- Ghana Family nursing -- Ghana Health services administration -- Ghana Patient-centered health care -- Ghana UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/129341 |
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