What do Health Workers say About Rural Practice?

IF 2.2 Q1 NURSING Global Qualitative Nursing Research Pub Date : 2021-11-24 eCollection Date: 2021-01-01 DOI:10.1177/23333936211054812
Eunice Okyere, Paul Ward, Kissinger Marfoh, Lillian Mwanri
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引用次数: 3

Abstract

Adequately staffed rural health services improve healthcare delivery and health outcomes, yet this is lacking in rural Ghana. We used a descriptive qualitative design to understand the contextual issues that affect rural practice, in the Upper East Region, Ghana. Sixty-eight in-depth interviews were conducted with healthcare workers and analysed thematically. Four themes were identified: types of postings to rural settings, healthcare workers' perceptions of their rural postings, perceived enablers and motivators for rural practice, and perceived challenges and barriers to rural practice. While adequate supervision and family proximity are needed to improve the feelings of loneliness, isolation and neglect in rural areas, challenges and barriers such as inadequate security, unstable electricity supply, language barrier, lack of equipment and transport/ambulance have been identified to have negative influence on healthcare workers. The findings highlight the need for healthcare managers to improve fairness and transparency in the posting and reshuffling processes of healthcare workers.

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卫生工作者对农村医疗有什么看法?
人员配备充足的农村卫生服务可以改善医疗保健服务和健康结果,但加纳农村缺乏这方面的服务。我们使用描述性定性设计来了解影响加纳上东部地区农村实践的背景问题。对医护人员进行了68次深度访谈,并进行了主题分析。确定了四个主题:派驻农村的类型、卫生保健工作者对其派驻农村的看法、感知到的农村实践的促成因素和激励因素,以及感知到的农村实践的挑战和障碍。虽然需要适当的监督和家庭亲近来改善农村地区的孤独感、孤立感和被忽视感,但已经确定的挑战和障碍,如安全不足、电力供应不稳定、语言障碍、缺乏设备和运输/救护车,对保健工作者产生了负面影响。调查结果强调,卫生保健管理人员需要提高卫生保健工作者的发布和改组过程的公平性和透明度。
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来源期刊
CiteScore
2.90
自引率
5.90%
发文量
41
审稿时长
12 weeks
期刊介绍: Global Qualitative Nursing Research (GQNR) is a ground breaking, international, peer-reviewed, open-access journal focusing on qualitative research in fields relevant to nursing and other health professionals world-wide. The journal specializes in topics related to nursing practice, responses to health and illness, health promotion, and health care delivery. GQNR will publish research articles using qualitative methods and qualitatively-driven mixed-method designs as well as meta-syntheses and articles focused on methodological development. Special sections include Ethics, Methodological Development, Advancing Theory/Metasynthesis, Establishing Evidence, and Application to Practice.
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