Realities of Post-Operative Pain Management in Ghana: Evidence from Method and Participant Triangulation

2.50
Hdl Handle:
http://hdl.handle.net/10755/603318
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Realities of Post-Operative Pain Management in Ghana: Evidence from Method and Participant Triangulation
Other Titles:
The Aftermath of Operative Prodedures: Research Pertaining to Operative Outcomes [Session]
Author(s):
Aziato, Lydia
Lead Author STTI Affiliation:
Tau Lambda-at-Large
Author Details:
Lydia Aziato, RN, FWACN, ONDEC, aziatol@yahoo.com
Abstract:
Session presented on Sunday, November 8, 2015: Abstract Title: Realities of post-operative pain management in Ghana: Evidence from method and participant triangulation Introduction: Post-operative pain has been a problem over the years for many countries including Ghana. Thus patients continue to experience moderate to severe post-operative pain. Aim: The study aimed to understand the factors that contribute to ineffective post-operative pain management at two hospitals in Accra, Ghana. Method: A focused ethnography was employed using multiple data collection methods such as individual interviews, observation, and documentary review. The participants included patients (13), nurses (11), surgeons (3), pharmacists (1), and anaesthetists (1). Sixteen participant observations with partial immersion were conducted and 44 nurses’ documentation of care was reviewed. Purposive sampling was used to recruit participants and the sample size was determined by data saturation. Content analysis was used to analyse the data generated and the NVivo 9 software was used to manage the data. Findings: It was realized that multiple factors contributed to ineffective post-operative pain management. These factors were related to the individual, the health system and national policies. The individual factors included socio-cultural, psychological, and inadequate knowledge. Health system factors were negative attitude, poor supervision and team work. National factors included lack of policies and unavailability of opioids. Conclusion: The study concluded that a multidisciplinary and multi-sectorial approach is required to enhance post-operative pain management in a resource-limited clinical context such as Ghana. The need for a context appropriate clinical guideline was highlighted.
Keywords:
Post-operative pain; Ethnography; Qualitative research
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15C17
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleRealities of Post-Operative Pain Management in Ghana: Evidence from Method and Participant Triangulationen
dc.title.alternativeThe Aftermath of Operative Prodedures: Research Pertaining to Operative Outcomes [Session]en
dc.contributor.authorAziato, Lydiaen
dc.contributor.departmentTau Lambda-at-Largeen
dc.author.detailsLydia Aziato, RN, FWACN, ONDEC, aziatol@yahoo.comen
dc.identifier.urihttp://hdl.handle.net/10755/603318en
dc.description.abstractSession presented on Sunday, November 8, 2015: Abstract Title: Realities of post-operative pain management in Ghana: Evidence from method and participant triangulation Introduction: Post-operative pain has been a problem over the years for many countries including Ghana. Thus patients continue to experience moderate to severe post-operative pain. Aim: The study aimed to understand the factors that contribute to ineffective post-operative pain management at two hospitals in Accra, Ghana. Method: A focused ethnography was employed using multiple data collection methods such as individual interviews, observation, and documentary review. The participants included patients (13), nurses (11), surgeons (3), pharmacists (1), and anaesthetists (1). Sixteen participant observations with partial immersion were conducted and 44 nurses’ documentation of care was reviewed. Purposive sampling was used to recruit participants and the sample size was determined by data saturation. Content analysis was used to analyse the data generated and the NVivo 9 software was used to manage the data. Findings: It was realized that multiple factors contributed to ineffective post-operative pain management. These factors were related to the individual, the health system and national policies. The individual factors included socio-cultural, psychological, and inadequate knowledge. Health system factors were negative attitude, poor supervision and team work. National factors included lack of policies and unavailability of opioids. Conclusion: The study concluded that a multidisciplinary and multi-sectorial approach is required to enhance post-operative pain management in a resource-limited clinical context such as Ghana. The need for a context appropriate clinical guideline was highlighted.en
dc.subjectPost-operative painen
dc.subjectEthnographyen
dc.subjectQualitative researchen
dc.date.available2016-03-21T16:47:59Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:47:59Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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