Okyere Eunice, Ward Paul, Marfoh Kissinger, Mwanri Lillian
College of Medicine, Nursing and Health Sciences, Fiji National University, Suva, Fiji Islands.
College of Medicine and Public Health, Flinders University, Adelaide, South Australia.
Glob Qual Nurs Res. 2021 Nov 24;8:23333936211054812. doi: 10.1177/23333936211054812. eCollection 2021 Jan-Dec.
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.
人员配备充足的农村卫生服务可改善医疗服务提供情况和健康结果，但加纳农村地区却缺乏这一点。我们采用描述性定性设计，以了解影响加纳上东部地区农村医疗实践的背景问题。对医护人员进行了68次深入访谈，并进行了主题分析。确定了四个主题：农村地区的派驻类型、医护人员对其农村派驻的看法、农村医疗实践的感知促进因素和激励因素，以及农村医疗实践的感知挑战和障碍。虽然需要适当的监督和与家人的亲近感来改善农村地区的孤独、孤立和被忽视感，但已发现诸如安全不足、电力供应不稳定、语言障碍、设备缺乏以及交通/救护车不足等挑战和障碍对医护人员有负面影响。研究结果强调，医疗管理人员需要提高医护人员派驻和调配过程的公平性和透明度。
