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Purpose: This study explored factors influencing nurses' participation in the health policy development processes in the newly established Bono East Region of Ghana.
Design/methodology/approach: Utilising a qualitative research approach, an explorative case study design and purposive sampling were employed to recruit 24 nurses from three health facilities in the Techiman Municipality. In-depth interviews were conducted, recorded, transcribed, coded and analysed using a thematic content analysis. Emerging themes were used for the analysis and explained within the theoretical perspective of the social-ecological model.
Findings: The findings revealed that individual factors, such as personal motivations and commitment to improving patient outcomes, significantly impacted nurses' engagement in health policy development. Interpersonal dynamics, including effective collaboration and communication among healthcare professionals, emerged as crucial factors in creating a supportive environment. Organisational support, policies, resource availability and management encouragement are key organisational determinants shaping nurses' capacity to contribute to policy development. Societal factors, such as prevailing attitudes and political considerations, could influence nurses' participation.
Originality/value: This study provides a comprehensive insight into the diverse factors influencing nurses' participation in health policy development in the recently created Bono East Region. The findings offer a foundation for targeted interventions to enhance their active involvement in shaping healthcare policies.
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http://dx.doi.org/10.1108/JHOM-01-2025-0014 | DOI Listing |
JAMA Netw Open
September 2025
Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock.
Importance: Patients with kidney failure (KF) receiving long-term dialysis have increased incidence of atrial fibrillation (AF). Patients with KF and AF have increased risk of stroke, death, and bleeding compared with age-matched cohorts. In KF, the use of oral anticoagulants (OACs) increases hemorrhage risk, offsetting potential benefits and making left atrial appendage occlusion (LAAO) a potentially promising solution for risk reduction in AF.
View Article and Find Full Text PDFJ Behav Med
September 2025
Department of Psychology and Human Development, Vanderbilt University, 230 Appleton Place, Nashville, TN, 37203‑5721, USA.
Estimating statistical power is essential for designing behavioral medicine studies efficiently and conserving finite resources. Sometimes behavioral medicine researchers are interested in calculating power for 1-sided z-tests of individual parameters (e.g.
View Article and Find Full Text PDFRes Child Adolesc Psychopathol
September 2025
Center for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Cannabis use is common among US youth who become involved in the juvenile legal system (JLS), yet substance use treatment rates remain low, particularly among youth diverted away from formal JLS involvement. Diverted youth encounter multiple barriers to receiving services in the community that could be addressed via digital approaches offered by the JLS. This multiphase work details development of the TECH (Teen Empowerment through Computerized Health) app, a tailored digital adjunct to usual JLS services.
View Article and Find Full Text PDFJ Am Coll Radiol
August 2025
Vice-Chair for Clinical Research, John Westgate Hope Endowed Chair for Faculty Development, Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Assistant Professor of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsyl
Objective: To determine the number of pediatric radiologists in the United States using professional imaging claims of children between 2016 and 2023 in a private payor claims database.
Methods: From 2016 to 2023, using private payer claims data (Inovalon Insights, LLC), all claim lines for radiology professional services billed by radiologists were identified. Each claim was assigned a work relative value unit (wRVU) in accordance with the CMS valuation for the claim year.
J Addict Nurs
August 2025
Brandy Mechling, PhD, RN, PMHCNS-BC, FNAP, University of North Carolina Wilmington, Wilmington, NC.
In the United States, approximately 20 million individuals, age 12 and older, have a substance use disorder (SUD), with an average age of first-time use at 13 years old. Evidence has shown that many SUDs begin in adolescence, and involvement with the legal system can ensue. Adolescents with first-time drug and alcohol arrests can be referred to an Adolescent Intervention Program (AIP) as an alternative to jailtime from the juvenile court system.
View Article and Find Full Text PDF