• Agani Afaya, Victoria Bam, Thomas Bavo Azongo, Richard Adongo Afaya, Vida Nyagre Yakong, George Kwame Kpodo, Robert Alhassan Kaba, Denis Albanus Nangsire Zinle, Daniel Kofi Tayuu, Stella Asantewaa, and Peter Adatara.
• College of Nursing, Yonsei University, Seoul, Republic of Korea.
• Plos One. 2021 Jan 1; 16 (2): e0247062.

IntroductionIn recent times, there has been an increasing burden in traumatic, medical, and surgical emergency conditions, placing more emphasis on the need for quality emergency care. This study aimed to explore the challenges experienced by nurses working in the emergency unit of a secondary referral hospital.MethodsThe study used an exploratory qualitative research design with a constructivist approach and a grounded theory method. Data were collected through in-depth interviews lasting between 30 to 45 minutes using a semi-structured interview guide. Inductive content analysis was used to analyse data.ResultsEleven (11) participants were interviewed. The majority were female (9), aged between 31-40 years. From the inductive content analysis, four themes emerged. These were; 1) overcrowding in the emergency unit, 2) understaffing at the emergency unit, 3) lack of emergency equipment, 4) inadequate managerial support.ConclusionThe study identified several major challenges confronting nurses working in the emergency unit which are linked with managerial processes and inadequate managerial support. These challenges need to be addressed to promote quality emergency nursing care. To foster a positive working environment, hospital management should validate and address the aforementioned concerns of the Emergency Department nurses.

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