Balancing burden and bond: challenges and motivations of family caregivers of patients with end-stage liver disease in Northern Ghana—a qualitative inquiry

Objective This study explored the burdens and motivations of family caregivers (FCs) for patients with end-stage liver disease (ESLD) in a tertiary hospital in Ghana.Design A qualitative exploratory, descriptive approach with a purposive sampling technique was adopted. Data were collected through fa...

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Main Authors: Charles Ampong Adjei, Mary Ani-Amponsah, Jacob Deri Dogtir, Josephine M. Kyei, Emmanuel A. Marfo, Mary A. Asirifi
Format: Article
Language:English
Published: BMJ Publishing Group 2025-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/6/e086699.full
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author Charles Ampong Adjei
Mary Ani-Amponsah
Jacob Deri Dogtir
Josephine M. Kyei
Emmanuel A. Marfo
Mary A. Asirifi
author_facet Charles Ampong Adjei
Mary Ani-Amponsah
Jacob Deri Dogtir
Josephine M. Kyei
Emmanuel A. Marfo
Mary A. Asirifi
author_sort Charles Ampong Adjei
collection DOAJ
description Objective This study explored the burdens and motivations of family caregivers (FCs) for patients with end-stage liver disease (ESLD) in a tertiary hospital in Ghana.Design A qualitative exploratory, descriptive approach with a purposive sampling technique was adopted. Data were collected through face-to-face semi-structured interviews. The interviews were audio-recorded, transcribed verbatim and analysed using content analysis.Setting Participants were recruited from a tertiary hospital in the Northern Region of Ghana.Participants 15 FCs aged between 18 and 50 years caring for patients with ESLD were recruited.Results The study’s findings revealed that FCs of individuals with ESLD encountered considerable challenges, including sleep deprivation, physical exhaustion, family conflicts, financial difficulties and social restrictions. These difficulties contributed to a sense of being overwhelmed as caregivers strived to fulfil their duties. Family bonds, reciprocal relationships and religious obligations were the motivation/driving force for FCs caring for relatives with ESLD.Conclusion Integrating palliative care services in tertiary health facilities will reduce the burdens FCs of patients with ESLD face. Relevant stakeholders in the health sector need to develop culturally sensitive interventions to support FCs caring for patients with ESLD in Ghana.
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issn 2044-6055
language English
publishDate 2025-06-01
publisher BMJ Publishing Group
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spelling doaj-art-7cada91c3d794e75bbf6122a37ecb1da2025-08-20T02:05:18ZengBMJ Publishing GroupBMJ Open2044-60552025-06-0115610.1136/bmjopen-2024-086699Balancing burden and bond: challenges and motivations of family caregivers of patients with end-stage liver disease in Northern Ghana—a qualitative inquiryCharles Ampong Adjei0Mary Ani-Amponsah1Jacob Deri Dogtir2Josephine M. Kyei3Emmanuel A. Marfo4Mary A. Asirifi5University of Ghana, Accra, GhanaUniversity of Ghana, Accra, GhanaPresbyterian Nursing and Midwifery Training College, Dormaa Ahenkro, GhanaUniversity of Ghana, Accra, GhanaMacEwan University, Edmonton, Alberta, CanadaMacEwan University, Edmonton, Alberta, CanadaObjective This study explored the burdens and motivations of family caregivers (FCs) for patients with end-stage liver disease (ESLD) in a tertiary hospital in Ghana.Design A qualitative exploratory, descriptive approach with a purposive sampling technique was adopted. Data were collected through face-to-face semi-structured interviews. The interviews were audio-recorded, transcribed verbatim and analysed using content analysis.Setting Participants were recruited from a tertiary hospital in the Northern Region of Ghana.Participants 15 FCs aged between 18 and 50 years caring for patients with ESLD were recruited.Results The study’s findings revealed that FCs of individuals with ESLD encountered considerable challenges, including sleep deprivation, physical exhaustion, family conflicts, financial difficulties and social restrictions. These difficulties contributed to a sense of being overwhelmed as caregivers strived to fulfil their duties. Family bonds, reciprocal relationships and religious obligations were the motivation/driving force for FCs caring for relatives with ESLD.Conclusion Integrating palliative care services in tertiary health facilities will reduce the burdens FCs of patients with ESLD face. Relevant stakeholders in the health sector need to develop culturally sensitive interventions to support FCs caring for patients with ESLD in Ghana.https://bmjopen.bmj.com/content/15/6/e086699.full
spellingShingle Charles Ampong Adjei
Mary Ani-Amponsah
Jacob Deri Dogtir
Josephine M. Kyei
Emmanuel A. Marfo
Mary A. Asirifi
Balancing burden and bond: challenges and motivations of family caregivers of patients with end-stage liver disease in Northern Ghana—a qualitative inquiry
BMJ Open
title Balancing burden and bond: challenges and motivations of family caregivers of patients with end-stage liver disease in Northern Ghana—a qualitative inquiry
title_full Balancing burden and bond: challenges and motivations of family caregivers of patients with end-stage liver disease in Northern Ghana—a qualitative inquiry
title_fullStr Balancing burden and bond: challenges and motivations of family caregivers of patients with end-stage liver disease in Northern Ghana—a qualitative inquiry
title_full_unstemmed Balancing burden and bond: challenges and motivations of family caregivers of patients with end-stage liver disease in Northern Ghana—a qualitative inquiry
title_short Balancing burden and bond: challenges and motivations of family caregivers of patients with end-stage liver disease in Northern Ghana—a qualitative inquiry
title_sort balancing burden and bond challenges and motivations of family caregivers of patients with end stage liver disease in northern ghana a qualitative inquiry
url https://bmjopen.bmj.com/content/15/6/e086699.full
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