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Aim: To evaluate the relationships among self‐efficacy, uncertainty, self‐management and emergency hospital visits yearly among adult sickle cell disease patients' and related demographics at a Teaching Hospital in Ghana. Design: A quantitative cross‐sectional design. Method: A purposive and convenience sample of 85 adult clients from a sickle cell clinic in Ghana completed research instruments. Data collection occurred in March and April 2019. Instruments used were the self‐efficacy scale, self‐care agency scale, Mishel uncertainty scale and socio‐demographic variables. Pearson correlation and regression techniques were used for analysis. Findings: The correlation results showed a low positive and significant correlation between self‐efficacy and self‐management (r = 0.357, p <.01), a significant moderate negative relationship between self‐efficacy and uncertainty (r = −0.459, p <.01) and a significant low negative relationship between self‐management and uncertainty. For the regression, employment (p =.003) and marital status (p =.002) significantly predicted self‐management among others. Conclusion: Self‐efficacy had positive and significant relationship with self‐management. Similarly, patients with family support and employment experienced better self‐management. Furthermore, patients with higher education and living with family had reduced illness uncertainty. Thus, the findings can improve self‐care measures and mitigate illness uncertainty for better health outcomes. [ABSTRACT FROM AUTHOR]

The importance of workload on staff performance has been widely acknowledged, but opinions are divided as to what level of workload is desirable for optimum staff performance. Previously, researchers have attempted to demonstrate the impact of workload on the individual staff, organisation and the consumer. However, gaps and uncertainties in the literature also confirm the need for further investigation of the perceived workload levels of staff, the factors influencing workload levels and the contextual relationship between workload and staff performance. A quantitative descriptive survey was undertaken to elicit the perceived workload levels of health workers in the Donkorkrom Presbyterian Hospital, Ghana, and how it is perceived to impact on staff performance. One hundred clinical and non-clinical staff were selected for the study. The study found that workload level of health workers was perceived as moderate (2.91 ± 0.541 on a five-point Likert scale). However, nurses/midwives were perceived to have the highest workload, followed by paramedics, support staff and doctors. Work interruptions, procedures and processes involved in treating patients, as well as facing work-related uncertainties, were identified as determinants of perceived workload among health workers. Results show that 75% of health workers perceived moderate workload assignment would increase their performance. It is recommended that health institutions review and improve organisational procedures and processes to ensure smooth workflow and eliminate or minimise work interruptions that unnecessarily compound workload and undermines performance. [ABSTRACT FROM AUTHOR]