Ethics approval to conduct this study was obtained from the University of Health and Allied Sciences Research Ethics Committee (UHAS-REC A.9 [5] 18–19) Ho, Ghana. Permission was sought from the hospital management and unit manager before the commencement of data collection. Potential participants were informed about the purpose of the study. Participants who were approached to participate in the study all gave verbal and written consent. They were informed about their right to withdraw from the study at any particular point in time. Participants were assured of no harm during and after the data collection process. Confidentiality, privacy, and anonymity were ensured by complying with the Data Protection Act [22] and not letting others know who has and has not participated in the study, and also ensuring participants are not identifiable via other information. To further ensure these, random codes were given to participants to maintain anonymity due to the smaller number of nurses in the unit. Continuous codes were easy to trace therefore the researchers adopted random codes. These clouded participants’ from knowing who was either interviewed before or after with the code numbers.

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