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Determinants towards Implementation of Nursing Process

Received: 22 March 2015    Accepted: 3 April 2015    Published: 15 April 2015
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Abstract

Nursing Process is a systematic method which utilizes scientific reasoning, problem solving and critical thinking to direct nurses in caring for patients effectively however, little is known about factors affecting the implementation of nursing process. The study intended to assess factors affecting implementation of nursing process among nurses in Arbaminch General Hospital, Ethiopia. Institutional based cross-sectional study with quantitative data collection through Self-administered pre-tested Semi Structured questionnaire and observational checklist used among randomly selected 105 nurses. Data analysis was done by SPSS version 15 for its objectives. Out of 105 studies 98 were participated in the study with 93.3% response rate. Forty two (42.85%) of the total respondents were working in a stressful working environmental. Thirty five (35.7%) of respondents were challenged to provide their nursing care due to patients inability to collect the required material for care provision. Factor affecting implementation of nursing process were working in a stressful environment were 0.23 times less likely to implement nursing process than those working in organized environment (OR: 0.23, [95% CI: (0.07-0.78)], highly knowledgeable nurses were 8.78 times more likely to implementation of nursing process than nurses who were not knowledgeable (OR: 8.78, [95%CI: (2.97-77.48)] and economic status of patient to collect material for nursing care were negatively associated with implementation of nursing process(OR: 0.07, [95%CI: (0.02-0.31)]. The study has identified lack of facility from organizational factors, economic status of the patient to collect material for nursing care, early discharge, lack of cooperation and complicated problems from patient related factors and level of knowledge were among those factors highly affecting nursing process implementation. Nearly, one third of respondents have consistent with the implementation of nursing process in the clinical setting. This factors cause poor quality of nursing care disorganized caring system, conflicting role, medication error and re-admission with similar problems, dissatisfaction with the care patients have received, and increased mortality. Recommendation: The essence of nursing process for client lies on the great benefits to the client, nurses and nursing profession as a whole. So, to provide quality of nursing care the management body of the hospital should flow and supervise the implementation of nursing process in the hospital, the health professional should train periodically and Information should be disseminated regarding nursing process.

Published in American Journal of Nursing Science (Volume 4, Issue 3)
DOI 10.11648/j.ajns.20150403.11
Page(s) 45-49
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Nursing Process, Satisfaction, Knowledge

References
[1] Altamier p. (2010). Evaluation of implementation of nursing process, among nurses working in Abakaliki metropolis, Abakaliki: West Africa.
[2] Emen, A.N. (2007).Issues on the foundation of nursing process.
[3] Fernandez-sola C, et al. Strategies to develop the nursing process and nursing care plans in the health system in Bolivia. International Nursing Review (2011), 58, 392–399.
[4] Pokorski S, et al. Nursing process: from literature to practice. What are we actually doing? Rev Latino-am Enfermagem, maio-junho, (2009), 17(3):302-7.
[5] Global health council, Building a Winning Nursing Work Force for HIV-Care in Ethiopia. Accessed on October 14/2010, www.change.org
[6] Freitas, M. C., Queiroz, T. A., & Sousa, J. A. V.: The nursing process according to the view of nurses from a maternity. Revista Brasileira de Enfermagem, (2007), 60(2), (207–212).
[7] Catrin Bjorvell: nursing documentation in clinical practice, department of nursing, karolinska institute, Stockholm, 2002, sweeden, page 10.
[8] Barthlomew, A.I (2010). A guide to nursing process, Owerri; klimann.
[9] Global health council, Building a Winning Nursing Work Force for HIV-Care in Ethiopia. Accessed on October 14/2010, www.change.org
[10] Freitas, M. C., Queiroz, T. A., & Sousa, J. A. V.: The nursing process according to the view of nurses from a maternity. Revista Brasileira de Enfermagem, (2007), 60(2), (207–212).
[11] Shea N., McBride, L., Given C., & Bauer M.: The effects of ambulatory collaboration practice model on process and outcome of care for bipolar disorder. Journal of the American Psychiatric Nurses Association, (1997), 3(2), 49- 57.
[12] Meamarian R. &Vanaki Z.: Implementing nursing process with facilities in teaching hospitals .Tarbiat Modares University/Medical Science College / Iran/ Tehran (1997).
[13] Törnkvist, L., Gardulf, A. & StrenderL. The opinions of nursing documentation held by district nurses and by nurses at primary health care centres. Vård i Norden, (1997), 17(4), 18- 25.
[14] Tapp R.: Inhibitors and facilitators to documentation of nursing practice. Western Journal of nursing research, (1990) 12(2): 229-240.
[15] Mulugeta Asratie: assessment on factors affecting implementation of nursing process in Addis Ababa, Ethiopia. A thesis presented for Addis Ababa University (2011).
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  • APA Style

    Zewdu Shewangizaw, Abera Mersha. (2015). Determinants towards Implementation of Nursing Process. American Journal of Nursing Science, 4(3), 45-49. https://doi.org/10.11648/j.ajns.20150403.11

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    ACS Style

    Zewdu Shewangizaw; Abera Mersha. Determinants towards Implementation of Nursing Process. Am. J. Nurs. Sci. 2015, 4(3), 45-49. doi: 10.11648/j.ajns.20150403.11

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    AMA Style

    Zewdu Shewangizaw, Abera Mersha. Determinants towards Implementation of Nursing Process. Am J Nurs Sci. 2015;4(3):45-49. doi: 10.11648/j.ajns.20150403.11

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  • @article{10.11648/j.ajns.20150403.11,
      author = {Zewdu Shewangizaw and Abera Mersha},
      title = {Determinants towards Implementation of Nursing Process},
      journal = {American Journal of Nursing Science},
      volume = {4},
      number = {3},
      pages = {45-49},
      doi = {10.11648/j.ajns.20150403.11},
      url = {https://doi.org/10.11648/j.ajns.20150403.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20150403.11},
      abstract = {Nursing Process is a systematic method which utilizes scientific reasoning, problem solving and critical thinking to direct nurses in caring for patients effectively however, little is known about factors affecting the implementation of nursing process. The study intended to assess factors affecting implementation of nursing process among nurses in Arbaminch General Hospital, Ethiopia. Institutional based cross-sectional study with quantitative data collection through Self-administered pre-tested Semi Structured questionnaire and observational checklist used among randomly selected 105 nurses. Data analysis was done by SPSS version 15 for its objectives. Out of 105 studies 98 were participated in the study with 93.3% response rate. Forty two (42.85%) of the total respondents were working in a stressful working environmental. Thirty five (35.7%) of respondents were challenged to provide their nursing care due to patients inability to collect the required material for care provision. Factor affecting implementation of nursing process were working in a stressful environment were 0.23 times less likely to implement nursing process than those working in organized environment (OR: 0.23, [95% CI: (0.07-0.78)], highly knowledgeable nurses were 8.78 times more likely to implementation of nursing process than nurses who were not knowledgeable (OR: 8.78, [95%CI: (2.97-77.48)] and economic status of patient to collect material for nursing care were negatively associated with implementation of nursing process(OR: 0.07, [95%CI: (0.02-0.31)]. The study has identified lack of facility from organizational factors, economic status of the patient to collect material for nursing care, early discharge, lack of cooperation and complicated problems from patient related factors and level of knowledge were among those factors highly affecting nursing process implementation. Nearly, one third of respondents have consistent with the implementation of nursing process in the clinical setting. This factors cause poor quality of nursing care disorganized caring system, conflicting role, medication error and re-admission with similar problems, dissatisfaction with the care patients have received, and increased mortality. Recommendation: The essence of nursing process for client lies on the great benefits to the client, nurses and nursing profession as a whole. So, to provide quality of nursing care the management body of the hospital should flow and supervise the implementation of nursing process in the hospital, the health professional should train periodically and Information should be disseminated regarding nursing process.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Determinants towards Implementation of Nursing Process
    AU  - Zewdu Shewangizaw
    AU  - Abera Mersha
    Y1  - 2015/04/15
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ajns.20150403.11
    DO  - 10.11648/j.ajns.20150403.11
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 45
    EP  - 49
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20150403.11
    AB  - Nursing Process is a systematic method which utilizes scientific reasoning, problem solving and critical thinking to direct nurses in caring for patients effectively however, little is known about factors affecting the implementation of nursing process. The study intended to assess factors affecting implementation of nursing process among nurses in Arbaminch General Hospital, Ethiopia. Institutional based cross-sectional study with quantitative data collection through Self-administered pre-tested Semi Structured questionnaire and observational checklist used among randomly selected 105 nurses. Data analysis was done by SPSS version 15 for its objectives. Out of 105 studies 98 were participated in the study with 93.3% response rate. Forty two (42.85%) of the total respondents were working in a stressful working environmental. Thirty five (35.7%) of respondents were challenged to provide their nursing care due to patients inability to collect the required material for care provision. Factor affecting implementation of nursing process were working in a stressful environment were 0.23 times less likely to implement nursing process than those working in organized environment (OR: 0.23, [95% CI: (0.07-0.78)], highly knowledgeable nurses were 8.78 times more likely to implementation of nursing process than nurses who were not knowledgeable (OR: 8.78, [95%CI: (2.97-77.48)] and economic status of patient to collect material for nursing care were negatively associated with implementation of nursing process(OR: 0.07, [95%CI: (0.02-0.31)]. The study has identified lack of facility from organizational factors, economic status of the patient to collect material for nursing care, early discharge, lack of cooperation and complicated problems from patient related factors and level of knowledge were among those factors highly affecting nursing process implementation. Nearly, one third of respondents have consistent with the implementation of nursing process in the clinical setting. This factors cause poor quality of nursing care disorganized caring system, conflicting role, medication error and re-admission with similar problems, dissatisfaction with the care patients have received, and increased mortality. Recommendation: The essence of nursing process for client lies on the great benefits to the client, nurses and nursing profession as a whole. So, to provide quality of nursing care the management body of the hospital should flow and supervise the implementation of nursing process in the hospital, the health professional should train periodically and Information should be disseminated regarding nursing process.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • College of Medicine and Health Sciences, Arbaminch University, Arbaminch, Ethiopia

  • College of Medicine and Health Sciences, Arbaminch University, Arbaminch, Ethiopia

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