The model for application of nursing theory currently taught in nursing curricula is described as a sequential problem-solving framework called nursing process. The goal of this research investigation was to observe and describe the model used guiding professional behavior in actual nursing practice, and compare this on-site model to the espoused model of nursing process. Such validation offered implications for curricular modifications for nurse educator and nurse leaders as they develop realistic nursing undergraduate programs and promulgate standards of nursing practice.
Qualitative methods were used to describe the on-site model of nursing practice. Content analysis, field observation and collaborative inquiry were the methods used for this investigation. Key concepts derived from content analyses of a structured interview were compared to actual observed behaviors of each research participant in clinical practice. Through collaborative inquiry, nurse participants provided descriptions and explanations for inconsistencies resulting from the comparison of the observed behavior to the analyzed initial interview. You can change your ad preferences anytime.
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Determinants of Nursing Process Implementation in North East Ethiopia: Cross-Sectional Study
Views Total views. Actions Shares. Embeds 0 No embeds. No notes for slide. Thesis about Student Nursing Care Plans 1. Adviser: PROF. For the past years, writing of student nursing care plan has been a part of the teaching- learning tool of the nursing education to prepare the students in the application of nursing process in the nursing practice.
However, 1 of 6 2. University of Luzon Graduate School, Dagupan City problems sought in the evaluation of these nursing care plans were revealed by the different authors on teaching strategies in nursing. It was revealed that nursing care plan writing of the students was a misnomer, written only after the care has been given and students resort to copying already written standardized care plans in their nursing text books.
Nursing process is a framework used to provide an effective, coordinated, and organized quality care for patients. Effective implementation of this framework leads to improved quality of care and decreases potential complication, hospital length of stay, and the cost of care. To assess implementation of nursing process and its hindering factors, a quantitative cross-sectional study was conducted among nurses in Afar region hospitals from October to December The data were collected from nurses using primary Brooking's ward nurses' self-report questionnaire and with some newly prepared questions.
The collected data were entered using Epi-Data version 3. Forty-three Assessment and diagnosis were carried out by 57 Among the hindering factors towards nursing process implementation, lack of preparedness or knowledge about the nursing process or some part of it Generally, nursing process was poorly implemented in Afar region mainly due to lack of knowledge and absence of in service training. Therefore, giving emphasis for cognitive parts of students about nursing process during their school time and refreshing nurse staffs with continuous training will definitively improve level of nursing process implementation.
It is considered that contemporary nursing has been shaped and recognized as an independent profession since the day of Florence Nightingale. Being recognized as a profession, the discipline has started to establish its own conceptual and theoretical framework and, of them, nursing process is the peculiar one [ 1 ]. Some studies indicate that the origin of nursing process is traced back to when Hall a nursing theorist described nursing care as a process [ 2 , 3 ]. Other authors believed that the term was developed and operationalized during the s by Yura and Walsh [ 4 ].
Whatever the time of its origin and whoever the nominator, the process currently is a highly recommended standard of care, widely accepted, and used in scientific method to guide procedures and qualify nursing care [ 5 , 6 ]. More recently, the process is being defined as a systematic, organized, and dynamic way used by nurses to meet the individualized healthcare needs of their patients through operating five interrelated steps: assessment, diagnosis, planning, implementation, and evaluation [ 3 , 7 , 8 ].
Effective implementation of nursing process leads to improved quality of care, facilitates, and healing process and in doing so minimizes hospital stay, increases patient satisfaction [ 5 ], and increases service utilization [ 9 ]. As patient's hospital stay decreases, the cost of the healthcare system decreases and patient's working time increases. Therefore, it also has economical aspect. Furthermore, nursing process enables nurses to perform their activities with logical justification and helps them to function as an autonomous and distinct profession [ 2 , 9 , 10 ].
Studies claim that, by implementing nursing process, nursing profession will be strengthened, internationalized, and dignified and patient care criteria will be unified [ 11 ]. Orlando also argues that if an activity is provided for a client without assessing his need and if that action brings change, then nursing is not a profession [ 9 ]. According to her assumption, for nursing to be a profession and to be recognized as an independent, nurses should follow stepwise activities that the preceding activities determine the succeeding one, which is nursing process.
In spite of the aforementioned importance of implementing nursing process, a significant number of nurses do not apply it in practice [ 5 , 7 , 11 — 13 ]. Lack of knowledge about the process, inadequate training, patient to nurse ratio, resource scarcity, low salary and poor promotion of nurses, influence from other health care members, etc. In Afar region however, nursing process implementation and the hindering factors were not known and, as to our knowledge, there was no up to date study. It was, therefore, compulsory to conduct this research with the aim of identifying the degree of nursing process implementation and possible hindering factors.
The study was conducted from October to December in Afar regional state, one of the 9 regions in Ethiopia.
Afar regional state has a population size of over 2 million. Its average elevation is m above sea level and hence has unfavorable climate and hot weather condition. There were 6 governmental hospitals staffed by nurses.
Among these Kelewa and Abala were the newly established hospitals and staffed only by 8 nurses each. All nurses working in the hospitals were used as a source population. Selected nurses working in the hospitals participated in the study. Nurses available during the data collection period were included in the study. The number of nurses from each hospital was obtained by proportionally allocating the final sample size and then simple random sampling technique was employed to select the allocated number of nurses from each hospital. Data regarding implementation of nursing process were collected using self-administered questionnaire [ 4 ] and data regarding hindering factors were collected by using newly prepared and pre-tested self-administered questionnaires.
Data were cleaned, coded, entered to Epi-data version 3. Implementation of nursing process in the five Likert scale is never, sometimes, I do not know, usually, and always; those responses of usually and always were taken as implemented and the other responses as not implemented. Before the data collection, ethical clearance letter was obtained from ethical review committee of Samara university research and community service core process.
The respondents were informed about the purpose of the study, and their oral consent was obtained. The respondents' right to refuse or withdraw from participating in the study was fully maintained and the information provided by each respondent is kept strictly confidential. Out of questionnaires distributed among the study participants, were filled completely and returned to making the response rate From respondents 54 Majority 55 Sixty-seven Regarding experience, most More than half of the respondents 60 When a new patient was admitted to the ward, most nurses 60 Most nurses, 73 About 57 The majority of the respondents 73 Sixty Most of the respondents, 71 But more than half of the respondents have not been allocated to the same patients for several days Table 2.
But more than half of the nurses 58 Generally, the degree of implementation of nursing process was 43 Additionally, nurses who attained any course, talk, or seminar related to the nursing process recently on the ward or in the hospital were 15 times and nurses who have been taught about nursing process adequately during studies at the nursing school were 7 times more likely to implement nursing process.
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But factors like years of experience, the unit in which nurses working in during data collection time, the number of patients they give care, amount of time nurses working per day, and a monthly salary of nurses were not associated with the implementation of nursing process in our study Table 3. An absence of in-service training pertinent to nursing process Nursing process is the essence and scientific bases of nursing profession. Though the level of implementation varies from country to country, it is being implemented almost throughout the world, and in some countries it is used as a standard of care [ 6 ].
In Ethiopia, more than any time before, the process is getting an attention. In the current study, however, among study participants, only 43 Considering standards of care and the Ethiopian hospitals reform implementation guideline recommendations this result was very low. Similarly it was lower than a study conducted in Addis Ababa in which nursing process implementation was about Some of the reasons for this low level of implementation might be lack of knowledge about the process, being inadequately taught about nursing process, lack of in-service training, less experienced nurses, low level of education, uncomfortable weather condition, poor administrative support, etc.
Of course, the result was higher than other studies conducted in other regions of Ethiopia; Arbaminch When the level of implementation by each step was analyzed in this study, assessment and diagnosis were carried out by 57 In terms of diagnosis, however, the current study is higher than the study conducted in Brazil in which no diagnosis was performed [ 7 ]. Nevertheless, Brazil's study focus was only diagnosis.