Purpose:The purpose of this study was to assess the challenges to sustainability of standardized nursing care plan in selected tertiary health institutions in Nigeria.
Methods:Using convergent mixed method design, the qualitative and quantitative data were collected from 427 nurses and nine stakeholders. This was done in one phase with the use of validated questionnaires and in-depth interview guide/key informant interview guide. Data were collected for 5 months and analyzed with SPSS version 25. Qualitative data were analyzed using themes.
Results:The explored significant challenges by stakeholders and nurses to sustainability of standardized nursing care plan (SNCP) in all the selected hospitals were inadequate knowledge of standardized nursing languages (SNLs), inadequate staffing, lack of motivation, lack of mandate to use SNLs by the educational system, lack of computers on the wards, weakness of previous training on SNL/SNCP, lack of interest, and high patient load.
Conclusion:The study concludes that inadequate knowledge of SNLs and inadequate staff could contribute to non sustainability of SNCP.
Implications for nursing practice:Nurses should be continuously trained on standardized nursing languages. Staff motivation and increasing the number of staff on the wards would increase the interest of the nursing staff. This will in turn improve the quality of documentation and patient care.
The current outbreak of the novel COVID-19 cases in different parts of the world continues to have adverse effect on the health, education, economy, politics and other sectors of national life of countries worldwide. Nigeria, as the 2nd country in Africa that has an increased incidence of infection, assessing the level of nursing student's information about COVID-19, their attitude and willingness to serve as volunteers during the pandemic can be an effective step in flatting the curve of the disease. Hence, the need for this study. A descriptive cross-sectional survey was employed in this study. Seven hundred and twenty-five undergraduate nursing students from purposively selected universities in Nigeria participated in the study. The participants cut across 200 to 500 levels of study. A semi structured questionnaire containing 36 items was used to collect data via online means on the knowledge, attitude and willingness of Nigerian nursing students to serve as volunteers in COVID 19 pandemic. Data were analyzed and presented in frequency and percentage while the association among the variables was tested using chi square. The mean age of respondents was 21.5±2.5 years. The findings from the study revealed that the respondents had good knowledge 73.7 and 66% of them expressed positive attitude towards caring for people during the pandemic, while, 62.8% indicated their willingness to serve as volunteers. Age, knowledge and attitude does not influence their willingness to serve as volunteer. In view of the above findings, the faculty to collaborate with the stakeholders in the practicing area to encourage nursing students by providing resources such as personal protective equipment's and incentives when involved in the care of patients with COVID -19 and other infectious diseases.
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