Proceso de enfermería: ¿qué significa para las enfermeras de Santa Cruz (Bolivia)?

Abstract

Bolivian nurses have not yet incorporated the scientific method and taxonomies into nursing care. This qualitative study aims at understanding the meaning that faculty and nursing professionals from the Department of Santa Cruz de la Sierra (Bolivia) attribute to the nursing process. Data collection was performed through interviews and participant observation. The analysis was performed using the theoretical and methodological framework of Symbolic Interactionism and Grounded Theory, utilizing ATLAS.ti.6.0. The following topics emerged from the data: difficulties in implementing the nursing process due to a lack of preparation and training in leadership, dominance by physicians, lack of records, and poor support from the institution. Advantages were that it combines criteria and language and facilitates the autonomous role of nursing. In conclusion, nurses should establish their professional expectations regarding the implementation of the nursing process and care plans, which is a cultural change that involves faculty, management and clinical nurses.

Ensino do processo de enfermagem na academia: relato à luz de Maguerez

“…For teachers, the difficulties in teaching NP are related to the students' history of Nursing, since there is a certain limitation in the face of the interview and physical examination and the need for specific knowledge that has often not been satisfactorily understood. 16 The NP ends up being a challenge for the practice of nurses, especially for those who have just graduated, since the students present difficulties to understand the importance of the elaboration of the Nursing Process for their professional performance, undervaluing the disciplines which address this theme, besides showing limitations in view of the need to mobilize the knowledge of the Nursing Process, related to the teaching of other subjects of the course. Thus, it is common for Nursing students not to be totally sure about the use of the Nursing Process in their daily life and can not articulate theory to practice.…”

Reflections of nurses in search of a theoretical framework for maternity care

“…It is worth highlighting the different attempts to implement SNC at the institution and the nurse's involvement despite their day-to-day difficulties. This reality is not unique to this institution; other studies have shown challenges in the implementation of SNC such as professionals' lack of time, reduced nursing staff, work overload, high patient demand, team unpreparedness, depreciation by other professionals, and lack of interest and support from the institution (6)(7)(18)(19) . The results of this study present a discussion about the importance of SNC.…”

“…Other barriers to implementing SNC are: lack of professional experience, lack of recognition felt by nurses, and the greater importance placed by many professionals on technical issues rather than scientific ones (6) . A study conducted in South America showed similar difficulties in implementing NP, such as difficulty formulating NP, teacher training, resistance of physicians and little nursing presence in management (7) . Thus, even though the COFEN has recommended SNC for the last 14 years and that several studies have shown its association with improved quality of care, it has yet to be operationalized in many institutions (1)(2)(5)(6) , as is the case of the institution investigated in the present study.…”

Challenges associated with the implementation of the nursing process: A systematic review

“…Some studies focused on the challenges related to the effects of impediments or individual or managerial facilities in implementation of the nursing process. [ 5 8 9 10 11 12 ] Another group of studies focused on the challenges associated with the outcome of the implementation of the nursing process in clinical setting,[ 13 14 15 16 17 ] the use of computers in recording and performing the process,[ 18 19 20 21 22 23 24 25 ] different attitudes of the teams toward the implementation of the nursing process,[ 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 ] different understanding of the nurses and specialists on the concept of nursing process,[ 6 27 28 29 30 ] and its effects on implementation phases manner of nursing process and challenges associated with the recording of nursing process[ 31 ] [ Figure 1 ].…”

“…[ 33 ] In three qualitative articles, the main method for collection of information was interview. [ 8 9 27 ] The structure of three other studies in which the questionnaire was used was experimental or quasi-experimental. [ 13 15 20 ] The main approach in six papers was review approach,[ 6 17 25 28 29 30 ] and in four articles was interventional approach with unclear methodology for data collection[ 19 21 22 24 ] [ Figure 2 ].…”