A cross sectional study on nursing process implementation and associated factors among nurses working in selected hospitals of Central and Northwest zones, Tigray Region, Ethiopia

Abstract

BackgroundThe nursing process is a systematic method of planning, delivering, and evaluating individualized care for clients in any state of health or illness. Many countries have adopted the nursing process as the standard of care to guide nursing practice; however, the problem is its implementation. If nurses fail to carry out the necessary nursing care through the nursing process; the effectiveness of patient progress may be compromised and can lead to preventable adverse events. This study was aimed to assess the implementation of nursing process and associated factors among nurses working in selected hospitals of central and northwest zones of Tigray, Ethiopia, 2015.MethodA cross sectional observational study design was utilized. Data was collected from 200 participants using structured self-administered questionnaire which was contextually adapted from standardized, reliable and validated measures. The data were entered using Epi Info version 7 and analyzed using SPSS version 20 software. Data were summarized and described using descriptive statistics and multivariate logistic regression was used to determine the relationship of independent and dependent variable. Then, finally, data were presented in tables, graphs, frequency percentage of different variables.ResultSeventy (35%) of participants have implemented nursing process. Different factors showed significant association. Nurses who worked in a stressful atmosphere of the workplace were 99% less likely to implement the nursing process than nurses who worked at a very good atmosphere. The nurses with an educational level of BSc. Degree were 6.972 times more likely to implement the nursing process than those who were diploma qualified. Nurses with no consistent material supply to use the nursing process were 95.1% less likely to implement the nursing process than nurses with consistent material supply.ConclusionThe majority of the participants were not implementing the nursing process properly. There are many factors that hinder them from applying the nursing process of which level of education, knowledge of nurses, skill of nurses, atmosphere of the work place, shortage of material supply to use the nursing process and high number of patient load were scientifically significant for the association test.Electronic supplementary materialThe online version of this article (10.1186/s12912-017-0248-9) contains supplementary material, which is available to authorized users.

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Barriers and Facilitators for Execution of Nursing Process among Nurses from Medical and Surgical Wards in a Public Hospital Lahore

“…77 (70.6%) nurses reported that training facilitates them to expertly practice nursing process compared to 32 (29.4%) who reported that training did not enable them to expertly practice nursing process (Adeyemo & Olaogun, 2013). Baraki et al (2017) found that Nurses' related barriers that are work-experience of respondents' varies from 1 to 29 years. 157 (78%) of the respondents' were unhappy with job; from which sixty-six (42%) were disappointed due to an excessive patients work-load and 131 (83.4%) respondents'' informed that unhappiness had affected their use of the nursing process (Baraki et al, 2017).…”

“…Baraki et al (2017) found that Nurses' related barriers that are work-experience of respondents' varies from 1 to 29 years. 157 (78%) of the respondents' were unhappy with job; from which sixty-six (42%) were disappointed due to an excessive patients work-load and 131 (83.4%) respondents'' informed that unhappiness had affected their use of the nursing process (Baraki et al, 2017). Clark.…”