Qualitative exploration of the challenges and the benefits of the nursing process in clinical practice: A study among registered nurses in a municipal hospital in Ghana

Abstract

The nursing process is a systematic method used to identify, treat and prevent actual and potential health problems and promote wellness (Thuvaraka et al., 2018). It provides guidelines to orderly reasoning in the clinical milieu (Isika, 2018;Stonehouse, 2017) to provide quality individualized care in a holistic and organized manner (Isika, 2018;Mahmoud & Bayoumy, 2014;Varcarolis, 2016). However, nurses encounter challenges in implementing and documenting the nursing process (Leoni-Scheiber et al., 2019).The application of the nursing process yields good patient outcomes globally (Afolayan et al., 2013), gives visibility to the work nurses do (Figueiredo et al., 2014) and is used in clinical practice to provide quality individualized care to clients (Mahmoud & Bayoumy, 2014).The nursing process constitutes a systematic and dynamic approach to deliver nursing care, operating through five phases: assessment,

Challenges of Antibiotic Formulations and Administration in the Treatment of Bloodstream Infections in Children Under Five Admitted to Kisantu Hospital, Democratic Republic of Congo

“…Pediatric wards in low-resource settings are often overcrowded and understaffed, and a high nursing workload has been associated with medication errors and healthcare-associated infections. 35 , 48 – 51 Furthermore, staff misconceptions may hamper rational antibiotic use, as was illustrated here by the prescribers’ preference for cefotaxime over ceftriaxone, which lead to the hidden consequence of missed doses. Finally, also caretaker’s misconceptions have an impact, for example, oral switch is hampered by a high demand for “strong,” or intravenous medication.…”

Exploring the perceptions of nursing internship students and their faculty mentors regarding the complexities and hindrances associated with implementing the nursing process within the clinical setting: An in-depth qualitative investigation

“…Indeed, nursing students, both during their internship courses and after graduation, tend not to apply the nursing process for care standards due to a range of challenges they encounter in this regard [ 14 ]. Several challenges contribute to the limited utilization of the nursing process by nursing students and graduates, these challenges include: lack of familiarity with the nursing process stages [ 15 ], dependency on other nurses and a lack of critical thinking [ 16 ], insufficient knowledge [ 17 ], inadequate supervision [ 18 ], limited access to clinical facilities and equipment, inconsistent and irregular curriculum for teaching, inadequate student evaluation methods [ 19 ], insufficient educational opportunities [ 20 ], and inadequate clinical training [ 8 ].…”