Implementation Status of Nursing Process and Associated Factors AmongNurses Working in Tikur Anbessa Specialized Hospital Addis Ababa, Ethiopia, 2017
American Journal of Nursing Science
Volume 8, Issue 3, June 2019, Pages: 81-91
Received: Jan. 29, 2019; Accepted: Mar. 8, 2019; Published: Apr. 1, 2019
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Tsiyon Birhanu Wube, Department of Nursing, College of Health Sciences, Aksum University, Tigray, Ethiopia
Teshome Habte Wurjine, Department of Nursing, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
Yohannes Ayalew Bekele, Department of Nursing, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
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Background: -Nursing process is a systematic method of assessing, diagnosing, planning, intervening and evaluating individualized care for clients in any state of health. Even if, its implementation is mandatory due to many factors, it is poorly implemented in most of the health institutions in the country and resulted loss of quality nursing care. Objective:-The aim of this study was to assess the implementation status of nursing process and its’ associated factors among nurses in Tikur Anbessa Specialized Hospitals. Method: -A cross-sectional study design was conducted from February to March 2017 with a total of 151 participants and 271 medical records were selected by using Simple random sampling method. The collected datachecked for accuracy, completeness and entered into epi- data version 3.1 and analyzed using SPSS version 22. Bivariate and multivariate logistic regressions were used to identify associated factors with nursing process implementation. Statistical significance interpreted using odds ratio with 95% CI & P value <0.05. Result: - A total of 151 respondents, mean age was 28.5 years and about 86 (57.6%) had implement nursing process. Working in medical ward unit [AOR=3.43, (1.01, 11. 5), surgical unit [AOR=9.59(2.21, 41.61), organized environment [AOR=4.44 (1.80, 10.95) and Good Knowledge [AOR=10.2, (3.05, 34.1) were significantly associated with the implementation of 271 medical card review 239 of the cards included nursing process registration form, amongthose 65 (24.6%) of them was found to include the nursing process and those staying in the hospital for 11-20 days and 21-30 days was [AOR= 1.8895 (1.01, 3.53) and AOR=2.84 (1.06, 7.5) were significantly associated with implementation of the nursing process. Conclusion and recommendation: In this studythe level of nursing Process implementation was suboptimal and it needs further intervention to increase its utilization. Those who had worked at medical and surgical unit, organized work environment, good knowledge and length of stay were identified as possible determinant factors for the implementation of nursing process. Health care authorities must help in promotion of the health care with employing sufficient nurses, educational training and providing necessary situations for nursing process.
Nursing Process, Determinants of Nursing Process, Nurses
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Tsiyon Birhanu Wube, Teshome Habte Wurjine, Yohannes Ayalew Bekele, Implementation Status of Nursing Process and Associated Factors AmongNurses Working in Tikur Anbessa Specialized Hospital Addis Ababa, Ethiopia, 2017, American Journal of Nursing Science. Vol. 8, No. 3, 2019, pp. 81-91. doi: 10.11648/j.ajns.20190803.11
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FMOH, nursing care practices standards, Reference manual for nurses and health care Managers in Ethiopia. Addis Ababa, Ethiopia, 2011. Page 12-14.
Yildirim B, Özkahraman S, Karabudak SS. The critical thinking teaching methods in nursing students. International Journal of Business and Social Science. 2011 Dec 1; 2(24)
Taylor C, Lillis C, LeMone P. Fundamental of Nursing: The Art and Science of Nursing Care. Dimensions of Critical Care Nursing. 1990 Jan 1; 9(1):28.
Huckabay LM. Clinical reasoned judgment and the nursing process. In nursing Forum2009 Apr 1 (Vol. 44, No. 2, pp. 72-78). Blackwell Publishing Inc.
Craven RF, Hirnle CJ. Fundamentals of nursing: Human health and function. 6thEd. Philadelphia: Lippincott Williams & Wilkins, 2009. Page: 126-87.
Freitas MC, Queiroz TA, Souza JA. The nursing process according to the view of nursesfrom a maternity. Revista brasileira de enfermagem. 2007 Apr; 60 (2):207-12.
Momoh MA, Chukwu DO. Factors that militate against the use of nursing process: Ahospital based study. Continental Journal of Pharmaceutical Sciences. 2010; 4:6-9.
CatrinBjorvell: nursing documentation in clinical practice, department of nursing, karolinska institute, Stockholm, 2002, Sweden, page 10.
Munro N. Evidence-based assessment: no more pride or prejudice. AACN AdvancedCritical Care. 2004 Oct 1; 15(4):501-5.
Pokorski S, Moraes MA, Chiarelli R, Costanzi AP, Rabelo ER. Nursing process: Fromliterature to practice. What are we actually doing? Rev Lat Am Enfermagem 2009;17:3027.
Dal Sasso GT, Barra DC, Paese F, Almeida SR, Rios GC, Marinho MM, et al. Computerized nursing process: Methodology to establish associations between clinicalassessment, diagnosis, interventions, and outcomes. Rev Esc Enferm USP 2013;47:242-9.
McCaughan D, Thompson C, Cullum C, Sheldon TA, Thompson DR. Acute care nurses’perceptions of barriers to using research information in clinical decision making. Journalof Advanced Nursing. 2002; 39: 46-60.
Lee TT. Nursing diagnoses: factors affecting their use in charting standardized care plans. Journal of clinical nursing. 2005 May 1; 14(5):640-7.
Alfaro R, Alfaro-LeFevre R. Applying nursing diagnosis and nursing process: a step bystep guide. 2nded. Philadelphia: Lippincott; 1990. P. 2.163.
Hagos F, Alemseged F, Balcha F, Berhe S, Aregay A. Application of nursing process and its affecting factors among nurses working in mekelle zone hospitals, Northern Ethiopia. Nursing research and practice. 2014 Feb 6;2014.
Abebe, N., Abera, H., & Ayana, H. The Implementation of Nursing Process and Associated Factors among Nurses Working in Debremarkos and Finoteselam Hospitals, Northwest Ethiopia. Journal of Nursing Care. 2013. Volume 3 (no. 2). Page: 149-150.
Sisay. H, Nega. A & biftu. G. Nursing process and factors affecting its utilization in governmental hospitals in harari and dire dawa regions 2015.
Mulugeta. A, Rajalakashmi. M and Mulugeta. M, Assessment of Factors Affecting Implementation of Nursing Process among Nurses in Selected Governmental Hospitals, Addis Ababa, Ethiopia. J Nurs Care. 2014;3(3):2.
Zerihun A. Implementation and factors affecting nursing process among nurses workingin selected government hospitals in south west Ethiopia, 2015 (doctoral dissertation, AAU).
Tesfaye A. Factors Affecting Implementation of Nursing Process among Nurses In BaleZone Hospitals, South East Ethiopia (Doctoral dissertation, AAU).
Herdman TH, editor. Nursing diagnoses 2012-14: Definitions and classification. John Wiley & Sons; 2011 Nov 14.
Zamanzadeh V, Valizadeh L, Tabrizi FJ, Behshid M, Lotfi M. Challenges associated withthe implementation of the nursing process: A systematic review. Iranian journal of nursing and midwifery research. 2015 Jul; 20(4):411.
Ayalew S Implementation of Nursing Process in clinical settings: the case of three governmental hospitals in Ethiopia, 2017, BMC journal.
Jansson I, Bahtsevani C, Pilhammar-Andersson E, Forsberg A. Factors and conditions that influence the implementation of standardized nursing care plans. The open nursing journal. 2010; 4:25.
Baraki et al. Across sectional study on nursing process implementation and associated factors aong nurses working in selected hospitals of central and Northwest zones, Tigray region, Ethiopia, 2017BMC nursing (2017)16:54 DOI 101186/s129-017-0248-9.
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