Factors Affecting Implementation of Nursing Process among Nurses in Bale Zone Hospitals, South East Ethiopia, 2014

Assefa, Tesfaye (2014) Factors Affecting Implementation of Nursing Process among Nurses in Bale Zone Hospitals, South East Ethiopia, 2014. Masters thesis, Addis Ababa University.

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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 or illness. Based on the scientific problem-solving method, it constitutes the foundation for nursing practice. Objective: - To identify factors affecting the implementation of nursing process among nurses working in Bale zone hospitals, South East Ethiopia. Methods and materials: - Institutional based cross-sectional study was conducted in hospitals of Bale zone, South East Ethiopia. Quantitative and Qualitative method were used. These Hospitals were purposively selected based on the general service they have been provided and their number of nurses for study area. The participants were selected using simple random sampling technique. The minimum sample size was 151. Pretested was done .Data was collected using structured selfadministered questionnaire and in-depth interview. Data was analyzed using SPSS 21th version. Result: - Out of 151 sampled respondents 146 agreed to participate in the study and the response rate was 96.7%. Regarding the knowledge status of the respondents, seventy nine (54.1%) of respondents were highly knowledgeable, thirty three (22.6%) were moderately knowledgeable and 34(23.3%) had poor knowledge. Above 75% of the respondents have a positive attitude towards implementation of nursing process. Seventy six (52.1%) of respondents have implemented nursing process. From multivariate logistic regression model analysis highly knowledgeable nurses were 3 times more likely and significantly associated with implementation of nursing process than moderately and low knowledge group nurses (AOR: 3, 95%CI: (1.302- 8.425), P: <0.012).As in-depth interview study, the most challenging factors that obstacles implementation of nursing process are lack of materials, knowledge gap, lack of manpower, commitment, performing non-nursing tasks, poor training and work load.Conclusion and recommendation: - The nursing process is partially implemented in all of the four hospitals. Factors such as shortage of resources and high patient nurse ratio also affect application of nursing process. The study hospitals should consider the application of the nursing process seriously; motivate professional nurses to apply the nursing process; and monitor and evaluate its progress.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Nursing process, Assessment, Diagnosis, planning, evaluation
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 06 Aug 2018 14:07
Last Modified: 06 Aug 2018 14:07
URI: http://thesisbank.jhia.ac.ke/id/eprint/8190

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