Abstract
Nursing process is a framework used to provide an effective, coordinated, and organized quality care for patients. Effective implementation of this framework leads to improved quality of care and decreases potential complication, hospital length of stay, and the cost of care. To assess implementation of nursing process and its hindering factors, a quantitative cross-sectional study was conducted among nurses in Afar region hospitals from October 2016 to December 2016. The data were collected from 102 nurses using primary Brooking's ward nurses' self-report questionnaire and with some newly prepared questions. The collected data were entered using Epi-Data version 3.1 and analyzed by SPSS version 20 and then presented by tables, graphs, and figures. Forty-three (42.1%) nurses were implementing nursing process at the time of data collection. Assessment and diagnosis were carried out by 57 (56.9%) nurses, planning by 46% of nurses, implementation by 38.2% of nurses, and evaluation by 36.2% of nurses in Afar region. Among the hindering factors towards nursing process implementation, lack of preparedness or knowledge about the nursing process or some part of it (83.3%) and absence of in-service training pertinent to nursing process (75.5%) were the most mentioned ones. Generally, nursing process was poorly implemented in Afar region mainly due to lack of knowledge and absence of in service training. Therefore, giving emphasis for cognitive parts of students about nursing process during their school time and refreshing nurse staffs with continuous training will definitively improve level of nursing process implementation.
Highlights
It is considered that contemporary nursing has been shaped and recognized as an independent profession since the day of Florence Nightingale
The study was conducted from October to December 2016 in Afar regional state, one of the 9 regions in Ethiopia
(1) Is an assessment made of new patients prior to planning (2) Is written nursing history taken using a specific form (3) Does the nursing assessment begins within 24 hours (4) Does the assessment of the patient conclude with identification of problems (5) Is an attempt made to find the cause of the problems (6) Are problem statements arranges in order of priority
Summary
Nursing Research and Practice assessing his need and if that action brings change, nursing is not a profession [9]. According to her assumption, for nursing to be a profession and to be recognized as an independent, nurses should follow stepwise activities that the preceding activities determine the succeeding one, which is nursing process. In Afar region nursing process implementation and the hindering factors were not known and, as to our knowledge, there was no up to date study. It was, compulsory to conduct this research with the aim of identifying the degree of nursing process implementation and possible hindering factors
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