Abstract
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.
Highlights
IntroductionNursing is a profession that ensures the successful implementation of interventions which welcome and nurture life, promotes or restores health, enables the means to a peaceful, dignified and pain-free death [1]
Suboptimal nurse to patient ratio, rules made without consideration of staffs, inadequate resource, high work overload andunavailability of on job training are factors mainly the implementation of nursing process
This study indicated that the status of nursing process utilization among nurse was 86 (57.6 %) according to the medical card review, among cards contains the nursing process sheetonly 65(24.4%) of them includes all the steps of nursing process in a correct way
Summary
Nursing is a profession that ensures the successful implementation of interventions which welcome and nurture life, promotes or restores health, enables the means to a peaceful, dignified and pain-free death [1]. It demands a consistent, high level of critical thought, coupled with critical actions. One of the most important policies in nursing job is using the nursing process model which is the systematic framework to assess the patients’ needs in order to make clinical decisions based on complete science and art [3] It was Tsiyon Birhanu Wube et al.: Implementation Status of Nursing Process and Associated Factors AmongNurses
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