Abstract
Background: Nursing process is a systematic problem-solving approach used to identify, prevent and treat potential health problems. It is a method of assessing, diagnosing, planning, implementing and evaluating individualized care for clients in any situation of health or illness. This study aimed to assess nursing process implementation and associated factors among nurses working in west Amhara referral hospitals. Methods: An institution-based cross-sectional quantitative study design triangulated with a phenomenological qualitative study design was used. The simple random sampling technique was employed to select study participants for the quantitative part and purposive sampling was used to select key informants for the qualitative part. Data were collected among nurses working in west Amhara referral hospitals from February to March 2017. Results: The overall nursing process implementation among nurses in west Amhara referral hospitals was61%(95% CI: 56.0, 65.9).Availability of basic equipment(AOR=5.39; 95% CI: 2.55, 11.38), patient to nurse ratio (AOR=3.67; 95% CI: 1.72, 7.82),knowledge of nurses (AOR= 20.41; 95% CI: 7.23, 57.60), regular supportive supervisions (AOR=3.22; 95% CI: 1.55, 6.68), timely reporting (AOR= 3.58; 95% CI: 1.20, 11.61) and patient disappearance (AOR= 0.38 ;95% CI:0.18,0.81) were significantly associated with nursing process implementation. Conclusion: The overall implementation of nursing process in west Amhara referral hospitals was low. Factors such as availability of equipment, patient to nurse ratio, knowledge of nurses, supportive supervision, timely reporting and patient disappearance were significantly associated with nursing process implementation. Hence, it is necessary to strengthen supportive supervision, optimizing patient to nurse ratio, updating nurses’ knowledge, strengthening patient counselling to reduce patient disappearance and scaling up timely reporting systems.
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