Qualitative exploration of the challenges and the benefits of the nursing process in clinical practice: A study among registered nurses in a municipal hospital in Ghana

This paper describes the conceptual framework upon which the development of strategies to support use of the nursing process by registered nurses in local-level Primary health care practice in Namibia was based. The conceptual framework was developed based on the findings of phase 1 of this study, which was a situational analysis to explore and describe the use of the Nursing Process by registered nurses in local level primary health care practice in Namibia and to identify constraints that registered nurses in local level Primary health care practice face as they implement the nursing process in their daily practice. The study was conducted in four phases namely as follow: Phase1: Needs assessment quantitative survey; Phase 2: Conceptualisation of findings from phase 1; Phase 3: Development of strategies to support the roles and functions of the registered nurse in local level PHC and Phase 4: Validation of these strategies. This article focusses on Phase 2: Conceptualisation of findings from phase 1 and it describes objectives 4 of the study namely, to develop a conceptual framework on which to base the formulation of relevant strategies.From phase 1 which focused on needs assessment, findings indicate that registered nurses in local level Primary health care practice in Namibia fulfill most of their expected role functions. However, five main problem areas were identified. The challenges identified were categorised according to the five elements of PHC and management, namely, water and sanitation and related environmental health issues; nutrition and food supply; health education and communication; community diagnosis and care; and management support or administration, including research.It was concluded that strategies needed to be developed to support registered nurses in their daily local Primary health care practice.The development of the conceptual framework, which guided the development of strategies to support registered nurses use the nursing process in local level Primary health care practice, makes this study an original contribution to the body on knowledge.

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Pregnancy intentions in a group of remote-dwelling Australian Aboriginal women: a qualitative exploration of formation, expression and implications for clinical practice

BMC Public Health ◽

10.1186/s12889-019-6925-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Emma Griffiths ◽

David Atkinson ◽

Domenica Friello ◽

Julia V. Marley

Keyword(s):

Clinical Practice ◽

Pregnancy Intentions ◽

Australian Aboriginal ◽

Aboriginal Women ◽

Qualitative Exploration

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Inclusion of intrauterine device insertion to registered nurses’ scope of clinical practice

Collegian Journal of the Royal College of Nursing Australia ◽

10.1016/j.colegn.2017.12.002 ◽

2019 ◽

Vol 26 (1) ◽

pp. 28-32 ◽

Cited By ~ 1

Author(s):

Kirsteen Fleming ◽

Yan Cheng ◽

Jessica Botfield ◽

Mariana Sousa ◽

Deborah Bateson

Keyword(s):

Clinical Practice ◽

Registered Nurses ◽

Intrauterine Device

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Constraints that registered nurses in Namibia are faced with when utilising the nursing process in local-level Primary health care practice

International Journal of Health ◽

10.14419/ijh.v4i1.5751 ◽

2016 ◽

Vol 4 (1) ◽

pp. 32

Author(s):

Hermine Iita ◽

Scholastika Iipinge ◽

Agnes Van Dyk

Keyword(s):

Health Care ◽

Primary Health Care ◽

Registered Nurses ◽

Care Delivery ◽

Local Level ◽

Care Practice ◽

Nursing Process ◽

Primary Health ◽

And Function ◽

Role And Function

The purpose of this study was twofold. Firstly to explore and describe the utilization of the Nursing Process by registered nurses in local level Primary health care practice in Namibia with regard to Primary health care delivery during their daily practices and secondly, to develop strategies that would support registered nurses in executing their role and function in this regard. These were prompted by the implementation of a Primary health care approach to health care delivery in the country. The objectives of the study were:<ul><li>To Explore and describe the way in which registered nurses in clinics, health care centres and outreach posts in the health districts use the nursing process as regards PHC delivery;</li><li> To determine how supervisors perceive the utilisation of the nursing process by registered nurses with regard to PHC;</li><li>To identify the constraints that registered nurses are faced with when utilising the nursing process with regard to the delivery of PHC;</li><li>To develop a conceptual framework on which to base the formulation of relevant strategies,</li><li>To incorporate the findings of this study into the development of strategies to support registered nurses in their utilisation of the nursing process with regard to the delivery of PHC;</li><li>To validate the appropriateness of these strategies.</li></ul>A multi- phase, quantitative, exploratory, descriptive and contextual design was selected to provide a picture of how registered nurses fulfill their role and function concerning Primary health care (PHC) during their daily practices.The population consisted of two groups. The first group consisted of 239 registered nurses working in Clinics, health Centres and in Outreach Programmes. The second group consisted of 39 registered nurses supervisors, who supervised the registered nurses in these facilities. A survey was used to gather the data through self-report (questionnaire). Two questionnaires were developed, one for registered nurses and the other for immediate supervisors. Quantitative, descriptive analysis was used to summarize and organize data using tables and figures as well as t-test and analysis of variance (ANOVA), where applicable. Five main areas where registered nurses needed support in execution of their roles and functions were revealed from the results. The areas were: Water and sanitation and other environmental health issues; health education and communication including outreach activities; Nutrition and food supply; Community diagnosis and care and Management support or administrative functions in Primary health Care, including research and education of health workers including fellow registered nurses.This paper discusses the constraints that registered nurses in Namibia face when they use the nursing process in local Primary health care facilities.

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