scholarly journals Implementation and factors affecting the nursing process among nurses working in selected government hospital in southwest Ethiopia

2020 ◽  
Author(s):  
Zerihun Adraro Adasho ◽  
Daniel Mengistu Bekele

Abstract Background: The nursing process was initially adopted from the general system theory, and was developed and implemented in the field of education. There is a demand to implement the nursing process in practical care in every health institution, but the perception remains that it is time-consuming and impractical. If the nursing process is not valued and not used, nurses may continue to intervene on the basis of a medical diagnosis rather than on the basis of a rational nursing Process steps. In any of the steps, oversight or omission can result in less than optimal nursing care. The purpose of this study was to assess implementation and factors affecting the nursing process among nurses working in selected government hospitals in Southwest Ethiopia.Methods: An institution-based cross-sectional descriptive study was conducted from March 10 to April 1, 2015 in three hospitals in southwest Ethiopia using self-administered questionnaires. This study included a total of 138 nurses using simple random sampling. Data were classified, coded and entered into epidemiological information version 3.5.3, and exported to the statistical package for social science version 20 for analysis, descriptive statistics were used to describe the variables, bivariable and multivariable logistic regression were used to see the effect of each variable on the dependent variable.Result: The nursing process was found to be 73.9 percent implemented. Compared to a Bachelor of Science nurses’, the likelihood of implementing the nursing process was less likely among diploma nurses. Nurses working in administratively supported hospitals implemented the nursing process more compared to those without administrative support. The nursing process had been implemented higher by trained nurses compared to untrained nurses.Conclusion: The implementation of nursing process was good where; nearly seven in every ten nurses implemented the nursing process. Low educational qualification, lack of training, and non-supportive hospital administration were predictors of the nursing process implementation. The health service management, in collaboration with Ethiopian nursing/professional associations and international governmental and non-governmental organizations should give continuous on the job professional development education, and develop nursing practice guidelines.

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Zerihun Adraro ◽  
Daniel Mengistu

Abstract Background The nursing process was initially adopted from the general system theory, and was developed and implemented in the field of education. There is a demand to implement the nursing process in practical care in every health institution, but the perception remains that it is time-consuming and impractical. If the nursing process is not valued and not used, nurses may continue to intervene on the basis of a medical diagnosis rather than on the basis of a rational nursing Process steps. In any of the steps, oversight or omission can result in less than optimal nursing care. The purpose of this study was to assess implementation and factors affecting the nursing process among nurses working in selected government hospitals in Southwest Ethiopia. Methods An institution-based cross-sectional descriptive study was conducted from March 10 to April 1, 2015 in three hospitals in southwest Ethiopia using self-administered questionnaires. This study included a total of 138 nurses using simple random sampling. Data were classified, coded and entered into epidemiological information version 3.5.3, and exported to the statistical package for social science version 20 for analysis, descriptive statistics were used to describe the variables, bivariable and multivariable logistic regression were used to see the effect of each variable on the dependent variable. Result The nursing process was found to be 73.9% implemented. Compared to a Bachelor of Science nurses’, the likelihood of implementing the nursing process was less likely among diploma nurses. Nurses working in administratively supported hospitals implemented the nursing process more compared to those without administrative support. The nursing process had been implemented higher by trained nurses compared to untrained nurses. Conclusion The implementation of nursing process was good where; nearly seven in every ten nurses implemented the nursing process. Low educational qualification, lack of training, and non-supportive hospital administration were predictors of the nursing process implementation. The health service management, in collaboration with Ethiopian nursing/professional associations and international governmental and non-governmental organizations should give continuous on the job professional development education, and develop nursing practice guidelines.


2020 ◽  
Author(s):  
Zerihun Adraro Adasho ◽  
Daniel Mengistu Bekele

Abstract Background The nursing process was initially adopted from the general system theory, and was developed and implemented in the field of education in the early years. Objective The purpose of this study was to assess implementation and factors affecting the nursing process among nurses working in selected government hospitals in Southwest Ethiopia. Methods An institution-based cross-sectional descriptive study was conducted from March 10 to April 1, 2015 in three hospitals in southwest Ethiopia using self-administered questionnaires. This study included a total of 138 nurses using simple random sampling. Data were classified, coded and entered into epidemiological information version 3.5.3, and exported to the statistical package for social science version 20 for analysis, descriptive statistics were used to describe the variables, bivariable and multivariable logistic regression were used to see the effect of each variable on the dependent variable. Result The nursing process was found to be 73.9 per cent implemented. Compared to a Bachelor of Science, the likelihood of implementing the nursing process was less likely among diploma nurses. Nurses working in administratively supported hospitals implemented the nursing process more compared to those without administrative support. The nursing process had been implemented higher by trained nurses compared to untrained nurses. Conclusion The implementation of nursing process was good where; nearly seven in every ten nurses implemented the nursing process. Low educational qualification, lack of training, and non-supportive hospital administration were predictors of the nursing process implementation.


2020 ◽  
Author(s):  
Zerihun Adraro Adasho ◽  
Daniel Mengistu Bekele

Abstract Background The nursing process was initially adopted from the general system theory, and was developed and implemented in the field of education in the early years. Objective The purpose of this study was to assess implementation and factors affecting the nursing process among nurses working in selected government hospitals in Southwest Ethiopia. Methods An institution-based cross-sectional descriptive study was conducted from March 10 to April 1, 2015 in three hospitals in southwest Ethiopia using self-administered questionnaires. This study included a total of 138 nurses using simple random sampling. Data were classified, coded and entered into epidemiological information version 3.5.3, and exported to the statistical package for social science version 20 for analysis, descriptive statistics were used to describe the variables, bivariable and multivariable logistic regression were used to see the effect of each variable on the dependent variable. Result The nursing process was found to be 73.9 per cent implemented. Compared to a Bachelor of Science, the likelihood of implementing the nursing process was less likely among diploma nurses. Nurses working in administratively supported hospitals implemented the nursing process more compared to those without administrative support. The nursing process had been implemented higher by trained nurses compared to untrained nurses. Conclusion The implementation of nursing process was good where; nearly seven in every ten nurses implemented the nursing process. Low educational qualification, lack of training, and non-supportive hospital administration were predictors of the nursing process implementation.


2020 ◽  
Author(s):  
Zerihun Adraro Adasho ◽  
Daniel Mengistu Bekele

Abstract Background: The nursing process was initially adopted from the general system theory, and was developed and implemented in the field of education in the early years.Objective: The purpose of this study was to assess implementation and factors affecting the nursing process among nurses working in selected government hospitals in Southwest Ethiopia.Methods: An institution-based cross-sectional descriptive study was conducted from March 10 to April 1, 2015 in three hospitals in southwest Ethiopia using self-administered questionnaires. This study included a total of 138 nurses using simple random sampling. Data were classified, coded and entered into epidemiological information version 3.5.3, and exported to the statistical package for social science version 20 for analysis, descriptive statistics were used to describe the variables, bivariable and multivariable logistic regression were used to see the effect of each variable on the dependent variable.Result: The nursing process was found to be 73.9 percent implemented. Compared to a Bachelor of Science nurses’, the likelihood of implementing the nursing process was less likely among diploma nurses. Nurses working in administratively supported hospitals implemented the nursing process more compared to those without administrative support. The nursing process had been implemented higher by trained nurses compared to untrained nurses.Conclusion: The implementation of nursing process was good where; nearly seven in every ten nurses implemented the nursing process. Low educational qualification, lack of training, and non-supportive hospital administration were predictors of the nursing process implementation.


2020 ◽  
Author(s):  
Zerihun Adraro Adasho ◽  
Daniel Mengistu Bekele

Abstract Background The nursing process was initially adopted from the general system theory, and was developed and implemented in the field of education in the early years. Objective The purpose of this study was to assess implementation and factors affecting the nursing process among nurses working in selected government hospitals in Southwest Ethiopia. Methods An institution-based cross-sectional descriptive study was conducted from March 10 to April 1, 2015 in three hospitals in southwest Ethiopia using self-administered questionnaires. This study included a total of 138 nurses using simple random sampling. Data were classified, coded and entered into epidemiological information version 3.5.3, and exported to the statistical package for social science version 20 for analysis, descriptive statistics were used to describe the variables, bivariable and multivariable logistic regression were used to see the effect of each variable on the dependent variable. Result The nursing process was found to be 73.9 per cent implemented. Compared to a Bachelor of Science, the likelihood of implementing the nursing process was less likely among diploma nurses. Nurses working in administratively supported hospitals implemented the nursing process more compared to those without administrative support. The nursing process had been implemented higher by trained nurses compared to untrained nurses. Conclusion The implementation of nursing process was good where; nearly seven in every ten nurses implemented the nursing process. Low educational qualification, lack of training, and non-supportive hospital administration were predictors of the nursing process implementation.


2020 ◽  
Author(s):  
Zerihun Adraro Adasho ◽  
Daniel Mengistu Bekele

Abstract Background: The nursing process was initially adopted from the general system theory, and was developed and implemented in the field of education in the early years.Objective: The purpose of this study was to assess implementation and factors affecting the nursing process among nurses working in selected government hospitals in Southwest Ethiopia.Methods: An institution-based cross-sectional descriptive study was conducted from March 10 to April 1, 2015 in three hospitals in southwest Ethiopia using self-administered questionnaires. This study included a total of 138 nurses using simple random sampling. Data were classified, coded and entered into epidemiological information version 3.5.3, and exported to the statistical package for social science version 20 for analysis, descriptive statistics were used to describe the variables, bivariable and multivariable logistic regression were used to see the effect of each variable on the dependent variable.Result: The nursing process was found to be 73.9 per cent implemented. Compared to a Bachelor of Science, the likelihood of implementing the nursing process was less likely among diploma nurses. Nurses working in administratively supported hospitals implemented the nursing process more compared to those without administrative support. The nursing process had been implemented higher by trained nurses compared to untrained nurses.Conclusion: The implementation of nursing process was good where; nearly seven in every ten nurses implemented the nursing process. Low educational qualification, lack of training, and non-supportive hospital administration were predictors of the nursing process implementation.


2020 ◽  
Author(s):  
Zerihun Adraro Adasho ◽  
Daniel Mengistu Bekele

Abstract Background The nursing process was initially adopted from the general system theory, and was developed and implemented in the field of education in the early years. Objective The purpose of this study was to assess implementation and factors affecting the nursing process among nurses working in selected government hospitals in Southwest Ethiopia. Methods An institution-based cross-sectional descriptive study was conducted from March 10 to April 1, 2015 in three hospitals in southwest Ethiopia using self-administered questionnaires. This study included a total of 138 nurses using simple random sampling. Data were classified, coded and entered into epidemiological information version 3.5.3, and exported to the statistical package for social science version 20 for analysis, descriptive statistics were used to describe the variables, bivariable and multivariable logistic regression were used to see the effect of each variable on the dependent variable. Result The nursing process was found to be 73.9 per cent implemented. Compared to a Bachelor of Science, the likelihood of implementing the nursing process was less likely among diploma nurses. Nurses working in administratively supported hospitals implemented the nursing process more compared to those without administrative support. The nursing process had been implemented higher by trained nurses compared to untrained nurses. Conclusion The implementation of nursing process was good where; nearly seven in every ten nurses implemented the nursing process. Low educational qualification, lack of training, and non-supportive hospital administration were predictors of the nursing process implementation.


2019 ◽  
Vol 9 (3) ◽  
pp. 62-68
Author(s):  
Sashi Poudel ◽  
Kalpana Sharma

Background: Job satisfaction is a major factor in nurse retention and the de­livery of high quality care. Hence, aim of this study was to find out the factors affecting job satisfaction among nurses working in the teaching hospital, Chit­wan. Methods: A descriptive, cross-sectional research design was used and a total 135 nurses who were working for at least 3 months in the Chitwan Medical Teaching Hospital were taken as study sample. Simple random sampling tech­nique was used to select the desired sample. Pre-tested structured self-admi­nistered questionniare with job satisfaction scale consisting eight domains was used to collect the data. Obtained data were entered into SPSS version 20.0 for window and analyzed using descriptive statistics and inferential statistics (chi-square test). Results: The findings of the study revealed that more than half (57.85%) of the nurses were satisfied with their job. Nurses’ job satisfaction was higher on organization and administration policies (4.18±0.04) and least on salary and benefits (3.01±0.19) they were receiving from the institution. The significance influencing factors of job satisfaction were professional qualification (p=0.04), total work experience in nursing (p=0.004), working ward/unit (p=0.014), des­ignation (p=0.007), number of patient assigned in general ward (p=<0.001) and leadership style in the ward (p=<0.001). Conclusions: Considerable percentage of nurses are not satisfied with their job. Hence hospital management and professional associations need to ad­dress the identified factors to enhance the job satisfaction among nurses work­ing in a teaching hospital.


2015 ◽  
Vol 4 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Dewa Adhikari ◽  
Dagendra Rijal

Objectives To determine the health status and the factors affecting health seeking behavior of the senior citizens aged 60years and above.Materials and methods A descriptive cross-sectional study based on household survey was adapted. The sample consisted of 400 senior citizens resident of Dharan. Simple random sampling technique was employed to select the study subject. Individuals were interviewed through self- developed semi-structured pre-tested questionnaires. Descriptive and inferential statistics (chi-squire test) were used.Results Among 400 respondents, the most frequently reported illness were hypertension(29.3%), diabetes mellitus (8.3%), arthritis/joint pain (24.8%), eye problems (19.0%), hearing problems (3.3%), oral health problems (17.5%), digestive system problems (17.8%), respiratory problems (11.0%), heart disease (3.8%), renal problem (5.3%), skin diseases (7.5%), tuberculosis (3.0%), liver disease (3.0%), mental illness (5.75%),fracture (1.0%), Gynecological problems (7.3%) and male genital (6.3%) problems were also noted. Faith healers were the first treatment choice (97.2%) irrespective of age, gender or ethnicity. After that they visited BPKIHS (36.3%), private practitioner (26.3%), self treatment (11.3%) and self drug-use (6.8%). Half of the respondents utilized formal health institutions only in major chronic conditions. Poverty emerged as a major determinant of health seeking behavior and treatment was considered waste of money (indirect effect 64%) and lack of money (35 .5%) followed by poor attitude of health worker (41%).Conclusion The use of faith healer as first treatment provider, self-treatment, drug over counter shop were indicative factors of the inefficient utilization of health facilities in meeting the health needs of the senior citizens, were ranked the major determinants of factors affecting health seeking behavior of the senior citizens. Journal of Nobel College of Medicine Vol.4(1) 2015: 57-63


2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Fisseha Hagos ◽  
Fessehaye Alemseged ◽  
Fikadu Balcha ◽  
Semarya Berhe ◽  
Alemseged Aregay

Background.Nursing process is considered as appropriate method to explain the nursing essence, its scientific bases, technologies and humanist assumptions that encourage critical thinking and creativity, and permits solving problems in professional practice.Objective.To assess the application of nursing process and it’s affecting factors in Mekelle Zone Hospitals.Methods.A cross sectional design employing quantitative and qualitative methods was conducted in Mekelle zone hospitals March 2011. Qualitative data was collected from14 head nurses of six hospitals and quantitative was collected from 200 nurses selected by simple random sampling technique from the six hospitals proportional to their size. SPSS version 16.1 and thematic analysis was used for quantitative and qualitative data respectively.Results.Majority 180 (90%) of the respondents have poor knowledge and 99.5% of the respondents have a positive attitude towards the nursing process. All of the respondents said that they did not use the nursing process during provision of care to their patients at the time of the study. Majority (75%) of the respondent said that the nurse to patient ratio was not optimal to apply the nursing process.Conclusion and Recommendation.The nursing process is not yet applied in all of the six hospitals. The finding revealed that the knowledge of nurses on the nursing process is not adequate to put it in to practice and high patient nurse ratio affects its application. The studied hospitals should consider the application of the nursing process critically by motivating nurses and monitor and evaluate its progress.


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