FACTORS INFLUENCING IMPLEMENTATION OF NURSING PROCESS AMONG REGISTERED NURSES IN VIHIGA COUNTY REFERRAL HOSPITAL.

The aim of this study was to explore and describe the perceptions of registered nurses regarding factors influencing service delivery regarding expansion programmes in a primary healthcare setting, using a qualitative approach. The registered nurses, who have been working in the clinics for more than two years and have been exposed to the expansion programmes there, were purposively sampled. Two focus group interviews were conducted in a neutral place and the data collected by the researcher Nnoi A. Xaba (N.A.X.). Data were analysed by the researcher and an independent co-coder using the Tesch method. Categories, subcategories and themes were identified; those that formed the basis of discussion were disabling factors, enabling factors, client-related factors, service-related factors and solutions to problems. It is recommended that integration of programmes and coordination be done at a provincial level and planned together with the training centres in order to alleviate problems in service delivery. Training on expansion programmes in the form of in-service education should be carried out continually in the region.Die doel van die studie was om die persepsie van geregistreerde verpleegkundiges met betrekking tot die faktore wat dienslewering van die uitbreidingsprogramme in ‘n primêre gesondheid opset beinvloed; te eksploreer en te beskryf. ‘n Kwalitatiewe benadering is gevolg in die iutvoering van die studie. ‘n Doelgerigte steekproef is uitgevoer vanuit geregistreerde verpleegkundiges wat vir langer as twee jaar in die klinieke werksaam was en blootgestel is aan die uitbreiding programme. Twee fokus groep onderhoude is deur die navorser Nnoi A. Xaba (N.A.X.) in ‘n neutrale opset uitgevoer. Data is deur die navorser en ŉ onafhanklike kodeerder ontleed volgens Tesch se metode van analise. Kategorieë, sub-kategorieë en temas was geidentifiseer. Die kategorieë fundamenteel tot die bespreking behels: remmende faktore, bydraende faktore, kliënt-verwante faktore, diens-verwante faktore, en oplossing van probleme. Daar word aanbeveel dat die integrasie en koordinasie van programme op provisiale vlak beplan word in samewerking met opleidings instansies om die dienslewerings probleem te verlig. In die streek behoort opleiding met betrekking tot die uitbreidingsprogramme deurlopend deur middel van indiensopleiding gedoen word.

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Conceptual framework for the formulation of strategies to support registered nurses in their utilisation of the nursing process when executing their roles and functions in local-level Primary health care (PHC) practicein Namibia

International Journal of Health ◽

10.14419/ijh.v4i1.5752 ◽

2016 ◽

Vol 4 (1) ◽

pp. 17

Author(s):

Hermine Iita ◽

Scholastika Iipinge ◽

Agnes Van Dyk

Keyword(s):

Health Care ◽

Primary Health Care ◽

Conceptual Framework ◽

Registered Nurses ◽

Local Level ◽

Phase 1 ◽

Care Practice ◽

Nursing Process ◽

Health Care Practice ◽

Primary Health

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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Registered nurses' perceptions of factors influencing nursing care quality: A structural equation modeling study

Nursing and Health Sciences ◽

10.1111/nhs.12653 ◽

2019 ◽

Vol 22 (1) ◽

pp. 91-98

Author(s):

Virya Koy ◽

Jintana Yunibhand ◽

Yupin Angsuroch ◽

Sue Turale ◽

Suwimon Rojnawee

Keyword(s):

Structural Equation Modeling ◽

Registered Nurses ◽

Nursing Care ◽

Structural Equation ◽

Care Quality ◽

Equation Modeling ◽

Factors Influencing ◽

Nursing Care Quality ◽

Nurses Perceptions ◽

Modeling Study

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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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Erratum to “Factors influencing turnover intention among registered nurses in Samar, Philippines” [Applied Nursing Research 39C (2018) 200–206]

Applied Nursing Research ◽

10.1016/j.apnr.2018.03.006 ◽

2018 ◽

Vol 41 ◽

pp. 86

Author(s):

Leodoro J. Labrague ◽

Donna S. Gloe ◽

Denise M. McEnroe-Petitte ◽

Konstantinos Tsaras ◽

Paolo C. Colet

Keyword(s):

Registered Nurses ◽

Turnover Intention ◽

Nursing Research ◽

Factors Influencing

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Factors influencing registered nurses perception of their overall job satisfaction: a qualitative study

International Nursing Review ◽

10.1111/inr.12112 ◽

2014 ◽

Vol 61 (3) ◽

pp. 352-360 ◽

Cited By ~ 43

Author(s):

N. Atefi ◽

K.L. Abdullah ◽

L.P. Wong ◽

R. Mazlom

Keyword(s):

Job Satisfaction ◽

Qualitative Study ◽

Registered Nurses ◽

Factors Influencing ◽

Overall Job Satisfaction

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BARRIERS TO IMPLEMENTATION OF NURSING PROCESS AMONG NURSES WORKING IN NAROK COUNTY REFERRAL HOSPITAL

Journal of Health, Medicine and Nursing ◽

10.47604/jhmn.1145 ◽

2020 ◽

Vol 5 (4) ◽

pp. 15

Author(s):

Anna Saretin Lekenit ◽

Ruth G. Gatere ◽

Agnes K. Mutinda

Keyword(s):

Work Experience ◽

Statistical Significance ◽

Cross Sectional Study ◽

Referral Hospital ◽

Unique Contribution ◽

Nursing Process ◽

Chi Square ◽

Cross Sectional ◽

Process Implementation ◽

Study Results

Purpose of the study: This study therefore assessed barriers of nursing process implementation by Narok County Referral Hospital nurses. Methodology: A descriptive cross sectional study design was used to collect data from 102 randomly sampled nurses in NCRH. The study instruments used were self-administered questionnaires and key informant interview. SPSS version 20.0 was used to analyze quantitative data and sample characteristics were analyzed using mean and median. Themes were used to analyze qualitative data and narratively presented. Association between the study variables was calculated using chi square at 95% level of significance while statistical significance of results obtained was calculated using p values of 0.05. Data analysis was presented using tables and graphs. Approval was sought from relevant authorities. Results: The study results revealed that female participants were the majority at (70.6%). Most participants (71.6%) had attained diploma level of education and among them, 92.2% had received training in nursing process. Majority 95 (93.2%) were observed not to implement nursing process and of those who implemented, only 1 (1%) correctly outlined all the steps, a sign of poor nursing process implementation. NP implementation was of statistical significance with age of nurses as 18 out of 29 of younger nurses aged 21-30 years were found to actively practice it (p =0.001, work experience (p = 0.001), training (p > 0.05): institutional factors (p = 0.001). Unique contribution to theory, practice and policy: Nursing process mainstreaming interventions such as regular staff refresher courses and mentorship On NP in the hospitals, availability of relevant resources: human resource and supplies can highly mitigate these barriers.

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Influenza Vaccination Coverage among Registered Nurses in China during 2017-2018: an Internet Panel Survey (Preprint)

10.2196/preprints.14893 ◽

2019 ◽

Author(s):

Zhongjie Li ◽

Jianxing Yu ◽

Xiang Ren ◽

Chuchu Ye ◽

Keqing Tian ◽

...

Keyword(s):

Influenza Vaccine ◽

Influenza Vaccination ◽

Registered Nurses ◽

Vaccination Coverage ◽

Seasonal Influenza ◽

Panel Survey ◽

Vaccine Acceptance ◽

Seasonal Influenza Vaccine ◽

Factors Influencing ◽

Principal Factors

BACKGROUND Influenza vaccination is recommended for nurses in China but is not mandatory or offered free of charge. Identifying factors that impact seasonal influenza vaccine acceptance among nurses in China may inform strategies to increase vaccination coverage in this high priority group. OBJECTIVE To determine influenza vaccination coverage and the principal factors influencing influenza vaccination among nurses in China. METHODS During March 22-April 1, 2018, we conducted an opt-in internet panel survey among registered nurses in China. Respondents were recruited from an internet-based training platform for nurses. We assessed influenza vaccination status and factors influencing influenza vaccine acceptance and refusal. RESULTS Among 22,888 nurses invited to participate, 4,706 responded, and 4,153 were valid respondents. Overall, 257 (6%) nurses reported receiving the seasonal influenza vaccine during the 2017/18 season. Vaccination coverage was highest among nurses working in Beijing (10%, P<.001) and nurses working in primary care (12%, P=.023). The top three reasons for not being vaccinated were lack of time (28%), not knowing where and when to get vaccinated (14%), and lack of confidence in the vaccine’s effectiveness (12%). Overall, 41% of nurses reported experiencing at least one episode of influenza-like illness (ILI) during the 2017/18 season; 87% of nurses kept working while sick, and 25% of nurses reported ever recommending influenza vaccination to patients. Compared with nurses who did not receive influenza vaccination in the 2017/18 season, nurses who received influenza vaccination were more likely to recommend influenza vaccination to patients (67% vs. 22%, P<.001). CONCLUSIONS Influenza vaccination coverage among nurses was low, and only a small proportion recommended influenza vaccine to patients. Our findings highlight the need for a multi-pronged strategy to increase influenza vaccination among nurses in China.

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