Assessment on Factors Affecting Implementation of Nursing Process Among Nurses in Selected Governmental Hospitals, Addis Ababa, Ethiopia.
Creators: name: Aseratie, Mulugeta
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2011

description: Background: Nursing Process is a systematic problem-solving approach used to identify, prevent and treat actual or potential health problems and promote wellness. It has five steps- assessment, diagnosis, planning, implementation, and evaluation. Objective: To assess factors affecting implementation of nursing process among nurses in selected governmental hospitals of Addis Ababa. Method: A cross-sectional study was conducted on selected governmental hospitals in Addis Ababa from February-April, 2011. Both quantitative and qualitative methods were used. Purposive sampling was used for selection of hospitals. Black Lion, St. Paul, Ras Desta Damitew Memorial, and Yekatit 12 hospitals were convenient for the study. The participants were selected using simple random sampling technique. The minimum sample size was 202. Tools were given to nurse expatriate to check for its validity and adjustment was made according to the feedback obtained before pre test. Data was collected using self-administered questionnaire and in-depth interview. Data was analyzed using SPSS 16th version. Result: Out of 202 sampled respondents 192 agreed to participate in the study and the response rate was 95%. One hundred two (53.1%) were females and 90(46.9%) were males. One hundred forty (72.9%) of the total respondents were working in a stressful working environment where as 31(16.1%) were working in a disorganized working environment, the remaining 21(10.9%) respondents explained their work place was negligent at a time. Thirty one (16.1%) of respondents were highly knowledgeable. From the total respondents 89(46.4%) were highly skillful. One hundred (52.1%) of respondents have implemented nursing process. From binary logistic regression model analysis those who have implemented nursing process were nurses working in a stressful working environment were 2.8(adjusted OR: 0.357, 95%CI: (0.157-0.814) times less likely to implement nursing process than disorganized working environment adjusting for facility accessibility, knowledge, and sex. Accessibility of facilities needed for nursing care were 2.248(Adjusted OR: 2.248, 95%CI: (1.079-4.684))times more likely to implement nursing process than nurses working in an inferior facility controlling for working environment, knowledge, and sex. Highly knowledgeable respondents were 38.913(Adjusted OR: 38.913, 95%CI: (10.3-147.006))times more likely to implement nursing process than low knowledge group nurses adjusted for working environment, facility, and sex. Conclusion: Nursing process implementation is affected by various factors. The study has identified organizational factors, patient related factors, and level of knowledge and skill were among those factors highly influenced nursing process implementation. This factors cause poor quality of nursing care, disorganized caring system, conflicting role, medication error and readmission with similar problem, dissatisfaction with the care patients have received, and increased mortality.