Improving the implementation status of nursing care standards process at medical&amp; surgical wards in jogel general hospital, harar,Ethiopia.
Creators: name: Dawied, Aynie Ali
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2019

description: Background:-Despite the important role of nursing care standard practice plays for the betterment of the health care, its implementation status is far below expected, particularl y in developing countries. Similarly, the baseline assessment in this study showed that the implementation of Nursing Care Process in Jogel general hospital is poor. Thus, in light of the national and regional efforts to improve health care deliver y&amp; improve a health care Quality. it is critically important to improve the implementation status of the Nursing care Process in Jogel General Hospital. Objectives: To improve implementation of Nursing/midwifery Care Standard Practice from 42 % to 70% in Medical &amp; surgical wards of Jogel Hospital, by the end of June, 2019. Methodology: A facilit y based pre- post interventional study will be conducted from March to June, 2019 in Jogel General Hospital, Harar, Ethiopia. The interventions include give in service training for ward nurses; strengthening internal supportive supervision, nursing audit committee, and provide the update nursing care format preparation .observational questionnaires about the challenges in implementation of the standards for a total of 80 staff nurse(40 pre-40post). A total of 60 Medical Records (MR) have been reviewed ( 30 at baseline and 30 will be at the end of the study) to assess &amp; compare the medical record completeness about t he at t ached &amp; compl et e document at i on of necess ar y format s during pre and post-intervention periods respectivel y. The proportion of standard checklists which wi l l me et Nursing Care Standard Practice with complete services, and observational self prepared questionnaires with10 item total of 100 inpatient admitted(50 pre-50 post intervention) about the nursing care quality and client satisfactions documentation a addition reviews standard 10item contain checklists fill and conduct focus discussion with a total of 14 staff (CEO, Matron, 2director of nurses a n d 1 2 s t a f f n u r s e ) of formats, and Chi-square test is calculated to test the difference in the outcome of interest between the pre –and post –intervention periods. Result:- The percentage of patient cards with complete Nursing Care Process increased from 42% in baseline to 70% after intervention. This change was statistically significant at (df = 1.44, P =0.0403). Similarly, the implementation of all components of the Nursing Process has increased: Nursing Admission Assessment (from 56% to 82% / P =0.0201), Nursing Diagnosis (from 38% to 78%, P =.0.0301); Nursing Care Plan (from 54% to 66% / P =0.0225); Nursing Implementation (from 47% to 64% / P =0.0152) and Nursing Evaluation (from 31% to 59%/ P = 0.0173), with all changes showing statistically significant at P &lt; 0.05. Conclusion and Recommendations: - continuous on job training continuous flow of related forms can improve the implementation of the Nursing Process followed by. Continuous internal Supportive Supervision of Nurses in wards. Jogel general hospital managers should consider strengthening the internal Supportive Supervision to improve their health facility.