Determinants of Nursing Process Implementation in North East Ethiopia: Cross-Sectional Study

Miskir, Yihun; Emishaw, Solomon

doi:10.1155/2018/7940854

Cited by 32 publications

(58 citation statements)

References 13 publications

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“…The nding was more higher when compared to different studies conducted in hospitals in Ethiopia; Addis Ababa Hospitals; 52.1%, Finote-selam and Debrmarkos hospitals; 37.1%, Northwest zone of Tigray region; 35%, Arba-Minch hospital; 32.7% and Afar region; 42.1% (15,(18)(19)(20)(21). The discrepancy could be due to the difference in the assessment tools used, sample size, nurses' educational level and back ground, administration commitment and support from hospitals and regional health care system and facilities disparities.…”

Section: Discussionmentioning

confidence: 78%

“…However, the implementation of the nursing process remains constrained (14). The nursing process was not introduced at all in Mekele, Ethiopia, in Addis Ababa hospitals, 52.1 percent of nurses implemented the nursing process, in Tigray region Ethiopia, 35 percent of nurses implemented the nursing process, in Debrmarkos and Finote-selam hospitals, Ethiopia, 37.1 percent of nurses implemented the nursing process, 32.7% in Arba-Minch Ethiopia, 42.1% nurses were implementing nursing process in Afar region (2,(15)(16)(17)(18)(19)(20)(21).…”

Section: Introductionmentioning

confidence: 99%

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

Adasho¹,

Mengistu

2020

Preprint

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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.

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Section: Discussionmentioning

confidence: 78%

Section: Introductionmentioning

confidence: 99%

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

Adasho¹,

Mengistu

2020

Preprint

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“…Studies assessed implementation of nursing process showed that only 42.1% (Miskir & Emishaw, 2018), (35%)(Baraki et al, 2017) nurses were implementing nursing process. (Miskir & Emishaw, 2018) Based on the findings of this study, nursing assessment, diagnosis and care plan forms were rarely used and when used were not complete. They also witnessed that monitoring efforts to enforce their use wasn't in place.…”

Section: Discussionmentioning

confidence: 88%

“…Effective implementation of this framework leads to improved quality of care and decreases potential complication, hospital length of stay, and the cost of care. studies in Ethiopia to assess implementation of nursing process showed that only 42.1% and 35% (Miskir & Emishaw, 2018), (Baraki et al, 2017) of nurses were implementing nursing process, Assessment and diagnosis were carried out only by 57 (56.9%) of nurses, planning by 46% of nurses, implementation by 38.2% of nurses, and evaluation by 36.2% of nurses. Among the hindering factors lack of knowledge (83.3%) and lack of in service training (75.5%) (Miskir & Emishaw, 2018) stressful atmosphere of the workplace ( 99%) , Level of education, consistent material supply (95.1%) were mentioned.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Efforts Made to Improve Patient Safety Related to Medication Safety, Infection Prevention and Quality Care among Addis Ababa Regional Hospitals, 2018

Mulugeta¹

2019

TIJPH

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Background: Patient safety is a discipline that emphasizes safety in health care through the prevention, reduction, reporting, and analysis of medical error that often leads to adverse effects. Hospitalized patients face safety issues from different dimensions among those medication safety, infection prevention and quality of nursing care are most important once.Objective: The main objective of this study was to assess patient safety related to medication safety, infection prevention and quality of care and to explore efforts made towards controlling patient safety efforts among Addis Ababa regional hospitals, 2018Methods: A qualitative study was conducted to assess patient safety among Addis Ababa regional Hospitals in terms of medication safety, infection prevention and quality of nursing care. Twelve interviews were conducted by principal investigator three interviews in each hospital on purposefully selected health care staffs representing the hospitals pharmacies, infection prevention team members and Head Nurses of inpatient wards on October, 2018 over a one-month period. Interviews were recorded, transcribed and results were summarized based on topics.Results and conclusions: Studies in Ethiopia showed that Patient safety related to Medication safety, infection prevention and Nursing care quality is not encouraging but still effective monitoring efforts aren't in practice among Addis Ababa regional hospitals even though recommended by the EHRIG (Ethiopian hospital reform implementation guideline, 2010).

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“…The copyright holder for this preprint (which was not this version posted October 8, 2019. . https://doi.org/10.1101/19008144 doi: medRxiv preprint instance, lack of theoretical and practical knowledge [20][21][22][23][24][25][26], institutional factors [6,11], professional factors [11],work overload [11,21,23,[25][26][27][28], lack of previous experience [6,27], inadequate nursing staff [20], patients with complicated case [24], working in a hospital [25], patient economic status [25], early discharge [25,26], not cooperative [25], lack of training [6,18,22,26,29], low educational status [27,28], poor Nurses skill [28], lack of time [18,20,27,30], lack of authorities' support [27] and lack of equipment and material [20,27,28], were some of the factors associated with implementation of nursing process. On the contrary, a study conducted in Nigeria shows that institutional factor does not pose a barrier to the use of nursing process [...…”

Section: Introductionmentioning

confidence: 99%

Implementation of nursing process in Ethiopia and its association with working environment and knowledge: a systematic review and meta-analysis

Shibabaw

Asmare

Akalu

et al. 2019

Preprint

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Background: Nursing Process is a scientific problem solving approach to direct nurses in caring for clients effectively and to improve quality of health care service. In Ethiopia the national pooled prevalence of implementation of nursing process remains unknown. Hence the objective of this systematic review and meta-analysis was to estimate the level of implementation of nursing process and it association with knowledge and working environment. Methods: PubMed Scopus Cochrane Library Google Scholar PsycINFO and CINAHL were systematically searched online to retrieve related articles. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guideline was followed. To investigate heterogeneity across the included studies I2 test was employed. Publication bias was examined using funnel plot and Egger regression test statistic. The random-effect model was fitted to estimate the summary effects and odds ratios (ORs). All statistical analysis was done using STATA version 14 software for windows. Results: Seven studies which comprises of 1268 participants were included in this meta-analysis. The estimated pooled prevalence of implementation of nursing process in Ethiopia was 42.44% (95% CI (36.91-47.97%)). Based on the subgroup analysis the highest implementation of nursing process was observed sample size greater than or equals to two hundred 44.69% (95% CI: 35.34, 54.04). Nurses who have been work in the stressful environment [(OR 0.41 95%CI (0.08-2.12)] and having good knowledge about nursing process [(OR 2.44 95%CI (0.34,17.34)] was not significant associated with the implementation of nursing process. Conclusion: The overall implementation of nursing process in Ethiopia is relatively low. Nurses who have been work in the stressful environment have less likely implement nursing process. On the other hand Nurses who had good knowledge on nursing process were more likely to implement nursing process. Therefore, policymakers (FMOH) and other concerned body need give special attention to improve the implementation of nursing process. Key words: Nursing process Implementation Systematic review Meta-analysis Ethiopia

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Determinants of Nursing Process Implementation in North East Ethiopia: Cross-Sectional Study

Cited by 32 publications

References 13 publications

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

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

Assessment of Efforts Made to Improve Patient Safety Related to Medication Safety, Infection Prevention and Quality Care among Addis Ababa Regional Hospitals, 2018

Implementation of nursing process in Ethiopia and its association with working environment and knowledge: a systematic review and meta-analysis

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