Factors that influence the clinical utilization of the nursing process at a hospital in Accra, Ghana

Agyeman-Yeboah, Joana; Korsah, Kwadwo Ameyaw; Okrah, Jane

doi:10.1186/s12912-017-0228-0

Cited by 32 publications

(42 citation statements)

References 9 publications

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“…Our research F I G U R E 1 Elements that influence on the standardised care plan individualisation process confirms the results of previous studies in which nurses say that one of the reasons they do not individualise SCP is because they feel they have an excessive workload (Akhu-Zaheya et al, 2018;Banamwana & Smith, 2015;Pöder, Fogelberg-Dahm, & Wadesten, 2011). In addition is the fact that nurses perceive they have been allocated too many patients, affecting the quality and safety of the care (Aiken et al, 2014;Cho et al, 2015;Kim & Bae, 2018), as well as the use of individualised care plans (Agyeman-Yeboah, Korsah, & Okrah, 2017;Mayilvaganan, 2002;Rose, 2016). There is an increasing amount of evidence that the combination of excessive workloads and nurse-patient ratios negatively affect care individualisation, including its recording (Ballantyne, 2016;Radwin & Alster, 2002;Rose, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Individualisation is time-consuming (Agyeman-Yeboah et al, 2017;Chang et al, 2016). If it is also born in mind that some nurses feel that recording reduces the amount of time they spend directly caring for the patient (Rouleau et al, 2017) or, due to their lack of knowledge, individualisation takes them longer, the result is that SCP individualisation process is no longer considered a priority (Ballantyne, 2016;Lima & Melo, 2012).…”

Section: Discussionmentioning

confidence: 99%

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Barriers and facilitators involved in standardised care plan individualisation process in acute hospitalisation wards: A grounded theory approach

Castellà-Creus

Delgado‐Hito

Casanovas-Cuellar

et al. 2019

Journal of Clinical Nursing

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Objective To identify and classify the barriers and facilitators of the individualisation process of the standardised care plan in hospitalisation wards. Background The administration of individualised care is one of the features of the nursing process. Care plans are the structured record of the diagnosis, planning and evaluation stages of the nursing process. Although the creation of standardised care plan has made recording easier, it is still necessary to record the individualisation of the care. It is important to study the elements that influence the individualisation process from the nurses' perspective. Design Qualitative study with the grounded theory approach developed by Strauss and Corbin. Methods Thirty‐nine nurses from three hospitals participated by way of theoretical sampling. In‐depth interviews were conducted, as well as participant observation, document analysis and focus group discussion. The analysis consisted of open, axial and selective coding until data saturation was reached. EQUATOR guidelines for qualitative research (COREQ) were applied. Results For both barriers and facilitators, three thematic categories emerged related to organisational, professional and individual aspects. The identified barriers included routines acquired in the wards, the tradition of narrative records, lack of knowledge and limited interest in individualisation. The identified facilitators included holding clinical care sessions, use of standardised care plan and an interface terminology, the nurse's expertise and willingness to individualise. Conclusion The individualisation process of the standardised care plan involves multiple barriers and facilitators, which influence its degree of accuracy. Relevance to clinical practice Implementing strategies at an organisational level, professional level and individual level to improve the way the process is carried out would encourage individualising the standardised care plan in a manner that is consistent with the needs of the patient and family; it would improve the quality of care and patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators involved in standardised care plan individualisation process in acute hospitalisation wards: A grounded theory approach

Castellà-Creus

Delgado‐Hito

Casanovas-Cuellar

et al. 2019

Journal of Clinical Nursing

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show abstract

“…The proper management of healthcare to ensure safety, effectiveness, quality, sustainability and positive experiences to users and professionals fundamentally depends on communication among health professionals. Clinical documentation is an instrument for communication between these professionals (1)(2)(3) . The quality of clinical documentation has therefore been the object of policies, norms and guidelines of health services and of organizations which guide or regulate health actions.…”

Section: Introductionmentioning

confidence: 99%

Documentação do processo de enfermagem em instituições públicas de saúde

Azevedo

Guedes

Araújo

et al. 2019

Rev. esc. enferm. USP

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RESUMO Objetivo Identificar a prevalência de documentação do Processo de Enfermagem nos hospitais e ambulatórios administrados pela Secretaria de Estado da Saúde de São Paulo. Método Estudo descritivo, realizado por meio de entrevistas com enfermeiros responsáveis por 416 setores de 40 instituições sobre a documentação de quatro fases do Processo de Enfermagem (levantamento de dados, diagnóstico, prescrição e evolução) e de anotações de enfermagem. Resultados Dos 416 setores estudados, 89,9% documentavam pelo menos uma fase; 56,0% documentavam as quatro fases; 4,3% documentavam apenas anotações de enfermagem; 5,8% não documentavam nenhuma fase, nem as anotações de enfermagem. Os tipos de setores que menos documentavam foram: ambulatório, apoio diagnóstico, centro cirúrgico e centro obstétrico; os que mais documentavam: unidades de terapia intensiva, prontos-socorros e unidades de internação. O levantamento de dados e o diagnóstico foram as fases menos documentadas, ambas em 78,8% dos setores. Conclusão A maior parte dos setores estudados documenta o Processo de Enfermagem e faz anotações de enfermagem, mas há setores em que a documentação não corresponde às exigências formais. A viabilidade da documentação de todas as fases do Processo de Enfermagem em determinados tipos de setores precisa ser mais bem estudada.

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“…Agyeman-Yeboah, Ameyah Korsah, and Okrah (2017) determined that the nursing process is not utilized efficiently in the clinical setting in Ghana. Factors influencing this include a lack of understanding by the nurses of the nursing process as a tool, a lack of access to nursing care plans, and limited time to have the opportunity to implement a care plan (Agyeman-Yeboah, Ameyah Korsah, & Okrah, 2017).…”

Section: Nursing Roles and Responsibilities -Comparison Between Ghanamentioning

confidence: 99%

The Role of the Nurse: A Comparison of the Canadian and Ghanaian Health Care Systems as Experienced by Undergraduate Nursing Students

Shalton

Godin²,

Genereux³

et al. 2018

DRHJ

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Undergraduate nursing students were placed for three weeks in three small communities in Ghana as part of an international cross-cultural nursing elective. The main objectives of the placement were to learn about the country’s culture and health care system, and to participate in community nursing placements in both community clinic and school settings. As nursing students participating in this cross-cultural experience, we had the opportunity to work in Ghana’s health care system, where we were able to learn about the nursing role. It became evident that the nursing values, scope of practice, roles and responsibilities had some similarities, but also demonstrated several differences compared to nursing in Canada. A literature review was performed to contrast the cultural differences compared to nursing practice in Canada. Literature was also applied to our personal experiences to facilitate our understanding of the importance of providing culturally sensitive care. Overall, this valuable cross-cultural experience influenced our personal growth, allowing us to thoughtfully integrate our experience through further reflection and review of literature after the course was completed.

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Factors that influence the clinical utilization of the nursing process at a hospital in Accra, Ghana

Cited by 32 publications

References 9 publications

Barriers and facilitators involved in standardised care plan individualisation process in acute hospitalisation wards: A grounded theory approach

Barriers and facilitators involved in standardised care plan individualisation process in acute hospitalisation wards: A grounded theory approach

Documentação do processo de enfermagem em instituições públicas de saúde

The Role of the Nurse: A Comparison of the Canadian and Ghanaian Health Care Systems as Experienced by Undergraduate Nursing Students

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