Implementation of Nursing Process and Its Association with Working Environment and Knowledge in Ethiopia: A Systematic Review and Meta-Analysis

Abstract

Background. The nursing process is a scientific problem-solving approach, which directs nursing care and potentially improves quality of health care service. The national pooled implementation of the nursing process in Ethiopia remains unknown. Hence, this review and meta-analysis aimed to estimate the overall implementation of the nursing process and its association with the working environment and knowledge in Ethiopia. Methods. PubMed, Scopus, Cochrane Library, Google Scholar, PsycINFO, and CINAHL were searched and complemented by manual searches. The DerSimonian and Laird random effects model was applied to estimate the pooled effect size, odds ratios, and 95% confidence interval across studies. The I2 statistic was used to check heterogeneity between the studies. Sensitivity analysis was deployed to see the effect of a single study on the overall estimation. Publication bias was examined using funnel plot and Egger’s regression test statistic. Analysis was performed using STATA™ Version 14 software. Results. Seven studies comprised of 1,268 study participants were included in this meta-analysis. The estimated pooled implementation of the nursing process in Ethiopia was 42.44% (95% CI: 36.91, 47.97%). Based on subgroup analysis, methods of outcome measurement showed that the highest overall implementation of the nursing process was observed from studies conducted using self-report technique 42.95% (95% CI: 35.76, 50.15). Nurses working in stressful environment were 81% less likely to implement the nursing process (OR 0.19, 95% CI: 0.04, 0.76), and nurses having good knowledge were 8 times more likely to implement nursing process (OR 8.38, 95% CI: 2.82, 24.86). Conclusion. The overall implementation of the nursing process in Ethiopia was relatively low. Good knowledge of nurse had paramount benefits to improve implementation of the nursing process. Therefore, nurse can be educated on the imperative of knowledge in order to enhance the nursing process implementation and to improve the overall quality of healthcare services. Furthermore, policymakers and other concerned bodies should give special attention to improving the implementation of the nursing process.

Methodological and reporting quality of systematic reviews and meta-analyses in medicine and health science fields in Ethiopia: Leveraging quantity to improve quality

“…evident. 26,27 For example, we found 28 duplicates on various topics: two on mother-to-child transmission of HIV 28,29 , two on HIV/AIDS treatment failure 30,31 , three on nursing process [32][33][34] , three on antenatal depression [35][36][37] , three on postnatal depression [38][39][40] , three on breastfeeding [41][42][43] , three on immunization coverage [44][45][46] , three on low birth weight [47][48][49] , two on tuberculosis treatment non-adherence 50,51 , two on maternal-near miss 52,53 and two on antiepleptive medication non-adherence. 54,55 To minimize research waste, authors must register their protocol, thoroughly search protocol registration cites and communicate each other whenever possible.…”

Studi Kasus: Asuhan Keperawatan Pada Pasien Dengan Asfiksia Neonatorum

“…Perawat juga perlu memberikan penilaian terhadap diri sendiri, apakah memiliki kemampuan interpersonal, intelektual, dan teknik sesuai dengan tindakan yang akan dilakukan. (Shiferaw et al, 2020) menambahkan implementasi keperawatan dalam pengaturan klinis dapat memfasilitasi asuhan keperawatan yang berkualitas tinggi dan meningkatkan hasil kesehatan klien.…”

Nurses’ perception of the nursing process and its relationship with leadership

“…However, studies that highlight the Nursing Process and its relationship with leadership are scarce, despite recognizing that the leader plays a key role in the different professional scenarios. Studies ( 8 , 9 , 10 ) recognize that technological investments and new methodological approaches associated with the health work process are not enough if they are not accompanied by strong leadership. The leader plays an influential role in this process, directing goals and actions in order to achieve the desired results.…”