A cross-sectional study on knowledge and implementation of the nursing process among nurses at Muhimbili National Hospital-Tanzania

Q4 Medicine

Tanzania Journal of Health Research Pub Date : 2020-09-04 DOI:10.4314/THRB.V21I2.3

Happiness Obonyo, E. Tarimo, Fatina Ramadhan, S. N. Kapalata

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引用次数: 2

Abstract

Background: The nursing process involves a series of actions that begin with assessing the patient, identifying problems, setting goals with expected outcomes, implementing care to achieve those goals, and finally evaluating the effectiveness of the care given. Utilization of the nursing process to guide nursing care enhances the quality of patient care and outcomes for both the patient and family members. The purpose of this study was to assess the knowledge and implementation of the nursing process among nurses working at Muhimbili National Hospital, Dar es Salaam, Tanzania. Methods: We conducted a descriptive cross-sectional study design. A convenient sample of 102 registered nurses (RN) completed a self-administered questionnaire in April 2016. Descriptive statistics and non-parametric tests were used to assess the significance levels of associated variables. Results: Of 102 respondents, only 16 (15.7%) had high knowledge of the nursing process. Similarly, a few (11, 10.8%) respondents had a high level of practice. The majority of RN (94, 92.2%) were aware of the role of the nurses in providing care to admitted patients. However, only a few (32, 31.4%) were aware of the purpose of the nursing process. Respondents were more likely to have high knowledge in the nursing process if they had a diploma in nursing education (95% CI 0.000-0.029, p < 0.01). The small number of nurses in the ward and inadequate motivational strategies were reported to deprive the implementation of the nursing process. Conclusion: Overall, low knowledge of the nursing process, understaffing and workload have contributed to the ineffective implementation of the nursing process. On-the-job refresher courses are a short-term strategy that may improve the nurses’ knowledge and motivation to implement the nursing process. This study underscores the need for policymakers to advocate for the employment of a sufficient number of nurses to enable implementation of the nursing process to all admitted patients.

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坦桑尼亚Muhimbili国立医院护士对护理流程的了解和实施情况的横断面研究

背景：护理过程涉及一系列行动，从评估患者开始，识别问题，制定具有预期结果的目标，实施护理以实现这些目标，最后评估所提供护理的有效性。利用护理过程来指导护理，提高了患者护理的质量，并为患者和家庭成员带来了成果。本研究的目的是评估坦桑尼亚达累斯萨拉姆Muhimbili国家医院护士对护理流程的了解和实施情况。方法：采用描述性横断面研究设计。2016年4月，一个方便的102名注册护士样本完成了一份自填问卷。描述性统计和非参数检验用于评估相关变量的显著性水平。结果：在102名受访者中，只有16人（15.7%）对护理流程有较高的了解。同样，少数（11.108%）受访者的实践水平很高。大多数注册护士（94.92.2%）意识到护士在为入院患者提供护理方面的作用。然而，只有少数人（32.31.4%）知道护理过程的目的。如果受访者拥有护理教育文凭，他们更有可能对护理过程有很高的了解（95%CI 0.000-0.029，p<0.01）。据报道，病房护士人数少，激励策略不足，阻碍了护理过程的实施。结论：总体而言，对护理流程的了解程度低、人手不足和工作量大是导致护理流程实施不力的原因。在职进修课程是一种短期策略，可以提高护士实施护理过程的知识和动机。这项研究强调，政策制定者需要倡导雇佣足够数量的护士，以便对所有入院患者实施护理流程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tanzania Journal of Health Research Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量