Implementation of Nursing Process and Its Associated Factor Among Nurses at Woldia Comprehensive Specialized Hospital, Northern Ethiopia: An Institution-Based Cross-Sectional Study

Abstract

Background: Many countries have adopted the nursing process as a basic requirement for quality health care services, but there is a problem with its implementation in the clinical areas of many hospitals. Even though nurses accept the benefits of the nursing process, they do not use it practically. The implementation of the nursing process in Ethiopia is not well organized and developed. Many health care settings in Ethiopia demand the application of the nursing process in clinical practice. Methods: An institutional-based, descriptive cross-sectional study design was conducted at Woldia Comprehensive Specialized hospital. A simple random sampling technique was applied to select study subjects. The data were collected using self-administered questionnaires from August (01/0821 to September 01/09/2021. Binary logistic regressions were used. Then, P-value < 0.05 was considered statistically significant in this study. Results: This study reviled that 62.8% of nurses implemented the nursing process. Work experience greater than or equal to five years [AOR: 1.79; 95% CI (1.31–4.84)], support from the administration of the organization to do the nursing process [AOR: 1.98; 95% CI (1.22–3.01)], and knowledgeable nurses [AOR: 2.21; 95% CI (1.32–4.97)] are significantly associated with the implementation of the nursing process. Conclusion: More than sixty present nurses implemented the nursing process. Work experience, organizational support to implement the nursing process, and knowledge were significant factors affecting the implementation of the nursing process. comprehensive specialized Hospital. Multiple logistic regressions were used to control the possible confounding factors to assess the relative effect of independent variables. It was impossible to establish a cause-and-effect relationship as the study design was a cross-sectional study design and due to the small sample size, the result might not be representative of all nurses working in Ethiopia.