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Factors that influence the clinical utilization of the nursing process at a hospital in Accra, Ghana.
BMC Nursing ( IF 3.1 ) Pub Date : 2017-06-16 , DOI: 10.1186/s12912-017-0228-0
Joana Agyeman-Yeboah 1 , Kwadwo Ameyaw Korsah 2 , Jane Okrah 3
Affiliation  

BACKGROUND The nursing process is a tool that is recommended for use by all professional nurses working in Ghana, in order to provide nursing care. However, there is currently a limited use of this tool by nurses in Ghana. The purpose of this research study was to explore the various factors that influence the utilization of this nursing process. METHOD An exploratory descriptive qualitative-research design was employed. Ten participants were involved by using the purposive sampling method. A semi-structured interview guide was used to collect the data from the research participants; and the data were analysed by using content analysis. One main theme, with five subthemes, emerged from the analysis. RESULTS It was found that there are factors, such as nurses not having a better understanding of the nursing process, whilst in school; the absence of the care plan in the ward, as well as the lack of adequate staff, with limited time being available for coping with contributed to the non-usage of the nursing process. CONCLUSIONS We conclude that the clinical utilization of the Nursing process at the clinical setting is influenced by lack of understanding of Nurses on the Nursing process and care plan as well as lack of adequate nurses and time. We recommend that the care-plan form be made officially a part of the admission documents. Furthermore, the nursing administration should put measures in place to provide nurses with the needed resources to implement the nursing process. Additionally, they should ensure that the care-plan forms and other resources needed by the nurses are regularly and adequately provided. Nurses should further see the nursing process as a means of providing comprehensive care to their patients and addressing their specific problems. They should therefore make time despite their busy schedules to use it in order to improve quality of care and the image of nursing in Ghana.

中文翻译:

影响加纳阿克拉一家医院护理过程临床利用的因素。

背景技术护理过程是一种工具,推荐给在加纳工作的所有专业护士以提供护理。但是,加纳的护士目前很少使用此工具。这项研究的目的是探讨影响护理过程利用率的各种因素。方法采用探索性描述性定性研究设计。使用目的抽样方法使十名参与者参与其中。使用半结构化访谈指南从研究参与者那里收集数据。并使用内容分析对数据进行分析。分析得出了一个主要主题,包括五个子主题。结果发现有一些因素,例如护士在学校时对护理过程没有更好的了解;病房中缺少护理计划,缺少足够的人员,而用于应对的时间有限,导致护理过程无法使用。结论我们得出的结论是,由于缺乏护士对护理过程和护理计划的理解以及缺乏足够的护士和时间,影响了临床环境中护理过程的临床利用。我们建议正式将护理计划表作为入学文件的一部分。此外,护理管理部门应采取措施为护士提供实施护理过程所需的资源。此外,他们应确保定期并充分提供护士所需的护理计划表和其他资源。护士应进一步将护理过程视为为患者提供全面护理并解决其特定问题的一种手段。因此,尽管他们的日程安排很忙,他们仍应抽出时间来改善加纳的护理质量和护理形象。
更新日期:2019-11-01
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