Nurses' Implementation Of Nursing Process In Public Sector Teaching Hospitals Of Peshawar
DOI:
https://doi.org/10.66021/pakmcr1840Keywords:
Nursing Process; Nurses; Implementation; Nursing Care; Barriers; Teaching Hospitals; Peshawar; PakistanAbstract
Background: The nursing process is a systematic way of giving individualized, organized and evidence-based nursing care. However, barriers in professional and organizational settings in healthcare may impact its effective implementation.
Objective: To evaluate nurses' practice of nursing process and its associated factors and barriers in teaching hospitals in public sector city of Peshawar in Khyber Pakhtunkhwa, Pakistan.
Methods: The descriptive cross sectional study to assess the registered nurses working in Lady Reading Hospital, Khyber Teaching Hospital and Hayatabad Medical Complex, Peshawar with registered nurses numbers 230. A structured questionnaire was used for data collection: Demographic and professional characteristics, five steps in the nursing process, and perceived barriers. Data were processed using descriptive statistics and chi-square test to investigate the relationship between the implementation level of the science curricula and selected professional factors.
Results: 84.8% of the participants were female, 60.0% was aged between 20 and 30, and 60.9% had a Diploma in Nursing. The overall percentage of nurses who implemented the nursing process poorly, moderately and well were 47.8, 40.0 and 12.2 respectively. Assessment and implementation were relatively well done with good implementation reported by 45.2% and 50.0% respectively. The weakest step was nursing diagnosis (59.6% poor implementation and no implementation), and evaluation (50.0% poor implementation). The most common barriers reported were that of the staff (86.1%), heavy workload (82.2%), lack of time (80.0%) and short nurse to patient ratio (80.0%) and lack of standardized nursing care plan formats (74.8%). The analysis provided suggested links between implementation and educational qualification, training, clinical experience, and workload.
Conclusion: The study revealed a significant deficiency in the implementation of the nursing process in the selected teaching hospitals of public sector in Peshawar especially in the nursing diagnosis and evaluation component of the nursing process. In-service education is suggested to enhance implementation, nursing care plan formats are standardised, supervision is supportive and proper staffing is ensured to promote systematic and individual nursing care.
