Challenges to Implementation of Nursing Process among Nurses Working at Public Hospitals in Addis Ababa Ethiopia: A Qualitative Study
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Date
2024-06-09
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Addis Ababa University
Abstract
Background: The nursing process is a structured framework guides healthcare professionals in delivering personalized, goal-oriented care to patients. However the implementation of the nursing process in Ethiopia is currently suboptimal, particularly within public hospital settings. This is because of various challenges faced by nurses to implement effectively and efficiently in applying the necessary process steps.
Objectives: This study aims to explore challenges to the implementation of the nursing process among nurses working at public hospitals in Addis Ababa, Ethiopia, in 2024.
Methods: A descriptive qualitative study was conducted from February 26 to March 30, 2024, at Minlik, Yekatit, and Zewuditu hospitals in Addis Ababa. The study primarily involved fifteen nurses working in these three hospitals, along with three key informants from nursing managerial team. Data was gathered through individual, in-depth interviews utilizing a semi-structured interview guide by the principal investigator and the research assistant. The interview took an average of 55 minutes. ATLAS. Ti 9 qualitative software was used to support the analysis.
Results: The data revealed three overarching themes that are consistent with the study's aims, namely: organizational releted challenges, nurses’ related challenges, and patient-related challenges. In this study, nurses reported that the nursing management team, shortages in basic medical in our hospital is unsupportive; consistently imposing burdens on staff and worsening the challenges faced by nurses due to a lack of understanding management team, such as supplies, overcrowded patient rooms without privacy screens, and low payment for nurses ,insufficient staffing were reported as a challange. and nurses posed significant obstacles to the effective implementation of the nursing process.
Conclusion and recommendation Most of the nurses identified organizational-related challenges, nurse-related challenges, challenges related to patients, and hindrances to effectively implementing the nursing process. To attain the intended outcomes, various stakeholders, including hospitals, healthcare professionals, and others, need to collectively work together to alleviate barriers and enhance patient care and healthcare delivery..
Key words: challenges, nursingprocess, nurses, public hospital,
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challenges nursingprocess nurses public hospital