Improving Nursing Care Plan Completion in Dambi Dollo Hospital
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Date
2019-06
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Addis Abeba University
Abstract
Background: The nursing process has evolved during the past several decades and is now used by nurses throughout the world as an organizing framework for providing individualized person-centred care.
Despite the important role of nurses/midwives have for the betterment of the health care, their independent work; the Nursing/midwifery care Practice standards do not get enough emphasis.According to global study approximately 30–40% of patients do not receive health care according to current scientific evidence and some patients receive unnecessary or harmful care.
Pre-assessment study in Dembi Dollo general hospital in the beginning of 2019 also shows that the average nursing process completion rate was only 47%which shows considerable gaps in provision of services as compared the standards.
Objective: - Using onsite training intervention improving nursing process completion from 47% to 75% in Dambi Dollo general hospital at the end of June 2019 GC.
Methods: A pre- post intervention design was used in this project to examine the completion rate of nursing process. Base line data were collected from January to March 2019.The baseline assessment indicates low completeness of inpatient medical records. Only 47% of the 84 audited patient folders were completed. After base line assessment root cause analysis was conducted and the real root cause of the problem was identified. Based on the verification, lack of awareness about nursing process completeness was identified as a real root causes and two day nurses training on nursing process completeness and descriptive method of analyzed nursing process standard at facility level Data was analyzed using manual technique and the result was displays in Table and Graph.
Results: the nursing process completion rate averagely increased from 47% pre-intervention to 76% post-intervention. Specifically nursing implementation practice and nursing diagnosis practice were considerably improved by 30 percentage points.
Conclusion: The results of this project suggests cost efficient interventions such as experience sharing among medical staff and awareness about nursing process improves the implementation of nursing process completeness and there by supports the efforts being made to provide quality health services.
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Nursing care plan