Assessing Barriers to Implementation of Nursing Process among Nurses Working at a Tertiary Hospital in Kenya
Résumé
Background: Nursing process (NP) is a global concept, which forms the foundation of nursing as a profession,
it is a scientific method for delivering holistic and quality nursing care and its effective implementation is
critical for improved quality of nursing care. However, its implementation in most hospitals especially in low
and middle-income countries reportedly remains a challenge despite efforts being made. Objective: To assess
barriers to implementation of nursing process among nurses. Methods: A descriptive cross-sectional study was
carried out where 134 nurses were recruited in the study. Data was collected through self-administered
questionnaires. Results: One-third (33.1%) of nurses reported that they were actively implementing the nursing
process but only 8.2 %( n=11) nurses correctly listed all the steps of the nursing process. Nursing process
implementation was significantly associated with nurse’s demographics (age p <0.001, experience p = 0.001),
training (p = 0.013), institutional factors (p = 0.048). Social (p>0.05) and cultural (p = 0.993) factors were not
significantly associated with nursing process implementation. Conclusion: The Nursing Process
implementation among nurses is significantly influenced by their demographic characteristics which include
age and experience, training on nursing process and institutional factor like availability of relevant resources
for NP implementation.