NURSING PROCESS IMPLEMENTATION AND ASSOCIATED FACTORS AMONG NURSES IN WEST AMHARA REFERRAL HOSPITALS, NORTH WEST ETHIPIOPIA,2017.

Abstract

ABSTRACT Introduction: Nursing Process is a systematic problem-solving approach used to identify, prevent and treat actual or potential health problems and promote wellness. It ensures patient safety, decreases the occurrence of patient preventable events, and proactively address problems before they occur. But because of different factors the implementation of the standards is lacking in developing countries, including Ethiopia, more over little is known about the current nursing process implementation status in the West Amhara referral Hospitals. Objective : The main purpose of this study was to assess implementation of nursing process and associated factors among nurses in west Amhara Referral Hospitals, 2017. Methods : An institution based cross-sectional study design triangulated with qualitative design was conducted among 388 nurses and 7 key informants from March15-may 15/2017 After proportional allocation of study subjects to each Referral Hospital, both simple random for quantitative and purposive for qualitative sampling techniques were used. pre coded Self administered questionnaires and record review for quantitative data and In depth interview for qualitative data were employed during data collection. Quantitative data was entered by Epi info version7.2 and exported to SPSS version 20 for analysis. Binary logistic regression model was fitted , Both bivariable and multi-variable analysis were employed. The qualitative data analysis was done using thematic analysis. Ethical procedures were followed during the whole process of research work. Result: A total of 364 nurses with response rate of 93.8% and 7 key informants were participated in the study. the overall nursing process implementation among nurses in West Amhara Referral Hospitals was found to be 61% Key words : nursing process implementation, Associated factors, Referral Hospitals