Agyeman-Yeboah Joana, Korsah Kwadwo Ameyaw, Okrah Jane
37 Military Hospital, Accra, Ghana.
University of Ghana, P.O. Box LG43, Legon, Ghana.
BMC Nurs. 2017 Jun 9;16:30. doi: 10.1186/s12912-017-0228-0. eCollection 2017.
The nursing process is a tool that is recommended for use by all professional nurses working in Ghana, in order to provide nursing care. However, there is currently a limited use of this tool by nurses in Ghana. The purpose of this research study was to explore the various factors that influence the utilization of this nursing process.
An exploratory descriptive qualitative-research design was employed. Ten participants were involved by using the purposive sampling method. A semi-structured interview guide was used to collect the data from the research participants; and the data were analysed by using content analysis. One main theme, with five subthemes, emerged from the analysis.
It was found that there are factors, such as nurses not having a better understanding of the nursing process, whilst in school; the absence of the care plan in the ward, as well as the lack of adequate staff, with limited time being available for coping with contributed to the non-usage of the nursing process.
We conclude that the clinical utilization of the Nursing process at the clinical setting is influenced by lack of understanding of Nurses on the Nursing process and care plan as well as lack of adequate nurses and time. We recommend that the care-plan form be made officially a part of the admission documents. Furthermore, the nursing administration should put measures in place to provide nurses with the needed resources to implement the nursing process. Additionally, they should ensure that the care-plan forms and other resources needed by the nurses are regularly and adequately provided. Nurses should further see the nursing process as a means of providing comprehensive care to their patients and addressing their specific problems. They should therefore make time despite their busy schedules to use it in order to improve quality of care and the image of nursing in Ghana.
护理程序是加纳所有执业护士推荐使用的一种工具，用于提供护理服务。然而，目前加纳护士对该工具的使用有限。本研究的目的是探讨影响护理程序使用的各种因素。
采用探索性描述性定性研究设计。通过目的抽样法选取了10名参与者。使用半结构化访谈指南从研究参与者那里收集数据；并采用内容分析法对数据进行分析。分析得出一个主要主题和五个子主题。
发现存在一些因素，比如护士在学校时对护理程序理解不足；病房缺乏护理计划，以及工作人员不足，应对时间有限，这些都导致了护理程序未被使用。
我们得出结论，临床环境中护理程序的临床应用受到护士对护理程序和护理计划理解不足以及护士和时间不足的影响。我们建议将护理计划表格正式作为入院文件的一部分。此外，护理管理层应采取措施为护士提供实施护理程序所需的资源。此外，他们应确保定期且充分地提供护士所需的护理计划表格和其他资源。护士应进一步将护理程序视为为患者提供全面护理并解决其具体问题的一种方式。因此，尽管日程繁忙，他们仍应抽出时间使用它，以提高护理质量和加纳护理行业的形象。
