Shiferaw Wondimeneh Shibabaw, Akalu Tadesse Yirga, Wubetu Abate Dargie, Aynalem Yared Asmare
Department of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia.
Nurs Res Pract. 2020 Jul 18;2020:6504893. doi: 10.1155/2020/6504893. eCollection 2020.
The nursing process is a scientific problem-solving approach, which directs nursing care and potentially improves quality of health care service. The national pooled implementation of the nursing process in Ethiopia remains unknown. Hence, this review and meta-analysis aimed to estimate the overall implementation of the nursing process and its association with the working environment and knowledge in Ethiopia.
PubMed, Scopus, Cochrane Library, Google Scholar, PsycINFO, and CINAHL were searched and complemented by manual searches. The DerSimonian and Laird random effects model was applied to estimate the pooled effect size, odds ratios, and 95% confidence interval across studies. The statistic was used to check heterogeneity between the studies. Sensitivity analysis was deployed to see the effect of a single study on the overall estimation. Publication bias was examined using funnel plot and Egger's regression test statistic. Analysis was performed using STATA™ Version 14 software.
Seven studies comprised of 1,268 study participants were included in this meta-analysis. The estimated pooled implementation of the nursing process in Ethiopia was 42.44% (95% CI: 36.91, 47.97%). Based on subgroup analysis, methods of outcome measurement showed that the highest overall implementation of the nursing process was observed from studies conducted using self-report technique 42.95% (95% CI: 35.76, 50.15). Nurses working in stressful environment were 81% less likely to implement the nursing process (OR 0.19, 95% CI: 0.04, 0.76), and nurses having good knowledge were 8 times more likely to implement nursing process (OR 8.38, 95% CI: 2.82, 24.86).
The overall implementation of the nursing process in Ethiopia was relatively low. Good knowledge of nurse had paramount benefits to improve implementation of the nursing process. Therefore, nurse can be educated on the imperative of knowledge in order to enhance the nursing process implementation and to improve the overall quality of healthcare services. Furthermore, policymakers and other concerned bodies should give special attention to improving the implementation of the nursing process.
护理程序是一种科学的问题解决方法，指导护理工作并可能提高医疗保健服务质量。埃塞俄比亚全国范围内护理程序的综合实施情况尚不清楚。因此，本综述和荟萃分析旨在评估埃塞俄比亚护理程序的总体实施情况及其与工作环境和知识的关联。
检索了PubMed、Scopus、Cochrane图书馆、谷歌学术、PsycINFO和CINAHL，并辅以手工检索。采用DerSimonian和Laird随机效应模型来估计各研究的合并效应量、比值比和95%置信区间。 统计量用于检验各研究之间的异质性。进行敏感性分析以查看单个研究对总体估计的影响。使用漏斗图和Egger回归检验统计量检查发表偏倚。使用STATA™ 14版软件进行分析。
本荟萃分析纳入了7项研究，共1268名研究参与者。埃塞俄比亚护理程序的估计合并实施率为42.44%（95%置信区间：36.91，47.97%）。基于亚组分析，结果测量方法显示，使用自我报告技术进行的研究中观察到护理程序的总体实施率最高，为42.95%（95%置信区间：35.76，50.15）。在压力环境下工作的护士实施护理程序的可能性降低81%（比值比0.19，95%置信区间：0.04，0.76），而知识水平良好的护士实施护理程序的可能性高8倍（比值比8.38，95%置信区间：2.82，24.86）。
埃塞俄比亚护理程序的总体实施率相对较低。护士具备良好的知识对于提高护理程序的实施至关重要。因此，可以对护士进行知识重要性的教育，以加强护理程序的实施并提高医疗保健服务的整体质量。此外，政策制定者和其他相关机构应特别关注改善护理程序的实施情况。
