Department of Nursing, University of Ibadan, Ibadan, Oyo, Nigeria.
Department of Nursing Science, Obafemi Awolowo University, Ile Ife, Osun, Nigeria.
Int J Nurs Knowl. 2023 Jul;34(3):193-203. doi: 10.1111/2047-3095.12394. Epub 2022 Oct 7.
The purpose of this study was to assess the challenges to sustainability of standardized nursing care plan in selected tertiary health institutions in Nigeria.
Using convergent mixed method design, the qualitative and quantitative data were collected from 427 nurses and nine stakeholders. This was done in one phase with the use of validated questionnaires and in-depth interview guide/key informant interview guide. Data were collected for 5 months and analyzed with SPSS version 25. Qualitative data were analyzed using themes.
The explored significant challenges by stakeholders and nurses to sustainability of standardized nursing care plan (SNCP) in all the selected hospitals were inadequate knowledge of standardized nursing languages (SNLs), inadequate staffing, lack of motivation, lack of mandate to use SNLs by the educational system, lack of computers on the wards, weakness of previous training on SNL/SNCP, lack of interest, and high patient load.
The study concludes that inadequate knowledge of SNLs and inadequate staff could contribute to non sustainability of SNCP.
Nurses should be continuously trained on standardized nursing languages. Staff motivation and increasing the number of staff on the wards would increase the interest of the nursing staff. This will in turn improve the quality of documentation and patient care.
本研究旨在评估尼日利亚选定的三级医疗机构中标准化护理计划可持续性面临的挑战。
采用汇聚式混合方法设计，从 427 名护士和 9 名利益相关者中收集定性和定量数据。这是在一个阶段内完成的，使用了经过验证的问卷和深入访谈指南/关键知情人访谈指南。数据收集持续了 5 个月，并使用 SPSS 版本 25 进行分析。定性数据采用主题分析。
利益相关者和护士在所有选定医院中发现的标准化护理计划（SNCP）可持续性面临的重大挑战包括标准化护理语言（SNL）知识不足、人员配备不足、缺乏动力、教育系统使用 SNL 的授权不足、病房内缺乏计算机、之前对 SNL/SNCP 的培训不足、缺乏兴趣和患者负担过重。
研究得出结论，SNL 知识不足和人员配备不足可能导致 SNCP 不可持续。
护士应持续接受标准化护理语言的培训。激励员工并增加病房工作人员数量将提高护理人员的兴趣。这反过来将提高文档质量和患者护理水平。
