Browsing by Author "Smith, Lesley-Ann"

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    Barriers and enablers related to the implementation of the nursing process among nurses in two private hospitals in the Cape Metropole area
    (Stellenbosch : Stellenbosch University, 2022-12) Smith, Lesley-Ann; Jordan, Portia; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.
    ENGLISH SUMMARY: Background: The nursing process is a problem-solving framework with an approach that relies on the nurses critical thinking ability in delivering patient care. The 5-steps of the nursing process problem-solving framework consist of assessment, diagnosis, planning, implementation, and evaluation and forms the basis of providing reliable documentation regarding the processes of patient care. Such care is a global concept that is nationally and internationally used. The nursing process is cyclical, allowing for constant evaluation of care that is rendered to patients. The study explored and described the barriers and enablers related to the implementation of the nursing process among nurses in two private hospitals in the Cape Metropole, Western Cape, South Africa. Three main objectives were identified for the study: • To explore and describe the barriers to the implementation of the nursing process. • To explore and describe the enablers to the implementation of the nursing process. • To identify the recommendations to support the implementation of the nursing process. Methods: The study was conducted in two large private hospitals in the Cape Metropole area. A quantitative descriptive research design was utilised in this study. Data was collected using a self-administered questionnaire distributed to 95 nurses who met the inclusion criteria. Data analysis was aided by the expert assistance of a biostatistician, who used the STATA version 17 statistical software for the synthesis of data. The quantitative study results were presented using descriptive statistics presented in frequencies and percentages, while open-ended questions were presented in categories which the respondents responded to. Results: The data collected in the study was analysed with the help of a statistician who assisted the researcher in making sure that the data was presented in the form of frequencies and percentages. A total of 59 questionnaires were analysed, yielding a 66 % response rate. Study respondents reported on the barriers and enablers of time, training, knowledge, management support, organisation and staffing. The analysis indicated that 78% of the respondents felt that they do not have enough time to implement the nursing process while 81% indicated that there was not enough staff on duty to implement the steps of the nursing process. Furthermore, the analysis of training indicated that 93% of the respondents felt that the nursing process was a good teaching tool, 97% stated that they knew how to implement the nursing process and that the management was in support of the implementation (86%), as it provided a framework for the delivery of quality patient care. Conclusion: In conclusion, the barriers and enablers to the implementation of the nursing process might have an effect on nurses working in clinical practice. Respondents in the study recommended in the open-ended question that there was a need to address the expressed barriers and enablers.