Barriers and enablers related to the implementation of the nursing process among nurses in two private hospitals in the Cape Metropole area

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dc.contributor.advisorJordan, Portiaen_ZA
dc.contributor.authorSmith, Lesley-Annen_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.en_ZA
dc.date.accessioned2022-11-16T14:43:57Z
dc.date.accessioned2023-01-16T12:54:34Z
dc.date.available2022-11-16T14:43:57Z
dc.date.available2023-01-16T12:54:34Z
dc.date.issued2022-12
dc.descriptionThesis (MNur)--Stellenbosch University, 2022.en_ZA
dc.description.abstractENGLISH 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.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING: Agtergrond: Die verpleegproses is 'n probleemoplossingsraamwerk met 'n benadering wat staatmaak op die verpleegster se kritiese denkvermoe om pasientsorg te lewer. Die 5-stappe van die verpleegproses probleemoplossingsraamwerk bestaan uit: assessering, diagnose, beplanning, implementering en evaluering en vorm die basisse van die verskaffing van betroubare dokumentasie rakende die proses van pasientsorg. Dit is 'n globale konsep wat nasionaal en internasionaal gebruik word. Die verpleegproses is siklies, wat konstante evaluering van sorg wat aan die pasient gelewer word, toelaat. Die studie het die hindernisse en instaatstellers wat verband hou met die implementering van die verpleegproses onder verpleegkundiges in twee private hospitale in die Kaapse Metropool-gebied en beskryf. Drie hoofdoelwitte is vir die studie geïdentifiseer: • Om die hindernisse vir die implementering van die verpleegproses te verken en te beskryf. • Om die instaatstellers te verken en te beskryf vir die implementering van die verpleegproses. • Om die aanbevelings te identifiseer om die implementering van die verpleegproses te ondersteun. Metodes: Die studie is in twee groot private hospitale in die Kaapse Metropool-gebied gedoen. 'n Kwantitatiewe beskrywende navorsingsontwerp is in hierdie studie gebruik. Data is versamel met behulp van 'n self-geadministreerde vraelys wat versprei is aan 95 verpleegsters wat aan die insluitingskriteria voldoen het. Data-analise is aangehelp deur die kundige hulp van 'n biostatistikus, wat die STATA weergawe 17 statistiese sagteware vir die datasintese gebruik het. Die kwantitatiewe studieresultate is aangebied met behulp van beskrywende statistieke wat in frekwensies en persentasies aangebied is, terwyl die oop vraag in kategoriee volgens die respondente se aanbeveling aangebied is. Resultate: Die data wat in die studie ingesamel is, is ontleed met behulp van 'n statistikus wat die navorser bygestaan het, om seker te maak dat die data in die vorm van frekwensies en persentasies aangebied is. Altesaam 59 vraelyste is ontleed wat 'n 66% reaksiekoers opgelewer het. Studie deelnemers het verslag gedoen oor die hindernisse en instaatstellers van tyd, opleiding, kennis, bestuursondersteuning/ organisasie en personeel. Die ontledings het aangedui dat 78% van die respondente gevoel het dat hulle nie genoeg tyd het om die verpleegproses te implementeer nie, terwyl 81% aangedui het dat daar nie genoeg personeel aan diens is om die stappe van die verpleegproses te implementeer nie. Verder het die ontledings van opleiding aangedui dat 93% van die respondente gevoel het dat die verpleegproses 'n goeie onderriginstrument is, 97% van die respondente het aangedui dat hulle weet hoe om die verpleegproses te implementeer en dat die bestuur ondersteun word (86%) van die implementering, aangesien dit 'n raamwerk bied vir die lewering van gehalte pasientsorg.af_ZA
dc.description.versionMasters
dc.format.extentxiv, 95 pages : illustrations, includes annexures
dc.identifier.urihttp://hdl.handle.net/10019.1/126187
dc.language.isoen_ZAen_ZA
dc.publisherStellenbosch : Stellenbosch University
dc.rights.holderStellenbosch University
dc.subjectNursing diagnosis -- Western Cape (South Africa)en_ZA
dc.subjectNursing services -- Administration -- Western Cape (South Africa)en_ZA
dc.subjectNursing assessment -- Western Cape (South Africa)en_ZA
dc.subjectUCTD
dc.titleBarriers and enablers related to the implementation of the nursing process among nurses in two private hospitals in the Cape Metropole areaen_ZA
dc.typeThesisen_ZA
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