Factors influencing uptake and utilization of clinical nursing process by nurses in Lagos university teaching hospital (LUTH), Logos state

Abstract

Nursing process is a scientific, systematic and continuous professional dynamic skills approach of solving patient problems/needs. It encompasses a set of scientific rationale used to assess, identify, diagnose, plan, implement, evaluate and re-evaluate continuous nursing care rendered to patient care. The study aimed to assess the Factors influencing Uptake and Utilization of Clinical Nursing Process by Nurses in LUTH, Lagos State. A non-experimental descriptive survey approach was used to select 100 respondents using convenience non-probability sampling technique. Data obtained were analyzed using frequency tables, percentage scores and pie chat were used to describe the data findings. The findings revealed that Factors Influencing Uptake of Clinical Nursing Process by Nurses include; poor hospital policy towards nursing process utilization in the wards, insufficient materials for the uptake of nursing process in most wards, nurse-patient ratio is deficient to completely allow uptake of nursing process, nursing process requires longer time for documentation, inability of hospital management to acknowledge nursing process as a model of nursing care delivery. Likewise the factors Influencing Utilization of Clinical Nursing Process by Nurses were number of nurses to patients ratio in most ward resulting to inappropriate utilization of nursing process, nursing process is time consuming, hospital management does not recognizes and motivates staff Nurses for applying nursing process on patient care delivery, inappropriate provision of stationery to support nursing process in most wards, low availability of nursing assessment and intervention equipment for nursing process in the hospital, poor provision of NANDA lists guideline to utilize for nursing diagnosis. Also, nurses have good knowledge and understanding of Nursing Process through training they received from Colleges, MCPDP, and seminars/workshops on Nursing Process, most of the Nurses have adequate skills in implementing and utilizing all that are required in the different components of the nursing process and they were able to utilize Nursing process correctly, effectively and efficiently. However, most of the Nurses did not need much instruction and seminar to practice nursing process in Lagos University Teaching Hospital (LUTH).