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Utilization of Nursing Process by Nurses and Patient Quality Care


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Utilization of Nursing Process by Nurses and Patient Quality Care

ABSTRACT

The research work was written on the topic; utilization of nursing process by nurses and patient quality care in of Luke’s Hospital Anua, Uyo, Akwa Ibom State, Nigeria.

The following three objectives were formulated: to assess the benefit of the utilization of nursing process by nurses and patient quality care, to examine the steps of nursing process and it’s impact on patient quality care and to determine the factors affecting utilization of nursing process.

A descriptive design was used for the study with a target population of 180 nurses. Sample size of 100 nurses was obtain from the target population using Taro Yamme formula. A simple random sampling technique was used in selecting the respondents. Self structured questionnaire with open ended question was used as the instrument for data collection.

A reliability test result was correlated using kuder Richardon 20 formula with the co-efficient of 0.6 data analyzed using frequencies, percentages and the result of the finding were presented in tables and simple bar chart. Finding show that 98% of the respondents agreed that inadequate knowledge about nursing process can be a barrier to effective utilization of nursing process by nurses.

100% of the respondents accepted that, the use of nursing process promote active involvement of client in their health care enhancing consumer satisfaction and 95% agreed that documentation and implementation of the six component of nursing process will enhance nurses function in patient quality care.

Literature related to the study was review and theoretical framework applied using Orlando theory. Hence it was therefore recommended that nurses should implement proper utilization of nursing process, employ qualified nurses, organized seminar/ workshop by hospital management for nurses working in various hospitals.

TABLE OF CONTENTS

Title page        –           –           –           –           –           –           –           –           i

Certification    –           –           –           –           –           –           –           –           ii

Dedication      –           –           –           –           –           –           –           –           iii

Acknowledgements    –           –           –           –           –           –           –           iv

Abstract          –           –           –           –           –           –           –           –           v

Table of Contents       –           –           –           –           –           –           –           vi

List of Tables  –           –           –           –           –           –           –           –           x

List of Figures –           –           –           –           –           –           –           –             xi

CHAPTER ONE

INTRODUCTION

1.1       Background of the Study       –           –           –           –           –           1

1.2       Statement of the Problem       –           –           –           –           –           4

1.3       Purpose of the Study  –           –           –           –           –           –           5

1.4       Specific Objectives of the Study        –           –           –           –           5

1.5       Research Question      –           –           –           –           –           –           6

1.6       Scope of the Study     –           –           –           –           –           –           6

1.7       Significance of the Study       –           –           –           –           –           7

1.8       Operational Definition of Terms         –           –           –           –           8

 CHAPTER TWO

2.0    REVIEW OF LITERATURE

2.1       Conceptual Framework           –           –           –           –           –           9

2.2       Empirical Framework –           –           –           –           –           14

2.2.1    The Benefit of Utilization of Nursing Process

and Patient Quality Care in St. Luke’s Hospital

Anua Uyo, Akwa Ibom State             –           –           –           –           15

2.2.1    Factors Affecting the Utilization of Nursing

Process and Patient Quality Care       –           –           –           –           17

2.2.3    The Steps of Nursing Process and it’s Impact on

Patient Quality Care in St. Luke’s Hospital Anua Uyo          –           18

2.3       Theoretical Framework           –           –           –           –           –           20

CHAPTER THREE

RESEARCH METHODOLOGY

3.1       Research Design         –           –           –           –           –           –           23

3.2       Research Setting         –           –           –           –           –           –           23

3.3       Research Population   –           –           –           –           –           –           24

3.3.1    Target Population        –           –           –           –           –           –           24

3.3.2    Accessible Population –           –           –           –           –           –           24

3.4       Sampling Size Determination –           –           –           –           –           24

3.5       Sample Technique       –           –           –           –           –           –           25

3.6       Instruments for Data Collection         –           –           –           –           25

3.7       Validity of Instruments          –           –           –           –           –           25

3.8       Reliability of the Instrument   –           –           –           –           –           26

3.9       Method of Data Collection     –           –           –           –           –           26

3.10     Method for Data Analysis      –           –           –           –           –           27

3.11     Ethical Consideration             –           –           –           –           –           –           27

CHAPTER FOUR

4.1       Analysis of Data Presentation            –           –           –           –           –           28

4.2       Socio-Demographic Data        –           –           –           –           –           28

4.3       Analysis of Data Based on Research Question                     –           30

 CHAPTER FIVE

5.0       Discussion of Finding –           –           –           –           –           –           40

5.1       Identification Key Findings of the Study-     –           –           –           40

5.2       Implication to Nursing            –           –           –           –           –           42

5.3       Limitation       –           –           –           –           –           –           –           43

5.4       Summary of the Study            –           –           –           –           –           43

5.5       Conclusion      –           –           –           –           –           –           –           44

5.6       Recommendations      –           –           –           –           –           –           44

5.7       Suggestion for Further Studies           –           –           –           –           45

References

Appendix

INTRODUCTION

In the early days before nursing process was developed, nurses provided care that was based on medical orders written by physicians and focuses on the specific disease condition rather than the person to be cared for. These were accomplished with little or no concern or the total personality of the sick.

The practice of nursing back then also focused on the actions of nurses based, customs, common sense and their action were not necessarily structured, deliberate or scientific nor was it individualized to consumers of nursing care (Esters, 2009).

Nursing process is a cyclic process, purposeful activity and interactive in nature involving intellectual and physical activities. It examines the personalized or individualized care nurses give or deliver to their patient and it is an evidenced based approached to health care delivery system.

Nursing process is a systematic method which utilizes scientific reasoning, problem solving and critical thinking to direct nurses in caring for patients effectively (Altamier 2010).

Since early 970s, nursing process has been in the curriculum for nursing education in Nigeria. The implication is that many nurses possess the theoretical knowledge of nursing process.

REFERENCES

 Bard, H. (2010). The process of conducting physical assessment a nursing approach. British Journal of Nursing 10(15) 710 – 714.

Beranda, C.  (2010). The Benefit of Nursing Process, http.wwwnfap. com retrieved May 17, 2017.

Estes, M. S. Z (2009). Health Assessment and Physical Examination (2nd Ed.). New York: Detma Publisher.

Famakinea, T. T. (2010). A Synopsis for Medical Surgical Nursing, (2 Ed.), Agbor; Kingsbee Publishers.

Kozier, B. & Garbls, D. (2010). Assessing Fundamental of Nursing Concepts, Concept Process and Practice (2nd Ed.) 1 – pg. 26l.

Muller, S. M., Needham, I., Havin, M. A. & Van Achtenberg, T. (2008). Nursing Process Intervention & Outcome, Application & it’s impact on nursing practice. Systematic Review Journal of Advanced Nursing 36(5) 814-53 1.

Nwonu, E. (2008). Nursing Process, Concept and Practice (1st Ed.) Enugu; Sharp Press and Publisher Ltd.

Parker, M. E. & Smith M. C. (2010). Nursing Theories and Nursing Practice (3rd Ed) phyladelphia, USA F.A Davis Company.

Schemieding, N. J. (2008). The benefit of nursing process (6th Ed.) of Louis Mission, USA Mosby Inc 431 – 471. 

Williams, A. M. (2008). The delivery of quality nursing case. A grounded theory study of nurses perspective correspondence to; Anne M. William 36 Edna way Duncraiy, western Australia 6023.

Wilson, S. & Goldsmith, M. (2009). Quality of Material Care, Silver Bullet, Ruddies and Dona Campbell London School of Hygiene and Tropical medicine retrieved from http://usf522. mail.yahoo.com/.ym, on 8th August 2017.

CSN Team

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