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Non-application of the nursing process at a hospital in Accra, Ghana: lessons from descriptive research

BACKGROUND: Registered nurses in Ghana are trained to plan the care that they provide to their patients in a systematic and organized manner. This scientific approach to care is known as the nursing process. There is evidence that the nursing process is not being practised by professional nurses in...

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Autores principales: Agyeman-Yeboah, Joana, Korsah, Kwadwo Ameyaw
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234559/
https://www.ncbi.nlm.nih.gov/pubmed/30473628
http://dx.doi.org/10.1186/s12912-018-0315-x
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author Agyeman-Yeboah, Joana
Korsah, Kwadwo Ameyaw
author_facet Agyeman-Yeboah, Joana
Korsah, Kwadwo Ameyaw
author_sort Agyeman-Yeboah, Joana
collection PubMed
description BACKGROUND: Registered nurses in Ghana are trained to plan the care that they provide to their patients in a systematic and organized manner. This scientific approach to care is known as the nursing process. There is evidence that the nursing process is not being practised by professional nurses in Ghana, as expected. This research seeks to explore what informs nursing interventions in the clinical area. METHODS: A qualitative study was conducted with ten registered nurses; and this was descriptive in nature. One-on-one interviews were conducted with the research participants, as a means of collecting the data. A semi-structured interview guide was used as the data-collecting tool. The collected data were analysed by using latent-content analysis. Three main themes emerged from the data analysis. RESULTS: It was found that registered nurses did not plan their nursing care. The care that the nurses provided was based on routine nursing care and doctors’ orders, both verbal and non-verbal; or written communication were the means whereby the care was provided; and that was communicated among the nurses. CONCLUSION: Registered nurses are taught the nursing process; and they are expected to implement the acquired knowledge in the clinical area. The failure of nurses to practise the expected standard of care results in their relying on the decision of other health-care professionals, such as doctors. This makes registered nurses appear to be assistants to doctors. We, therefore, conclude that nurse leaders must supervise nurses to put into practice what they were taught during their training; so that they can have professional autonomy in their practice as nurses. It is also suggested that nurses must show evidence of using the nursing process in their daily work by the use of the nursing care-plan form. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12912-018-0315-x) contains supplementary material, which is available to authorized users.
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spelling pubmed-62345592018-11-23 Non-application of the nursing process at a hospital in Accra, Ghana: lessons from descriptive research Agyeman-Yeboah, Joana Korsah, Kwadwo Ameyaw BMC Nurs Research Article BACKGROUND: Registered nurses in Ghana are trained to plan the care that they provide to their patients in a systematic and organized manner. This scientific approach to care is known as the nursing process. There is evidence that the nursing process is not being practised by professional nurses in Ghana, as expected. This research seeks to explore what informs nursing interventions in the clinical area. METHODS: A qualitative study was conducted with ten registered nurses; and this was descriptive in nature. One-on-one interviews were conducted with the research participants, as a means of collecting the data. A semi-structured interview guide was used as the data-collecting tool. The collected data were analysed by using latent-content analysis. Three main themes emerged from the data analysis. RESULTS: It was found that registered nurses did not plan their nursing care. The care that the nurses provided was based on routine nursing care and doctors’ orders, both verbal and non-verbal; or written communication were the means whereby the care was provided; and that was communicated among the nurses. CONCLUSION: Registered nurses are taught the nursing process; and they are expected to implement the acquired knowledge in the clinical area. The failure of nurses to practise the expected standard of care results in their relying on the decision of other health-care professionals, such as doctors. This makes registered nurses appear to be assistants to doctors. We, therefore, conclude that nurse leaders must supervise nurses to put into practice what they were taught during their training; so that they can have professional autonomy in their practice as nurses. It is also suggested that nurses must show evidence of using the nursing process in their daily work by the use of the nursing care-plan form. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12912-018-0315-x) contains supplementary material, which is available to authorized users. BioMed Central 2018-11-13 /pmc/articles/PMC6234559/ /pubmed/30473628 http://dx.doi.org/10.1186/s12912-018-0315-x Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Agyeman-Yeboah, Joana
Korsah, Kwadwo Ameyaw
Non-application of the nursing process at a hospital in Accra, Ghana: lessons from descriptive research
title Non-application of the nursing process at a hospital in Accra, Ghana: lessons from descriptive research
title_full Non-application of the nursing process at a hospital in Accra, Ghana: lessons from descriptive research
title_fullStr Non-application of the nursing process at a hospital in Accra, Ghana: lessons from descriptive research
title_full_unstemmed Non-application of the nursing process at a hospital in Accra, Ghana: lessons from descriptive research
title_short Non-application of the nursing process at a hospital in Accra, Ghana: lessons from descriptive research
title_sort non-application of the nursing process at a hospital in accra, ghana: lessons from descriptive research
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234559/
https://www.ncbi.nlm.nih.gov/pubmed/30473628
http://dx.doi.org/10.1186/s12912-018-0315-x
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