Implementation of Nursing Process and Its Associated Factor Among Nurses at Woldia Comprehensive Specialized Hospital, Northern Ethiopia: An Institution-Based Cross-Sectional Study

Figures & data

Table 1 Socio-Demographic Characteristics of Nurses Working in Woldia Comprehensive Specialized Hospital, Northern Ethiopia, 2021

Characteristics		Frequency	Percentage (%)
Sex	Male	62	54.9
	Female	51	45.1
Age	< 29	89	78.8
	≥ 29	24	21.2
Marital status	Single	76	67.3
	Married	32	28.3
	Widowed	5	4.4
Educational status	BSc	53	46.9
	Diploma	60	53.1
Working experience	<5 years	60	53.1
	≥5 years	53	46.9
Working hours/day	<8 hours	19	16.8
	8 hours	84	74.3
	12 hours	7	6.2
	>12 hours	3	2.7

Table 2 Organizational and Nurse’s Related Factors for the Implementation of the Nursing Process in Woldia Comprehensive Specialized Hospital, Northern Ethiopia, 2021

Variables	Responses	Frequency	Percentage (%)
Satisfied with payment	Yes	13	16.9
	No	64	83.1
Workplace	Stressful	47	41.6
	Negligent at a time	40	35.4
	Disorganized	26	23
Effect of staff turnover	Decreasing productivity	27	23.9
	Disorganized service delivery	61	54
	Decrease spread of knowledge	25	22.1
Methods used to make work visible	Recording every activity performed	42	37.2
	Using the nursing process	44	38.9
	Reporting to the supervisors	8	7.1
	Working on a patient problem	16	14.2
	Nothing used	3	2.7
The major reason for patient turnover	Poor understanding of modern medicine	38	33.6
	Poor economic status	55	48.7
	Long time required to get the service	19	16.8
	If they have incurable diseases	1	0.9
How it influences your nursing care delivery?	Discharge before completing interventions	27	23.9
	Not cooperative for the care that you provide	19	16.8
	Inability to collect required materials	32	28.3
	Complicated cases that patients presented with	35	31

Table 3 Nurse’s Knowledge About the Implementation of the Nursing Process at Woldia Comprehensive Specialized Hospital, Northern Ethiopia, 2021

Variables	Correct No (%)	Incorrect No (%)
Component of nursing process (steps of nursing process)	89 (78.8%)	24(21.2%)
Applying gordon approach	66 (58.4%)	47 (41.6%)
A nursing diagnosis is better to solve a patient‘s problem with diabetes mellitus chronic complication in the future?	30 (26.5%)	83 (73.5%)
The difference between the nursing process and medical approach	72 (63.7%)	41 (36.3%)
Better accomplishment of nursing process	65 (57.5%)	48 (42.5%)
Activities performed in the planning phase of the nursing process	25 (22.1%)	88 (77.9%)
The nurse is expected to perform the implementation step of the nursing process	53 (46.9%)	60 (53.1%)
Guide for evaluation of nurses performance in nursing process	49 (43.4%)	64 (56.6%)
Identify problem, etiology and sign/symptom of nursing diagnosis	87 (77%)	26 (23%)
Write full nursing diagnosis	76 (67.3%)	37 (32.7%)

Table 4 Bivariate and Multivariable Analysis of the Implementation of the Nursing Process Among Nurses Working at Woldia Comprehensive Specialized Hospital, Northern Ethiopia, 2021

Variable	Response	Practice		COR (95% CI)	AOR (95% CI)
		Good	Poor
Marital status	Single	48	28	1	1
	Married	22	10	1.28 (0.53–3.09)	0.99 (0.29–3.38)
	Divorced	1	4	0.15 (0.02–1.37)	0.42 (0.03–7.00)
Sex	Male	43	19	1.4 (0.86–4.02)	1.20 (0.66–4.89)
	Female	28	23	1	1
Work experience	<5	19	41	1	1
	≥5	42	11	2.77 (1.95–4.54)	1.79 (1.31–4.84)
Patient give care per day	<5	4	9	1	1
	5–10	30	18	0.13 (0.03–0.55)	2.27 (0.45–11.46)
	10–15	13	8	0.49 (0.17–1.36)	1.96 (0.33–11.47)
	>15	24	7	0.47 (0.14–1.60)	3.42 (0.56–20.75)
Equipment to implement nursing care	Yes	31	25	0.73 (0.24–1.14)	0.74 (0.27–2.04)
	No	40	17	1	1
Support from the administration to do nursing process	Yes	58	23	2.32 (1.23–4.39)	1.98 (1.22–3.01)
	No	11	21	1	1
Monitoring and evaluation for application of nursing process	Ye	58	30	1.63 (0.73–4.39)	1.08 (0.57–5.50)
	No	13	12	1	1
Worked overtime	Yes	52	25	1.57 (0.83–4.18)	1.40 (0.50–3.87)
	No	19	17	1	1
Knowledge	Knowledgeable	46	6	2.64 (1.28 −6.19)	2.21 (1.32–4.97)
	Not knowledge	25	36	1	1