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Barriers to the Implementation of Nursing Process From the Viewpoint of Faculty Members, Nursing Managers, Nurses, and Nursing Students

机译:从教职员工,护理经理,护士和护理学生的角度看实施护理程序的障碍

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Introduction: The nursing process is defined as a standard of care; however, its implementation in actual clinical settings is very limited, which reduces the quality of care.Objective: To determine the barriers to the implementation of the nursing process from the viewpoint of the faculty members, nursing managers, nurses, and nursing students of the Mashhad University of Medical Sciences.Materials and Methods: This analytical cross-sectional study was carried out in 2014 on 90 nursing lecturers and students of the Mashhad Nursing and Midwifery Faculty, and 134 nurses and nursing managers of the educational hospitals of the Mashhad University of Medical Sciences. The participants were selected by the convenient sampling method using a research-oriented questionnaire (validity and reliability confirmed) to investigate the barriers to the implementation of the nursing process. The data was analyzed by using descriptive statistics (mean±SD, and absolute and relative frequencies), one-way ANOVA, and the Pearson correlation coefficient.Results: The most significant barrier to implementing the nursing process according to 90% of the lecturers was the lack of a checklist for recording the process in the medical records of the patients; according to 90% of the managers, it was the high number of patients under care of each nurse, and according to 90% of the nurses and 93.5% of the students, it was the lack of a principal training of the nursing process during their studentship. There was a significant difference in the views of the four groups (P=0.03).Conclusion: The health system authorities of the country should make changes in the clinical and educational areas, such as including a nursing process record sheet in the medical records of the patients, getting advice and assistance from the experts in the field of nursing education and technology, and facilitating the implementation of the nursing process in the clinical field.
机译:简介:护理过程被定义为护理标准;目的:从护理人员,护理经理,护士和护理学生的角度确定护理过程实施的障碍。马什哈德医科大学材料与方法:该分析性横断面研究于2014年在马什哈德大学护理和助产学系的90名护理讲师和学生以及印度马什哈德大学教育医院的134名护士和护理经理中进行医学科学。通过以研究为导向的问卷(已确认有效性和可靠性)的便捷抽样方法选择参与者,以调查实施护理过程的障碍。通过描述性统计(均值±SD,绝对和相对频率),单向方差分析和皮尔逊相关系数对数据进行分析。结果:90%的讲师认为,实施护理程序的最大障碍是:缺乏在患者的病历中记录该过程的检查表;据90%的管理人员说,这是每位护士所护理的病人数量很高,而根据90%的护士和93.5%的学生,这是他们在护理过程中缺乏主要培训的原因助学金。四个组的观点存在显着差异(P = 0.03)。结论:该国的卫生系统主管部门应在临床和教育领域做出改变,例如在其医疗记录中包括一个护理过程记录表。向患者提供护理教育和技术领域专家的建议和帮助,并促进临床领域护理过程的实施。

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