Outcome of Nursing Intervention on Knowledge and Use of Nursing Process among Nurses in Zonal Hospitals, Rivers State, Nigeria

Publication Date: 30/04/2020


Author(s): Dr. Anthonia Ngozi Okafor, Emordi Nnenna Ali.

Volume/Issue: Volume 3 , Issue 3 (2020)



Abstract:

Nursing process is a standard global tool that affords nurses the opportunity to relate and care for their patients in a way that is unique, friendly, scientific, flexible, holistic and self- evaluating. If properly utilized help nurses to provide independent patient care that is organized in such a way that quality is inscribed and allows the nurse to be accountable and responsible for the care. With all of its benefits it has suffered poor implementation and utilization in developing countries, Nigeria inclusive. Hence this study determined the outcome of nursing intervention on knowledge and use of nursing process among nurses in Zonal Hospitals in Rivers State. This study adopted a two-group pretest-posttest quasi-experimental design. This was to train the participants on the knowledge and use of nursing process. Purposive sampling technique was used to select 41 nurse participants who were working in in-patient management units from the 2 Zonal Hospitals. The control group consisted of 20 registered nurses, while the experimental group consisted of 21 registered nurses. The instrument for data collection included a checklist and nursing process questionnaire. The face and content validity were ascertained and reliability was determined with a Cronbach’s alpha index range of 0.77 – 0.91. The nursing intervention tool was a training module. The data was analyzed using the Statistical Package for Social Sciences (SPSS) 23. Descriptive statistics of percentages, mean and standard deviation was used to answer six research questions while inferential statistics: independent t-test was used to provide answers to hypotheses at critical value of 0.05 level of significance. Findings revealed that majority of the participants are within the average age bracket of 30–39 years. This also suggests that most of the respondents were females (80%) with registered nurse/midwife professional qualification (56.1%) and nursing officer II cadre (68.3%). The pre-intervention knowledge mean score of nursing process for the two groups was low (mean= 19.65 and 19.83) but became high in the experimental group (mean=33.54 ± 3.88) and low in control group (mean=19.81 ± 5.89) post-intervention: pre-intervention use mean score of nursing process was low in both groups (mean=20.87 and 21.00) but high between using the nursing process before and after intervention for the experimental group (mean= 39.97± 5.13) but remained low in the control group (mean = 20.91± 9.19). The study concluded that nursing intervention was effective in improving the knowledge and use of nursing process among the nurses thus the outcome was positive as changes were noted. Therefore, it is recommended that in-service educational program should established to provide continuous education for nurses to refresh their knowledge and enhance their usage of nursing process.



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