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Item THE INFLUENCE OF THE NURSES’ CHARACTERISTICS AND THE NURSES’ ATTITUDES ON THE IMPLEMENTATION OF THE NURSING CARE PLAN IN MACHAKOS COUNTY(INTERNATIONAL PEER REVIEWED JOURNAL AND BOOK PUBLISHING [IPRJB], 2022) Kiarie, Hellen M.; Mutinda, Agnes K.; Kithinji, WinfredPurpose: This descriptive cross-sectional study sought to assess the implementation of the nursing process by nurses in two sub county hospitals in Machakos county, Namely: Kangundo and Kathiani sub county hospitals. The study examined the influence of the nurses’ characteristics and the nurses’ attitudes on the implementation of the nursing process in the sub County. Methods: A self-administered questionnaire collected quantitative data, while key informant interviews were used to gather qualitative information. Descriptive statistics and inferential statistics (in particular, the chi-square and Fisher’s Exact) were derived from the data. Results: Sixty-three percent of the nurses (n=45) had drafted a NCP a week prior to the study while 35.7% (n=25) had not. Seventy-five percent of them (n=41) had implemented the NCP. The nurses who developed the nursing care plan frequently ended up implementing it (100%, n=43) compared to those who did not (23.1%, n=3; fisher’s Exact Test P=0.000). Similarly, among the nurses who did not implement the nursing process, 76.9% (N=10) of them felt that NCP is time consuming. This difference was significant at 5% confidence level (LR=8.717, df=2, p=0.013). Although statistical analysis revealed no significant association between nursing process implementation and socio-demographic factors (p>0.05), qualitative findings suggested that the newly qualified nurses are more familiar with the nursing process than their older colleagues. Unique contribution to theory, practice and policy: study recommends that nursing administration cultivate positive mentality among nurses towards the nursing process; particularly focusing on making nurses understand that the tool should be consistently used among all patients and that it significantly improves patient care.Item BARRIERS TO IMPLEMENTATION OF NURSING PROCESS AMONG NURSES WORKING IN NAROK COUNTY REFERRAL HOSPITAL(Journal of Health, Medicine and Nursing(JHMN), 2020) Saretin Anna, Lekenit; Mutinda, Agnes K.; Gatere, Ruth G.Purpose of the study: This study therefore assessed barriers of nursing process implementation by Narok County Referral Hospital nurses. Methodology: A descriptive cross sectional study design was used to collect data from 102 randomly sampled nurses in NCRH. The study instruments used were self-administered questionnaires and key informant interview. SPSS version 20.0 was used to analyze quantitative data and sample characteristics were analyzed using mean and median. Themes were used to analyze qualitative data and narratively presented. Association between the study variables was calculated using chi square at 95% level of significance while statistical significance of results obtained was calculated using p values of 0.05. Data analysis was presented using tables and graphs. Approval was sought from relevant authorities. Results: The study results revealed that female participants were the majority at (70.6%). Most participants (71.6%) had attained diploma level of education and among them, 92.2% had received training in nursing process. Majority 95 (93.2%) were observed not to implement nursing process and of those who implemented, only 1 (1%) correctly outlined all the steps, a sign of poor nursing process implementation. NP implementation was of statistical significance with age of nurses as 18 out of 29 of younger nurses aged 21-30 years were found to actively practice it (p =0.001, work experience (p = 0.001), training (p > 0.05): institutional factors (p = 0.001). Unique contribution to theory, practice and policy: Nursing process mainstreaming interventions such as regular staff refresher courses and mentorship On NP in the hospitals, availability of relevant resources: human resource and supplies can highly mitigate these barriers.
