Investigation of the use of nursing process in a metropolitan area

2.50
Hdl Handle:
http://hdl.handle.net/10755/149303
Type:
Presentation
Title:
Investigation of the use of nursing process in a metropolitan area
Abstract:
Investigation of the use of nursing process in a metropolitan area
Conference Sponsor:Sigma Theta Tau International
Conference Year:1991
Author:Sharritts, Loretta, MS/MSc
P.I. Institution Name:Alvin C. York Veterans Administration Medical Center
Title:Nursing Recruiter
PROBLEM: Does the use of the nursing process in acute care

hospitals in one metropolitan area differ between hospitals and if

so, how does it differ.



LITERATURE REVIEW: Research has been conducted on nurses'

attitudes and/or knowledge (Lessow, 1987), on evaluation of a

single site's effectiveness in implementation; (Anderson, Duke, and

Haslam, 1988; Duslak and Collado, 1986; Martin and York, 1984;

Miaskowski, et al., 1984; Silver, et al., 1984), on comparing the

use of nursing diagnosis across sites (Burnckhorst, et al., 1987;

McLane et al., 1986), and on the effects of education (Levin and

Krainovich, 1987; Purushotham, 1987). However, a multi-site study

of (1) observed use of nursing process, (2) RN's attitude and

knowledge, and (3) organizational culture has not been reported.



RESEARCH QUESTIONS: 1) How complete is the use of nursing process

as reflected in written care plans: assessment, nursing diagnosis,

goals, interventions implementation and evaluation; 2) What is the

knowledge level of staff nurses regarding ND; 3) How positive are

the staff nurses attitudes toward the nursing process, and more

specifically ND; 4) Is there a relationship between staff nurse

demographics and their attitude or knowledge level; 5) What are the

indicators of organizational support for nursing process in area

hospitals?



DESIGN: A descriptive, prospective survey was the design chosen.



SAMPLE: The sample was drawn from nine area hospitals. There were

344 usable care plan audits and 1,095 total usable surveys.



METHOD: At each site there was one survey an organizational

support, 10 percent (minimum n=30) stratified random sample of care

plans were audited, and every staff nurse was surveyed on attitude

and knowledge. An administration culture/structure survey considered

organizational support for the use of nusing process (Carnevali, 1983).

An audit tool was used to identify use of nursing process in practice.

A survey assessed nurses' knowledge and attitudes as well as providing

demographic information on the participants. The 16 item attitude

scale had 3 subscales (identified through factor analysis) with

Cronbach alphas of .95 overall and individually .96, .81, and .62.



DATA ANALYSIS: A grant through Wright State University provided

for data entry and analysis by the Statistical Center. Summary

descriptive statistics were used for questions 1-3, 5 and regression

was used for question 4. Differences shown by the descriptive

statistics were analyzed by a MANOVA. A very preliminary report of

this research study was included in the 1988 NANDA Proceedings.



FINDINGS: The nursing process was found to be used successively

less well through the steps. The survey measured knowledge weekly

(only five items). The median score was 4. The overall mean

attitude score was 50 (possible range 16 - 80). Multiple

regression found individual characteristics associated with

attitude, but the model explained < 10 percent of the variance.

An organizational culture score was computed on administration

responses and barriers identified by nurse respondents, showing many

areas of support but with inconsistencies. The minimal differences

in attitudes toward the nursing process among the nurses, suggest

that the educational process is consistent in the area nursing

schools. The organizational scores (pervasiveness of the message

that nursing process is important) and the staff nurse identified

barriers to the use of the nursing process partially explain

individual differences between the participating institutions.



Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleInvestigation of the use of nursing process in a metropolitan areaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149303-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Investigation of the use of nursing process in a metropolitan area</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1991</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Sharritts, Loretta, MS/MSc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Alvin C. York Veterans Administration Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing Recruiter</td></tr><tr><td colspan="2" class="item-abstract">PROBLEM: Does the use of the nursing process in acute care<br/><br/>hospitals in one metropolitan area differ between hospitals and if<br/><br/>so, how does it differ.<br/><br/><br/><br/>LITERATURE REVIEW: Research has been conducted on nurses'<br/><br/>attitudes and/or knowledge (Lessow, 1987), on evaluation of a<br/><br/>single site's effectiveness in implementation; (Anderson, Duke, and<br/><br/>Haslam, 1988; Duslak and Collado, 1986; Martin and York, 1984;<br/><br/>Miaskowski, et al., 1984; Silver, et al., 1984), on comparing the<br/><br/>use of nursing diagnosis across sites (Burnckhorst, et al., 1987;<br/><br/>McLane et al., 1986), and on the effects of education (Levin and<br/><br/>Krainovich, 1987; Purushotham, 1987). However, a multi-site study<br/><br/>of (1) observed use of nursing process, (2) RN's attitude and<br/><br/>knowledge, and (3) organizational culture has not been reported.<br/><br/><br/><br/>RESEARCH QUESTIONS: 1) How complete is the use of nursing process<br/><br/>as reflected in written care plans: assessment, nursing diagnosis,<br/><br/>goals, interventions implementation and evaluation; 2) What is the<br/><br/>knowledge level of staff nurses regarding ND; 3) How positive are<br/><br/>the staff nurses attitudes toward the nursing process, and more<br/><br/>specifically ND; 4) Is there a relationship between staff nurse<br/><br/>demographics and their attitude or knowledge level; 5) What are the<br/><br/>indicators of organizational support for nursing process in area<br/><br/>hospitals?<br/><br/><br/><br/>DESIGN: A descriptive, prospective survey was the design chosen.<br/><br/><br/><br/>SAMPLE: The sample was drawn from nine area hospitals. There were<br/><br/>344 usable care plan audits and 1,095 total usable surveys.<br/><br/><br/><br/>METHOD: At each site there was one survey an organizational<br/><br/>support, 10 percent (minimum n=30) stratified random sample of care<br/><br/>plans were audited, and every staff nurse was surveyed on attitude<br/><br/>and knowledge. An administration culture/structure survey considered<br/><br/>organizational support for the use of nusing process (Carnevali, 1983).<br/><br/>An audit tool was used to identify use of nursing process in practice.<br/><br/>A survey assessed nurses' knowledge and attitudes as well as providing<br/><br/>demographic information on the participants. The 16 item attitude<br/><br/>scale had 3 subscales (identified through factor analysis) with<br/><br/>Cronbach alphas of .95 overall and individually .96, .81, and .62.<br/><br/><br/><br/>DATA ANALYSIS: A grant through Wright State University provided<br/><br/>for data entry and analysis by the Statistical Center. Summary<br/><br/>descriptive statistics were used for questions 1-3, 5 and regression<br/><br/>was used for question 4. Differences shown by the descriptive<br/><br/>statistics were analyzed by a MANOVA. A very preliminary report of<br/><br/>this research study was included in the 1988 NANDA Proceedings.<br/><br/><br/><br/>FINDINGS: The nursing process was found to be used successively<br/><br/>less well through the steps. The survey measured knowledge weekly<br/><br/>(only five items). The median score was 4. The overall mean<br/><br/>attitude score was 50 (possible range 16 - 80). Multiple<br/><br/>regression found individual characteristics associated with<br/><br/>attitude, but the model explained &lt; 10 percent of the variance.<br/><br/>An organizational culture score was computed on administration<br/><br/>responses and barriers identified by nurse respondents, showing many<br/><br/>areas of support but with inconsistencies. The minimal differences<br/><br/>in attitudes toward the nursing process among the nurses, suggest<br/><br/>that the educational process is consistent in the area nursing<br/><br/>schools. The organizational scores (pervasiveness of the message<br/><br/>that nursing process is important) and the staff nurse identified<br/><br/>barriers to the use of the nursing process partially explain<br/><br/>individual differences between the participating institutions.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T09:59:47Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:59:47Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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