Abstract:
Background: Evidence in the literature shows that implementation of the nursing process leads to
improved quality of care and stimulates the construction of theoretical and scientific knowledge based on
the best clinical practice. However, this critical aspect of health care delivery did not subjected to
empirical assessment in the study area.
Objective: To assess nursing process implementation status and associated factors in public hospitals of
West Wollega Zone Oromia Regional State, West Ethiopia-from nurse’s perspective.
Methods: Facility based cross-sectional study design with quantitative data collection method supported
with qualitative. The research conducted on four public hospitals of West Wollega Zone from March 04 –
March 29, 2019. The sample size was all one hundred eighty-three nurses working in the hospitals taken
by census. Two hundred patients’ cards selected. Nine key informants selected purposively for qualitative
data collection. Self -administered structured questionnaire open-ended questions and checklist used for
data collection. The data entered using EP-data version 3.1, then exported into SPSS version 25 for
analysis. Both bivariate and multivariate logistic regression model fitted to identify possible factors
associated with nursing process implementation. Statistical significance was declared with adjusted odd
ratio at 95% confidence interval (CI) and p-value of <0.05
Result: 183 nurses were participated in the study with a response rate of 97.8. From the participants
(92(50.3%) of them were implemented nursing process. In multivariable logistic regression analysis
regular monitoring(AOR=6.872, 95%CI=1.752-26.951),daily working hours (AOR=6.250,95%
CI=1.205-32.406),nurses’ turnover due to NGO attractive payment (AOR=3.479,95% CI=1.035-
11.695),monthly income of nurses (AOR=8.398,95% CI=1.305-54.033),patient turnover due to missunderstanding of modern medicine(AOR=0.152,95% CI=0.037-0.625) were factors statistically
associated with the implementation of nursing process.
Data obtained from medical record showed that the implementation status was 41.5%.The qualitative
finding also showed that nursing process implementation not monitored regularly.
Conclusion: The result showed that the nursing process implementation in the study hospitals was low.
Lack of regular monitoring, monthly income of nurses, nurses’ turnover due to NGO attractive payment,
daily working hours were positively associate factors and patient turnover due to miss-understanding of
modern medicine was negatively associated with the implementation of nursing process.
