Factors influencing implementation of the nursing process in Naivasha District Hospital, Kenya

Linet Nyatichi Mangare, Omondi L, Antony Ayieko, Wakasiaka S, Omoni G, Dalton Wamalwa. "Factors influencing implementation of the nursing process in Naivasha District Hospital, Kenya." African Journal of Midwifery and Women's Health. 2016;10(2):67-71.


The nursing process (NP) is a framework that is applicable in all clinical settings to provide quality nursing care. Training curricula for nurses and midwives in Kenya have incorporated the NP as a framework for nursing care. However, nurses and midwives find it difficult to implement it. This contributes to poor-quality care.

This study was aimed at determining factors influencing implementation of the NP in Naivasha District Hospital.

A quantitative cross-sectional study was conducted between May–June 2012 on 83 nurses and midwives selected using quota sampling. A structured questionnaire was used to collect data then analysed using the statistical package for social sciences. Descriptive statistics were used to summarise the data and Pearson's correlation coefficient was used to establish correlation between variables.

Training, practical experience, adequate time, reference materials, administrative support, supplies and adequate staffing were the major factors influencing implementation of the NP.

Implementation of the NP can be promoted through focusing on beneficial factors such as adequate staffing, training, administrative support, and providing resources.
Keywords: Nursing process, Health care, Nurses, Midwives, Training, Support, Barriers, Implementation


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