Discussion of the aim of education is a function of the philosophy of education or 'educational theory'. The different understandings of education cultivate different avenues of human possibility. The root of the word 'education' is derived from the Latin 'e-ducare' literally meaning to 'lead forth' or bring out something which is potentially present.
The Nursing process provides a logical and rational way for the nurse to organize information so that the care given is appropriate and effective. Although, the process is a scientific one, it is conducted by human beings who can carry it out in a sensitive and caring manner.
Hence, the nursing process is both scientific and humane, just as nursing is perceived as both a science and an art. The nursing process is an orderly process; it is not simply a quantitative approach. It has pervasive qualitative aspects that make the process vital.
Actually, these qualitative factors such as the time it takes for procedure-driven documentation. Invariably, the nursing process is presented as a series of four or five phases, with a number of steps within each phase Laoye, The net effect is a procedure that appears linear or at best overlapping or circular and cumbersome.
Unfortunately, in many practice settings, there is a perception that the nursing process is desirable but too time-consuming to be practical.
If it is not valued, it is not used and many nurses continue to intervene using standardized procedures based on medical diagnoses, rather, than a rationale based on nursing assessment, planning and evaluation feedback. In a critique of nursing theories, Laryea [ stated that the nursing process can be described in two ways: These authors argued that most nurses do not perceive that their care for their clients is based on the rational procedure of the nursing process: It is individualized in the sense that the product of the activities, that is, assessment, planning etc, that are carried out for one individual, is peculiar to that individual and cannot be used in totality for the care of another.
The activities are interrelated and dynamic in the sense that they are carried out in each of the steps and are dependent on each other to achieve the overall goal, which is effective client care.
Nursing process is a means of unifying nursing practice.
The nursing process demonstrates nursing function through the use of science, art, humanity and skills, a combination that is unique and unreplicated. It promotes consumer satisfaction. The nursing process restores nursing to its primary commitment, which is, determing care to people on a one-to-one basis and thereby eliminating the present tendency to relinquish this overall function to those who are not prepared to fulfill it.
It enables the nurse to realize her potentials as an independent decision maker who has command over competencies, which before now were not used in carrying out predominantly assistance-type functions.
Nurses are responsible to a reasonable extent for non- implementation of the nursing process in many ways. The factors from the nurses that hinder nursing process implementation may be considered in the following ways: This indicated that there is a gap between theory and practice.
Ezeh in his study conducted at Eagle General Hospital identified lack of competence and knowledge in the use of the concept as a militating factor against its implementation. The author therefore, suggested that more workshops should be conducted in the state particularly in the areas of nursing diagnosis and scientific rationale.
He also found out that nurses do not have the will or the good spirit resulting from the hard-work to carry out the process. Bowman identified that many nurses do not have adequate skills to implement care plan. Block affirmed that when he conducted studies on nursing process implementation in three tertiary health institutions in Nigeria, he discovered that nursing process was not done accordingly, mainly due to the fact that some nurses have lower ability to process information based on intellectual, interpersonal and technical skills.
Hence, for nursing process to be effectively implemented, nurses require to possess adequate cognitive, affective and psychomotor skills.
In addition, intellectual skills must be acquired such as critical thinking, evidence-based care and making thoughtful nursing decisions backed with scientific principles in every aspect of nursing process.
It is mandatory that all nurses responsible for carrying out nursing process should have qualitative and comprehensive educational background in order to effectively explain and implement the concept of nursing process and be in the best position to give account or description at every stage of patient care Bassey, Ezeh further commented that The author further stated that attitudes not only differ among people or societies but also vary across time for a given individual or societies.
The nurses had high anxiety level as a result of the criticism they received from other disciplines or profession. The author said that nursing process implementation should differ from country to country, main barrier being cultural differences.
Carlsonidentified some other problems in the nursing process approach that deals with attitudes of nurses: Another fact was that the newer graduate nurses viewed nursing process as more of a student-learning tool which existed only for those patients as students were assigned to take care during examination.
Also, nurses do not keep proper records of care plans to be used as a continuum in patient care during follow -up. Mariner supported this idea that some nurses even abroad have innate incapabilities, therefore, they would not want to do anything about nursing process even with much administrative supports, many nurses still fail to write care plan.
The research carried out into the attitude of nurses over nursing process was mainly concentrated on the day shift, but was not done during night shift as the researchers too like to sleep at night.
Johnson opined that a major barrier to nursing process implementation is low level of staffing. This affects the effectiveness of the nurses as the few available ones are overworked invariably they get tired, despaired and eventually give up the attempts.The conceptual framework is adapted from a similar model developed for family planning (FP) under The EVALUATION Project.
This framework illustrates the pathways by which reproductive health (RH) programs achieve their objectives.
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LUOA offers a variety of Dual Enrollment courses to 11th and 12th grade students. Take a look at the current available courses, as well as the course syllabus. Factors that Hinder the Implementation of Nursing Process (Case Study: Mater Misericordiae Hospital, Afikpo, Ebonyi State) Nursing Process – Demand for “quality” in all areas seems to be a rallying point for today’s society.
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