Barriers to the Implementation of the Nursing Approach in Public Hospitals in Lubumbashi in the Democratic Republic of Congo: A Cross-Sectional Descriptive Study
Introduction: The nursing
approach (NA) is the essence of the nursing profession. However, its
implementation is almost absent in the hospitals of the Democratic Republic of
Congo (DRC). Objectives: The aim of this study was to determine nurses’
knowledge, attitudes and practices in relation to the nursing approach and to
identify barriers to the implementation of this approach. Methods: To achieve
these objectives, we carried out a cross-sectional descriptive
study among the nurses of the 11 public hospitals of Lubumbashi, from June to
September 2015. Thanks to a validated questionnaire, we collected the
data by interview, supported by participatory observation. Results: The results
showed that 67.6% of respondents were trained on NA; However, 99.3% did not
know the exact number of NA steps and 62.6% did not cite any steps; The
majority (93.5%) of trainees on NA find that this process provides quality
patient care; 100% of the sample wish to put it into practice; 100% of the
sample need continuous training on NA including 67.6% to improve knowledge and
32.4% to learn; 89.1% of those trained reported not practicing NA, but
participating direct observation gave 100% of non-practice. The barriers to
implementation of the NA were inadequate nursing staff (75.6%), inadequate
equipment (71.5%), lack of time (62.6%), lack of theoretical and practical
knowledge (47.2%), lack of nursing records (26%) and lack of institution for
nursing care within the hospital (17%). Conclusion: Therefore, capacity
building of nurses through continuing education, as well as initial training on
NA, would increase their knowledge, reinforce positive attitude and promote its
implementation, all supported by improved working conditions and the implementation
of a professional nursing quality assurance organization.
Cite this paper
Julie, N. K. , Simon, I. K. , Irène, K. U. , Charles, M. M. , Mahuridi, A. , Narcisse, M. K. and Francoise, M. K. (2017). Barriers to the Implementation of the Nursing Approach in Public Hospitals in Lubumbashi in the Democratic Republic of Congo: A Cross-Sectional Descriptive Study. Open Access Library Journal, 4, e3721. doi: http://dx.doi.org/10.4236/oalib.1103721.
Manal, H.M.
and Hala, M.B. (2014)
Barriers and Facilitators for Execution of Nursing Process from Nurses’
Perspective. International Journal of Advanced Research, 2, 300-315.
Fisseha, H.,
Fessehaye, A.,
Fikadu, B.,
Semarya, B. and
Alemseged, A. (2014) App- lication
of Nursing Process and Its Affecting Factors among Nurses Working in Makelle
Zone Hospital, Northen Ehtiopia. Nursing
Research and Practice, 2014, 1-8. http://dx.doi.org/10.1155/2014/675212
Afolayan, J.A., Donald, B., Baldwin, D.M.,
Onasoga, O.
and Babafemi, A. (2013)
Evaluation of the Utilization of Nursing Process and Patient Outome in Psychiatric
Nursing: Case Study of Psychiatric Hospital Rumuigbo, Port Harcourt. Advances in Applied Science Research, 4, 34-43.
Erhuvwukoroti, H.S.,
Foluso, O.O.
and Chimonso, N.U. (2014)
Factors Influencing the Utilization of the Nursing Process. International Journal of General Medecine and Pharmacy, 3,
57-64,
Adeyemo, F.O.
and Olaogun, A.A. (2013) Factors
Affecting the Use of Nursing Process in Health Institutions in Ogbomoso Town,
Oyo State. International Journal of Medicine and Pharmaceutical
Sciences (IJMPS), 3, 91-98.
Akbari, M.
and Shamsi, A.
(2011) A
Survery on Nursing Process Barriers from the Nurses’ View of Intensive Care
Units. Iranian Journal of Critical
Care Nursing, 4, 181-186.
Aiyedum, J. and Chukwu,
I. (2014) Evaluation
of the Challenges of Nursing Process Practice at the University of Abuja
Teaching Hospital. International Journal of Medical Health Science
Research, 2,
93-100.
Ministère
de la santé, secrétariat général à la santé et programme national
d’approvisionnement en médicament, cartographie des systèmes d’approvisionne- ment
et de distribution des médicaments et autres produits de santé en RDC, 2010,
Kinshasa RD Congo. http://apps.who.int/medicinedocs/documents/s17032f/s17032f.pdf lu 10/12/2016
