Perceived Barriers in Implementation of Nursing Process in Public Sectors of South Punjab-Pakistan

Abstract

Background: The nursing process is a universal system that is essential to the nursing profession and is absolutely vital in the provision of the high quality and patient centered care. Its practical use elevates the level of patient care, whereas the inability to implement it effectively might harm the patient care outcomes. It is also important that the perceived barriers be understood individually and organizationally among nurses to facilitate the practical application of the nursing process.

Methods: A descriptive cross sectional study was used to establish the barriers in the implementation of the nursing process within the institutions of the public sector in South Punjab, Pakistan. The nurses working in Intensive Care Unit (ICU) and High Dependency Unit (HDU) of four tertiary care teaching hospitals as Nishtar Hospital Multan, Bahawal Victoria Hospital Bahawalpur, Sheikh Zayed Hospital Rahim Yar Khan and Teaching Hospital Dera Ghazi Khan were sampled to collect the data. There was also an application of a structured questionnaire to measure individual and organizational barriers.

Findings: Two hundred and thirty nurses took part in the research. In terms of the individual-level barriers, 60 percent of the nurses said they were highly hindered, and 40 percent had low perceptions. On the same note, 57% of respondents indicated that they are high of organizational barriers, and 43% of respondents indicated that they are low. These findings demonstrate that the adoption of nursing process entails major challenges in the provision of healthcare services in the general population.

Conclusions: The research points to the significant personal and institutional barriers to the implementation of the nursing process in the hospital of the South Punjab in the public sector. It is essential to mitigate these obstacles using specific interventions to enhance the nursing care and patient care outcomes.