Presentation MATERNITY Encourage Interact
- 1. ADDIS ABABA UNIVERSITY COLLEGE HEALTH SCIENCES SCHOOL OF NURSING AND MIDWIFERY DEPARTMENT OF NURSING AND MIDWIFERY The effects of applying an assessment form based on the health functional patterns on nursing student's attitude and skills in developing the nursing process Prepared by habteyes mamo MAY 2025
- 2. Outline Introduction Identified barriers during applying nursing process in clinical area Identified barriers during applying nursing process in clinical area How to improve nursing process application skills? Objective Methods, study periods and area Participants and Sample size Used tools for data collection Data collection Result Discussion conclusion
- 3. Already known. systematic approach to patient care, with the patient's examination being the most crucial part in the nursing process. New Health functional patterns of nursing model enables collecting the information required for more effective patient care. It use specialized terminology to obtain accurate biographies, apparent structure and determination of sufficient space for completing the information. A comprehensive review of the feasibility of extracting all nursing diagnoses related to patient's conditions is likely to make the nurse's work more accurate in planning
- 4. Introduction The nursing process is highly significant element in improving scientific nursing practice and enhance thinking skills . It is a practical standard for the assessment of nurses' performance. One of the indicators in determining the quality of nursing care. nurses can focus explicitly on patient-specific care. Due to this the students and the clinical trainers, as the active members of the nursing education, are able to come up with strategies and tools for further acquisition of nursing process.
- 5. CONT… Gordon are one of the comprehensive models for the assessment stage of the nursing process. It provides a holistic format for patient assessment in 11 health patterns.
- 6. Identified barriers during applying nursing process in clinical area Knowledge and skills in formulating the nursing process. Attitudes toward nursing process application. Nurses faced challenges During the health history taking and data collection During the assessment stage, as well as in the diagnosis, Planning and evaluation stages of the nursing process. So to resolve this challenges it needs improving nursing process application skills.
- 7. How to improve nursing process application skills? Applying a web-based nursing process. Use a precisely devised support system for nursing process decisions can be employed for gathering patient-specific data, generating nursing diagnoses, individualized care plans, and implementation within the routine nursing work flow. Using (NANDA-I) offers a national and international standardization of diagnostic classification system to help the development of the nursing process.
- 8. Objective The aim of this study is to determine the effects of applying an assessment form based on the health functional patterns on nursing student's attitude and skills in developing nursing process. Methods, study periods and area Use randomized protest-post-test controlled design at the Nursing and Midwifery School of the Hamadan University of Medical Sciences in Hamadan. from February 2016 to October 2017.
- 9. Participants and Sample size All the tertiary undergraduate nursing students who had registered for the internship courses of “Respiratory nursing” and “Haematology-Oncology nursing” full fill the inclusion criteria. To calculate sample size first measure the attitude of nurses towards NP. Use a Sample size formula for comparing two means scores with The coefficients of confidence and power were 95% and 80%, respectively. Use 10% attrition rate. Finally, 84 students took part in the study and accomplished it. Intervention group use a PAF of Gordon’s functional health patterns and the control group use receiving traditional/routine methods, In clinical education.
- 10. Used tools for data collection Use demographic information questionnaire, checklist for assessing skills and questionnaire for assessing attitudes. ‘Nursing Process Skills Checklist’ question scored from 0 (not considered the aspects) to 4 (considered most aspects). The Attitude to Nursing Process Questionnaire prepared by similar studies in which the students' attitudes toward their learning experiences were assessed. Use Likert scale, “I strongly agree” with the highest score and “I strongly disagree” with the lowest score.
- 11. data collection Before data collection first development of patient assessment form (PAF) based on GHFPs and finalized according to the nursing texts such as Bates' guide to physical examination and history taking , Ulrich & Canale's nursing care planning guides, and Potter & Perry's Fundamentals of Nursing. The PAF consists of nine categories. To intervene the experimental and control groups, first they divided randomly into internship groups by the Clinical Affairs of the School to. 10 groups of students in which 8-10 interns were trained in the haematology or respiratory wards. first two courses were educated through routine clinical education of nursing process (the control group),and the second two course in were trained as the clinical education of the nursing process based on PAF.
- 12. Results Based on the independent t-test, variations in the mean scores of students’ skills and attitude in the intervention and control groups is statistically significant. The results of t-test indicate that at the beginning of the study, the mean score of the Nursing Process Skills checklist was similar in both groups (P > 0.05), however, the intervention students had a significant improvement at the end of the study compared with the control group (P < 0.001).
- 13. DISCUSSION The results shows that the nursing students’ attitude and skill level in the nursing process significantly increased in the intervention group compared to the control group. It indicates the application of a patient assessment form based on the health patterns approach increased the skills and attitudes of students in the nursing process. applying the nursing process simulation could improve the nurses' knowledge, attitude, and skills in the applying the nursing process simulation could improve the nurses' full examination in the first stage of the nursing process allows determining the patient's problems and, ultimately, the accurate evaluation of the outcomes of nursing interventions.
- 14. Cont … Different literature shows that applying nursing process can improve knowledge, attitude, and skills of nurses in different units. Conclusion The PAF can help students in decision making of nursing diagnoses. It can help them generate nursing diagnoses based on patient-specific data, and implementation within their program. The application of the PAF not only facilitates students’ learning, but also is proved helpful in nursing process skill and attitude to nursing process.
- 15. Gordon are one of the comprehensive models for the assessment stage of the nursing process. It provides a holistic format for patient assessment in 11 health patterns.