Influence of Nursing Factors on the Quality of Nursing Diagnosis, Intervention and Outcome on Orthopedic Patients in Indonesia: Cross Sectional Study
DOI:
https://doi.org/10.31674/mjn.2024.v15i03.011Abstract
Background: Increasing the number of orthopedic disorders will also increase the number of treatments for orthopedic patients in hospitals. However, there are no studies that specifically identify the impact of nurses’ factors on the quality of orthopedic care. Objective: to identify the impact of nurses' factors on the quality of nursing diagnosis, intervention, and outcome in orthopedic patients. Methods: A cross-sectional design with consecutive sampling techniques was conducted in this study. collecting data at the West Java Province Hospital in Indonesia from July to September 2022. Statistical analysis used the chi-square test; significance was p < 0.05. Results: A total of 236 nurses were recruited. 145 participants (61.4%) were female. 133 (56.4%) had a diploma level of education, and 143 participants (60.6%) had good competence. The knowledge of participants was both enough and less, with 99 (41.9%) and 98 (41.5%), respectively. 180 participants (76.3%) demonstrated good skills. The quality of the orthopedic nursing process for nursing diagnosis (97.4%), nursing intervention (96.1%), and nursing outcome (97.0%) were good. In addition, nursing variables impacted the quality of nursing outcomes in orthopedic patients in relation to age (p<0.05). Conclusion: The quality of the orthopedic nursing process for nursing diagnosis, nursing intervention, and nursing outcome was good. In addition, nursing parameters such as age had a substantial effect on the quality of nursing outcomes in orthopedic patients. Recommendation: This research suggests that the focus should be on nurse factors including education, knowledge, skills, and competence in order to achieve quality nursing and to carry out nursing diagnosis, nursing intervention, and nursing outcome.
Keywords:
Nurses, Orthopedic, Patients, Quality Nursing CareDownloads
References
Adraro, Z., & Mengistu, D. (2020). Implementation and factors affecting the nursing process among nurses working in selected government hospitals in Southwest Ethiopia. BMC Nursing, 19(1), 1–7. https://doi.org/10.1186/s12912-020-00498-8
Afolayan, J. A., Donald, B., Baldwin, D. M., Onasoga, O., & Babafemi, A. (2013). Evaluation of the utilization of nursing process and patient outcome in psychiatric nursing : Case study of psychiatric Hospital Rumuigbo, Port Harcourt. Advances in Applied Science Research, 4(5), 34–43. https://www.primescholars.com/articles/evaluation-of-the-utilization-of-nursing-process-and-patient-outcomein-psychiatric-nursing-case-study-of-psychiatric-hospitalrumui.pdf
Aprisunadi. (2011). The Relationship Between Nurses' Critical Thinking and the Quality of Nursing Care in the Unit Orthopedic Care at Fatmawati Central General Hospital, Jakarta [The relationship between nurse critical thinking and the quality of nursing care in the orthepedic care unit of [Universitas Indonesia]. In Faculty of Nursing, Universitas Indonesia, Jakarta. https://lib.ui.ac.id/detail?id=20280242&lokasi=lokal# . Accessed on 12th MAy, 2022
Baraki, Z., Girmay, F., Kidanu, K., Gerensea, H., Gezehgne, D., & Teklay, H. (2017). A cross sectional study on nursing process implementation and associated factors among nurses working in selected hospitals of Central and Northwest zones, Tigray Region, Ethiopia. BMC Nursing, 16(54), 1–9. https://doi.org/10.1186/s12912-017-0248-9
Beerekamp, M. S. H., de Muinck Keizer, R. J. O., Schep, N. W. L., Ubbink, D. T., Panneman, M. J. M., & Goslings, J. C. (2017). Epidemiology of extremity fractures in the Netherlands. Injury, 48(7), 1355–1362. https://doi.org/10.1016/j.injury.2017.04.047
Brent, L., Hommel, A., Maher, A. B., Hertz, K., Meehan, A. J., & Santy-Tomlinson, J. (2018). Nursing care of fragility fracture patients. Injury, 49(8), 1409–1412. https://doi.org/10.1016/j.injury.2018.06.036
da Silva, A. M., Colaço, A. D., Vicente, C., Bertoncello, K. C. G., Amante, L. N., & Demetrio, M. V. (2021). Perceptions of nurses about the implementation of the nursing process in an intensive unit. Revista Gaucha de Enfermagem, 42, 1–7. https://doi.org/10.1590/1983-1447.2021.20200126
Danielis, M., Destrebecq, A. L. L., Terzoni, S., & Palese, A. (2022). Nursing care factors influencing patients’ outcomes in the intensive care unit: Findings from a rapid review. International Journal of Nursing Practice, 28(2), 1–14. https://doi.org/10.1111/ijn.12962
Donabedian, A. (1966). Evaluating the Quality of Medical Care, Milbank Memorial Fund Quarterly. 44(3), 166–206. https://doi.org/https://doi.org/10.2307/3348969
Ebisa, Z., Abebe, D., Meseret, R., Eshetu E, C., & Guta, kune. (2022). Implementation of Nursing Process and Its’ Associated Factors among Nurses’ Working at Public Hospitals of Central Ethiopian, 2020; Institutional Based Cross-sectional Study. Journal of Nursing and Practice, 5(3), 473–479. https://doi.org/10.36959/545/422
El-rahman, M. A., Kalaldeh, M. T. Al, Malak, M. Z., El-rahman, M. A., Nursing, L. M., Said, P., & Mahmoud, T. (2017). Nursing Diagnoses : A Cross-Sectional Study of Jordanian Nursing Students Search terms : Author contact : International Journal of Nursing Knowledge Volume, 28(1), 13–18. https://doi.org/10.1111/2047-3095.12100
Han, C. Y., & Yu, X. (2021). The application value of continuous nursing intervention on quality of life in patients with stroke: A protocol for systematic review and meta-analysis. Medicine (United States), 100(22), E25963. https://doi.org/10.1097/MD.0000000000025963
Hwang, E. H., & Kim, K. H. (2021). Quality of gerontological nursing and ageism: What factors influence on nurses’ ageism in South Korea? International Journal of Environmental Research and Public Health, 18(8). https://doi.org/10.3390/ijerph18084091
Kunjukunju, A., & Ahmad, A. (2019). Effective communication among doctors and nurses: barriers as perceived by doctors. The Malaysian Journal of Nursing (MJN), 11(2), 3-11. https://doi:10.31674/mjn.2019.v11i02.001
Kementerian Kesehatan Republik Indonesia. (2018). Laporan Nasional Riskesdas. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf
Leoni-Scheiber, C., Mayer, H., & Müller-Staub, M. (2020). Relationships between the Advanced Nursing Process quality and nurses’ and patient’ characteristics: A cross-sectional study. Nursing Open, 7(1), 419–429. https://doi.org/10.1002/nop2.405
Moghadas, T., & Sedaghati Kesbakhi, M. (2020). Factors Influencing Implementation of Nursing Process by Nursing Students: A Qualitative Study. Journal of Medical Education, 19(4). https://doi.org/10.5812/jme.110810
Mousavinasab, E. S., Rostam Niakan Kalhori, S., Zarifsanaiey, N., Rakhshan, M., & Ghazisaeedi, M. (2020). Nursing process education: A review of methods and characteristics. Nurse Education in Practice, 48(October 2018), 102886. https://doi.org/10.1016/j.nepr.2020.102886
Müller-Staub, M. (2009). Evaluation of the implementation of nursing diagnoses, interventions, and outcomes. International Journal of Nursing Terminologies and Classifications : The Official Journal of NANDA International, 20(1), 9–15. https://doi.org/10.1111/j.1744-618X.2008.01108.x
Müller-Staub, M., Lavin, M. A., Needham, I., & Van Achterberg, T. (2006). Nursing diagnoses, interventions and outcomes - Application and impact on nursing practice: Systematic review. Journal of Advanced Nursing, 56(5), 514–531. https://doi.org/10.1111/j.1365-2648.2006.04012.x
Müller-Staub, M., Lunney, M., Lavin, M. A., Needham, I., Odenbreit, M., & van Achterberg, T. (2008). Testing the Q-DIO as an Instrument to Measure the Documented Quality of Nursing Diagnoses, Interventions, and Outcomes. International Journal of Nursing Terminologies and Classifications, 19(January-March), 20–27. https://doi.org/10.1024/1012-5302/a000024
Noorisa, R., Apriliwati, D., Aziz, A., & Bayusentono, S. (2019). The characteristic of patients with femoral fracture in department of orthopaedic and traumatology rsud dr. Soetomo surabaya 2013 – 2016. Journal Orthopaedi and Traumatology Surabaya, 6(1), 1–11. https://doi.org/10.20473/joints.v6i1.2017.1-11
Olapane, E. C., Contreras, R. C. C., Cataluña, M. J. F., Delariarte, G., Cataluña, E. M., & Contreras, F. G. C. (2023). Integration of Nursing Care as Education Approach in the Implementation of Flexible Learning During the COVID-19 Pandemic. The Malaysian Journal of Nursing (MJN), 14(4), 3-13. https://doi.org/10.31674/mjn.2023.v14i04.001
Rousset, J. (2015). One half of patients reports persistent pain three months after. 37, 1–6. https://doi.org/10.1016/j.accpm.2014.09.006
Secer, S., & Karaca, A. (2021). Evaluation of Nurses’ Perceptions of Nursing Diagnoses and Their Opinions Regarding the Application of Nursing Process. Florence Nightingale Journal of Nursing, 29(2), 229–238. https://doi.org/10.5152/fnjn.2021.20034
Setyaningrum, E. E., Nurjannah, I., & Rustiyaningsih, A. (2019b). Effect of NANDA -I , NIC , AND NOC Documentation System Training on Quality of Nursing Care Documentation in The Perinatal Ward of Yogyakarta Regional Public. 5(5), 180–191. https://doi.org/doi.org/10.33546/bnj.770
Vandenbroucke, J. P., Elm, E. Von, Altman, D. G., Gøtzsche, P. C., Mulrow, C. D., Pocock, S. J., Poole, C., Schlesselman, J. J., & Egger, M. (2014). , for the STROBE Initiative International Journal of Surgery Strengthening the Reporting of Observational Studies in Epidemiology ( STROBE ): Explanation and elaboration. International Journal of Surgery, July, 1–25. https://doi.org/10.1016/j.ijsu.2014.07.014
Vincent, H. K., Horodyski, M. B., Vincent, K. R., Brisbane, S. T., & Sadasivan, K. K. (2015). Psychological Distress After Orthopedic Trauma: Prevalence in Patients and Implications for Rehabilitation. PM and R, 7(9), 978–989. https://doi.org/10.1016/j.pmrj.2015.03.007
Williams, S. A., Chastek, B., Sundquist, K., Barrera-Sierra, S., Leader, D., Weiss, R. J., Wang, Y., & Curtis, J. R. (2020). Economic burden of osteoporotic fractures in US managed care enrollees. American Journal of Managed Care, 26(5), E142–E149. https://doi.org/10.37765/ajmc.2020.43156
Yilak, G., Getie, A., Fitwi, A., Wondmieneh, A., & Gebremeskel, T. (2022). Implementation of Nursing Process and Its Associated Factor Among Nurses at Woldia Comprehensive Specialized Hospital, Northern Ethiopia: An Institution-Based Cross-Sectional Study. Nursing: Research and Reviews, Volume 12(July), 111–119. https://doi.org/10.2147/nrr.s368097
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