Qualitative exploration of the challenges and the benefits of the nursing process in clinical practice: A study among registered nurses in a municipal hospital in Ghana
Open accessAbstract
Aim: This study aims to explore the challenges and benefits of using the nursing process in a Ghanaian Hospital. Design: The study employed a qualitative descriptive design to explore the challenges and the benefits of the utilization of the nursing process. Methods: Twelve (12) Registered Nurses were recruited for the study using purposive sampling. Recorded in‐depth interviews were conducted and data were analysed using thematic analysis. Results: The study found a low nurse‐to‐patient ratio, inadequate knowledge, apathy, inadequate logistics, poor supervision as challenges. However, quality and cost‐effective care improved nurse–patient relationships, and job satisfaction was found to be the benefits of nursing process use. Interventions to improve its utilization should be targeted towards improving the nurse‐to‐patient ratio, provision of adequate resources and inclusion of the nursing care plan in patient folders.
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Students often encounter learning challenges during the traditional nursing process, including high cognitive load, limited ability to integrate knowledge across multiple databases, and unfamiliarity with database navigation and interface operations.
“However, scholars have indicated that students often encounter several learning challenges during the traditional nursing process [1].”
From Effects of a generative AI-assisted ADPIE Framework on critical thinking, learning self-efficacy, and clinical reasoning in nursing education: a quasi-experimental study (2026) · cites this paper as [1]
The Results section (‘Deficient knowledge’; page unavailable) reports that registered nurses had difficulty understanding and applying the nursing process. The study concerns nurses in clinical practice, not students’ learning challenges, and the cited passages do not address cognitive load, integrating multiple databases, or navigating database interfaces. (LLM, conf=0.88)
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- Authors
- Gazari, T., Apiribu, F., Afaya, R. A., Awenabisa, A. G., Dzomeku, V. M., Mensah, A. B. B., Amooba, P. A., & Kukeba, M. W.
- Affiliations
- University for Development Studies (GH)
- Kwame Nkrumah University of Science and Technology (GH)
- Department of Nursing Faculty of Allied Health Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana
- University of Technology and Applied Sciences (GH)
- Corresponding author
- Gazari, Timothy
- ORCID
- Venue
- Nursing Open
- Publisher
- Wiley
- Published
- 2021-08-22
- Volume
- 8
- Issue
- 6
- Pages
- 3281-3290
- ISSN
- 2054-1058 (ISSN-L)
- PMC
- PMC8510751
- OpenAlex
- W3195650528
- Cited by
- 14
- References
- 25
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 5 · 2023: 1 · 2022: 1
- FWCI
- 3.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nursing Open (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Keywords
- nursing process, registered nurses, nurse-to-patient ratio, nursing care plan, nurse-patient relationship, job satisfaction, nursing supervision, nursing knowledge, nursing resources, urban hospitals, Ghana
- MeSH terms
- Ghana, Hospitals, Municipal, Humans, Job Satisfaction, Nurses, Nursing Process
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