%0 Journal Article
%T Barriers to the Implementation of the Nursing Approach in Public Hospitals in Lubumbashi in the Democratic Republic of Congo: A Cross-Sectional Descriptive Study
%A Ndayi Kabamba Julie
%A Ilunga Kandolo Simon
%A Kabange Umba Ir¨¨ne
%A Matungulu Matungulu Charles
%A Abdulu Mahuridi
%A Mwinkeu Kasongo Narcisse
%A Malonga Kaj Francoise
%J Open Access Library Journal
%V 4
%N 7
%P 1-14
%@ 2333-9721
%D 2017
%I Open Access Library
%R 10.4236/oalib.1103721
%X <div style="text-align:justify;">
	<span style="line-height:1.5;">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 thi</span><span style="line-height:1.5;">s study was to determine nursesĄŻ
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.</span>
</div>
%K Nursing Care
%K Barriers
%K Implementation
%K Public hospitals
%K Lubumbashi
%U http://www.oalib.com/paper/5287281