International Council for Education, Research and Training

Factors Influencing Nursing Process by Nurses at Federal Medical Centre, Apir, Benue State, Nigeria

Aniekwe, Ngozi Louisa 

Federal Medical Centre, Makurdi, Benue State


Many countries have adopted the nursing process as a basic requirement for quality health care services, but there is a problem with its implementation in the clinical areas of many healthcare facilities. Even though the generality of nurses agrees with the benefits of the nursing process, they do not always use it practically. The implementation of the nursing process in Federal Medical Centre (FMC) Apir is not well organized and advanced as it ought to be. An institutional-based, descriptive cross-sectional study design was conducted at FMC Apir. A simple random sampling technique was applied to select study subjects. The data were collected using self-administered questionnaires. Binary logistic regressions were used. Then, P-value < 0.05 was considered statistically significant in this study. This study reviled that 62.8% of nurses implemented the nursing process. Work experience greater than or equal to five years [AOR: 1.81; 95% CI (1.29–4.81)], support from the administration of the organization to do the nursing process [AOR: 1.96; 95% CI (1.20–3.03)], and knowledgeable nurses [AOR: 2.21; 95% CI (1.30–4.98)] are significantly associated with the implementation of the nursing process. Exactly sixty-two nurses at FMC Apir implemented the nursing process. Work experience, organizational support to implement the nursing process, and knowledge were significant factors affecting the implementation of the nursing process.

Keywords: Nursing process, Nurse, Implementation, Health care, FMC Apir.

Impact Statement


     The analysis will impact on the body of knowledge and provokes more research work.

– The work will impact on and improve the quality of patients care.

    When there is improved nursing process practice, it would impact on and improve the image of nursing profession and professionalism which would improve on their collective bargaining for better remuneration among other health professionals improved nursing process practice work will attract better health policy of health ministries and institution to improve on nurse /patient ratio by employing more nurse’s.

     The Federal ministry of health and nursing and midwifery councils may use the outcome or recommendations from the work by using the nursing process as a parameters for accreditation of nursing department of the hospitals.

      Nursing process would be used by institutions as a panacea for assessing proficiency and efficiency during employment interview, promotion recommendation and examination of nursing staff.

        This work when taken seriously will impact positively on the nurse’s in my  clime to join the global trend of using nursing process as a standardized scientific tool and language all over the world .

The Author's Profile

LOUISA NGOZI ANIEKWE hails from Nenwe, Aninri Local Government are of Enugu State . She is married in the same Local Government area. 

She is  a Deputy Director of Nursing Services   the Coordinator of Nursing Services, and the Head of Nursing Education, training and development  at Federal Medical Centre Makurdi, Benue State, Nigeria. 

A Fellow of West African Post Graduate College of Nursing; She holds  a  Bachelor’s degree in Nursing Science, Masters degree in Nursing  Science (Public Health  Nursing), Master’s degree in Public Administration,  Specialist of burns and plastic Surgery Nursing , a nurse/midwife and is presently  undertaking  her PhD in Nursing Science (Public health) at the Lincoln University College, Malaysia

  1. Alexander, E. L. (1978). Nursing Administration in the Hospital Healthcare System. 2nd Edition. Macmillan.
  2. Atkinson, L.D. and Murray M.E. (1983). Understanding the Nursing Process, 2nd Edition C.V Mosby, Company Limited, USA.
  3. Awosiyan W.A (1991). A Guide to Nursing Process for All Nurses. 2nd Edition. Macmillan Publishing Company Inc. New-York.
  4. Beland and Passes C’ (1992). Nursing Pathophysiology and Psychological Approaches, 4th Edition. Macmillan Publishing Company Inc. New-York.
  5. Beyers M. and Philips C. (1971). Nursing Management for Patient Care: 1st Edition Churchill Livingstone Pub. Great Britain.
  6. Davis’B’et al (2008). Insights about the Process and Impact of Implementing Nursing Guidelines on Delivery of Care in Hospitals and Community Setting. (by in-hospital interview).
  7. De Medeiros, D, de Almeida, MA, de Araujo OJ et al, (2016). domain safety/protection and socioeconomic and clinical aspects of critical patients Open Nursing diagnoses of the Journal of Nursing, 6, 314-322.
  8. Du Gas B.W. (1983). Introduction to Patient Care: 4th Edition. Churchill Livingstone Pub. Great Britain.
  9. Fayemilehin R. et al (2006). Foundation of Nursing: 1st Edition. Folubee Prints Lagos, for National Open University.
  10. Federal Ministry of Health (2011). Nursing care practice standards, Reference manual for Nurses and Healthcare Managers in Ethiopia.
  11. Gabbie K. and Lavia M.J (19790). The Principle and Practice of Nursing: 6th Edition Pitman Press Great Britain.
  12. Hagos, F, Alemeseged, F, Balcha, F, Berhe, S and Aregay, A (2014). Application of nursing process and its affecting factors among nurses working in Mekelle zone hospitals, Northern Ethiopia. Nursing Research practice, 12(2), 7-8.
  13. Hlesami R. (2008). Paper Presentation (Unpublished) on Nursing Process.
  14. Johnson D.E. (1980). The Behavioural System Model for Nursing. 1st Edition Macmillan Pub. Co. Inc. New York.
  15. lyer P.T. and Losey J. (1991). Nursing Process and Nursing Diagnosis: 2nd Edition Churchill Living Stone London.
  16. Mutshatshi, TE, Mothiba, TM (2020). Nurses practices during nursing process at a selected public hospital of Limpopo qualitative pilot study analysis implementation of the province, South Africa: 
  17. Mwangi, C Menganyi LW, Mbugua RG (2019). Utilization of the nursing process among nurses working at Level 5 Hospital, Kenya. International journal of Nursing Science, 9(1), 1-11
  18. Ogundeyin O. (2008). Lecture Note on Nursing Process.
  19. Potter, P.A and Perry, A.G (2017). Fundamentals of Nursing, St. Louis: Semachew, A (2017). Implementation of nursing process in clinical three governmental hospitals in Ethiopia. BMC, 11(1), 1-6. 
  20. Smith, R.L. and Horn EJ (1973). Development of Criterion Measures in the Nursing Care: 1″ Edition, Churchill Livingstone pub. London. Edition C.V Mosby, Co. Ltd. USA
  21. Yura II and Walsh M.B1 (1973). The Nursing Process: Assessing Planning, implementing and evaluating. Norwalk, Appleton-Century Craft Pub. New York.
  22. Zamauzadeh, V, Valizadeh, L, Tabrizi, F.J, Bershid, M and Lofti, M (2015). Challenges associated with the implementation of the nursing process: A systematic review. Iran journal of Nursing and midwifery 20(40)411-420.
Scroll to Top