EFFECTIVENESS OF IMPLEMENTING THE NURSING PROCESS IN CLINICAL PRACTICE: A COMPREHENSIVE EVALUATION
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This article presents a comprehensive evaluation of nursing process implementation effectiveness in clinical practice. The nursing process, comprising assessment, diagnosis, planning, implementation, and evaluation (ADPIE), represents the fundamental framework for professional nursing practice. A quasi-experimental study was conducted across six hospital units involving 240 nurses and 720 patients over 18 months (January 2023-June 2024). The intervention included structured education (40 hours), standardized documentation tools, clinical mentorship, and quality monitoring. Results demonstrated significant improvements: nursing documentation completeness increased from 48% to 89% (p<0.001), medication errors decreased by 52% (from 9.2 to 4.4 per 1000 patient-days, p<0.001), hospital-acquired pressure ulcer incidence reduced from 7.8% to 3.2% (p=0.001), patient falls decreased by 46% (p=0.003), and nurse job satisfaction improved from 58% to 86% (p<0.001). Patient satisfaction scores increased from 68.4% to 87.2% (p<0.001). Implementation barriers included time constraints (62%), inadequate staffing (54%), and resistance to change (38%). The discussion emphasizes organizational commitment, continuous education, supportive infrastructure, and culture change as essential for sustainable implementation. Electronic health record integration and standardized nursing terminologies enhance effectiveness.
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