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Title: A survey study on the implementation of the nursing process in Singapore
Author: Png, H. G.
Awarding Body: University of Wales Swansea
Current Institution: Swansea University
Date of Award: 2000
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This thesis evaluates the implementation of the nursing process in Singapore, using a variety of approaches based on a sample of 450 nurses from three major hospitals. This research study employs both quantitative and qualitative research methods and survey design to investigate and examine the factors that influenced the successful implementation of the nursing process. The findings of the study showed that the implementation was unsuccessful, largely due to the ineffective management of a planned, transformational change. The major issues included the failure to consider the needs to ensure that nurses have adequate knowledge, skills and resources to achieve management objectives. Other contributory factors were communication problems, social and cultural differences of a multi-racial workforce, nurses' attitudes toward the nursing process and organisational issues such as a systems and structure. An important reason was the failure of a management to recognise the issues associated with a strategic change. The nursing process is a planned, transformational change that requires a proactive and committed management. The hospitals and their work force were insufficiently prepared for the change to occur and be institutionalised. Barriers to change were not fully identified and the appropriate actions instigated to facilitate the change process. In sum, these issues acted as restraining forces to the planned change. For the implementation to be successful, two issues need to be addressed. Management should recognise that it is a multi-faceted strategic change, and that a redesign using a theory-based nursing practice is a framework for directing future professional practice is necessary.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available