Author(s):
Aikabeli Priscilla, Edoka Aaron
Email(s):
emikeaikabeli@yahoo.com
DOI:
10.52711/jnmr.2026.13 
Address:
Aikabeli Priscilla*, Edoka Aaron
Department of Nursing Science, Benson Idahosa University, PMB 1100 University Way, Off Upper Adesuwa Road, GRA, Benin City, Edo State, Nigeria.
*Corresponding Author
Published In:
Volume - 5,
Issue - 2,
Year - 2026
ABSTRACT:
The nursing process is a structured framework that enhances patient care through systematic assessment, diagnosis, planning, implementation, and evaluation. Despite its proven effectiveness, its application in midwifery practice remains understudied. This study assessed the utilization of the nursing process by midwives and its impact on midwifery practice in a tertiary health institution in Southern Nigeria. A quantitative cross-sectional study design was adopted, with 87 midwives selected using random sampling. Data were collected via a structured questionnaire and analyzed using descriptive statistics. Findings revealed a high level of nursing process utilization, with midwives demonstrating competency in assessment, diagnosis, care planning, and evaluation. However, factors such as workload, time constraints, and inadequate resources were identified as significant barriers. Despite these challenges, midwives exhibited a positive attitude towards the nursing process, recognizing its role in improving patient outcomes and professional practice. The study recommended targeted training programmes, workload management strategies, and improved resource allocation to enhance nursing process implementation. Further research should explore comparative analysis across multiple healthcare facilities to identify best practices for optimizing midwifery care.
Cite this article:
Aikabeli Priscilla, Edoka Aaron. Assessment of the use of the Nursing Process by Midwives and its Impact on Midwifery Practice in a Tertiary Hospital in Southern Nigeria. A and V Pub Journal of Nursing and Medical Research. 2026;5(2):60-6. doi: 10.52711/jnmr.2026.13
Cite(Electronic):
Aikabeli Priscilla, Edoka Aaron. Assessment of the use of the Nursing Process by Midwives and its Impact on Midwifery Practice in a Tertiary Hospital in Southern Nigeria. A and V Pub Journal of Nursing and Medical Research. 2026;5(2):60-6. doi: 10.52711/jnmr.2026.13 Available on: https://jnmronline.com/AbstractView.aspx?PID=2026-5-2-2
REFERENCES:
1. Afolayan AA, Donald B, Baldwin DM, Onasoga O, Babafemi A. Evaluation of the utilization of nursing process and patient outcome in psychiatric nursing: Case study of Psychiatric Hospital, Rumuigbo, Port Harcourt in Nigeria. Advanappscience Res. 2023; 4(5): 34-43.
2. Oyedeji MA, Smith JA, Johnson L. The impact of nursing process utilization on patient outcomes and satisfaction. Healthcarequa J. 2024; 24(2): 56-68.
3. Afoi BB, Emmanuel A, Garba SN, Gimba SM, Afuwai V. Evaluation of the implementation of nursing process among nurse clinicians. Conti J Nursscience. 2022; 4(1): 34-46.
4. Berman A, Snyder S. Kozier and Erb’s Fundamentals of Nursing: Concepts, Process and Practice. 9th Ed. Upper Saddle River, New Jersey: Pearson Education Inc; 2022.
5. Betty J, Ackley A, Gail B, Ladwig S. Nursing Diagnosis Handbook: An evidence-based guide to planning care; 9th Ed. Missouri: Mosby: St Louis; 2021.
6. Edet AB, Mgbekem MA, Edet OB. Professional nurses’ perception of the nursing process at the University of Calabar Teaching Hospital (UCTH), Calabar, Nigeria. 2023; Available from https://www.researchgate.net/publication
7. Semachew A. Implementation of nursing process in clinical settings. J Nurs Res Pract. 2022; 15(3): 123-137.
8. Huitzi-Egilegor JX, Elorza-Puyadena MI, Urkia-Etxabe JM, Zubero-Linaza J, Zupiria-Gorostidi X. Use of the nursing process at public and private centers in a health area. Revista Latino-Americana de Enfermagem. 2022; 20(5).
9. Pokorski S, Moraes MA, Chiarelli R, Costanzi AP, Rabelo ER. Nursing process: From literature to practice: What are we actually doing? Revista Latino-Americana de Enfermagem. 2009; 17(3): 302-307.
10. Juall L. Carpenito M. Nursing Diagnoses: Application to Clinical Practice; 13th Ed. Philadelphia: Lippincott Williams & Wilkins; 2024.
11. Mahmoud MH, Bayoumy HM. Barriers and facilitators for the execution of the nursing process from nurses' perspectives in two hospitals in the Najran region, Saudi Arabia. Int J Advanceres. 2022; 2(2): 300-315.
12. Yildirim B, Ozkahraman S. Critical thinking in nursing process and education. Int J Humansocscience. 2022; 1(13): 257-262.
13. Flanagan J, Beck CT. Polit & Beck’s Nursing research: Generating and assessing evidence for nursing practice (12th ed.). Philadelphia: Lippincott Williams & Wilkins Wolters Kluwer; 2023.
14. Gopee N. Becoming a nurse: Fundamental transformation or ritual hazing? British J Nurs. 2022; 26(18): 1005-1006.
15. Lee HC. Higgins A. Brown K. Comprehensive nursing assessments of elderly people following a fall. Nursstand. 2023; 32(36): 41-49.
16. Gill F. The importance of assessment in clinical practice. Nursstand. 2021; 31(23): 52-58.
17. Dreyer L. The patient interview: Learn to communicate. RDH. 2021; 26(2): 46-50.
18. Pamela SD. Nursing process and critical thinking: Ohio Board of Nursing Law and Rules. Ohio Nurses Association. 2020. 5(3). Available from www.ohnurses.org.
19. Lopes MH, Higa R, Christoforo FF, Oliveira RN, Reis MJ. Evaluation of the nursing process used at a Brazilian teaching hospital. Int J Nurstermiclass. 2020; 21(3): 116-123.
20. Hughes RG, Blegen MA. Medication administration safety. In Patient Safety and Quality: An Evidence-Based Handbook for Nurses (1-60). USA: Agency for Healthcare Research and Quality; 2021.
21. Molly S. Nursing Process: A clinical guide. 2nd Ed. New Delhi: Jaypee Brothers Medical Publishers LTD; 2023.
22. Institute of Medicine. Crossing the global quality chasm: Improving health care worldwide. National Academies Press; 2021.
23. Muller-Staub M, Lavi MA, Needham I, Achterberg T. Nursing diagnoses, interventions and outcomes: Application and impact on nursing practice: Systematic review. J Advanceurs. 2024; 56(5): 514-531.
24. Wong CA, Cummings GG, Ducharme L. The relationship between nursing leadership and patient outcomes: A systematic review update. J Nursmanage. 2020; 28(1): 30-46.
25. Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, et al. Patient safety, satisfaction, and quality of hospital care: cross-sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ Qualisafe. 2022; 21(1): 30-38.
26. Thoroddesen N, Ehnfors M, Ehrenberg A. Content and completeness of care plans after implementation of standardized nursing terminologies and computerized records. Computinformnurs: CIN. 2020; 29: 599-607.
27. Kiekkas P, Sakellaropoulos GC, Brokalaki H, Manolis E, Samios A, Skartsani C, et al. Association between nursing workload and mortality of intensive care unit patients. J Nursscholar. 2021; 49(1): 6-15.
28. Smelter SC, Barre BG, Hinkle JL, Cheever KH. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th ed. Philadelphia: Lippincott Williams & Wilkins; 2022.
29. Chen YM, Lou MF. The effectiveness of health education programs for enhancing nurses' compliance with Standard Precautions: A systematic review. Ame J Infectcontrol. 2022; 44(11): e191-e202.
30. Wolf ZR. Giardino ER. Osborne PA. Day KL. Synder M. Using the nursing process to guide emergency nursing education: A literature review. Int Emergnurs. 2021; 33: 29-34.
31. Papastavrou E, Efstathiou G, Charalambous A. Nurses' and patients' perceptions of caring behaviours: quantitative systematic review of comparative studies. J Advanurs. 2021; 73(3): 527-543.
32. Fagerström L. Evidence of nursing interventions in clinical care and patient outcome after abdominal surgery: A systematic review. J Clinnurs. 2020; 19(15-16), 2123-2140.
33. Tavares GMS, Santos LF, Costa VZ. Barriers to effective utilization of the nursing process: A case study of a university hospital in Brazil—Int J Nurspract. 2020; 26(4): e12821.
34. Potter P, Deshields T, Divanbeigi J, Berger J. Ciprian D. Norris L. Olsen S. Compassion fatigue and burnout: Prevalence among oncology nurses. Clin J Onconurs. 2021; 23(2): 195-200.
35. Brown JS, Smith R. Diagnostic accuracy of the care home admission risk prediction tool (CHART) for long-term care decisions: A systematic review and meta-analysis. Age and Ageing. 2022; 45(5): 603-610.