Iris Lumillo-Gutierrez1, José M Romero-Sánchez2, Fabio D'Agostino3, Juan C Paramio-Cuevas2,4, Núria Fabrellas5, Luis J Moreno-Corral2,6, Olga Paloma-Castro2,6. 1. Primary Care Centre CAP Pare Claret, Institut Català de la Salut, Barcelona, Spain. 2. University of Cádiz, Research Group under the Andalusian Research, Development and Innovation Scheme CTS-1019, Cádiz, Spain. 3. Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. 4. University of Cádiz, 'Salus Infirmorum' Nursing School, Cádiz, Spain. 5. University of Barcelona, Nursing School, Barcelona, Spain. 6. University of Cádiz, Nursing School, Cádiz, Spain.
Abstract
AIM: To identify clusters of nurses in relation to the utilisation and attitude towards nursing diagnosis and to compare their profiles considering demographics, professional characteristics and nursing practice environments. BACKGROUND: Nursing diagnosis has benefits for both patients and nurses, and the attitude of nurses towards nursing diagnosis has been proposed as a determinant of its use. Therefore, an adequate understanding of nurses' attitude and utilisation profiles regarding nursing diagnosis is essential for the nursing managers who want to adopt nursing diagnosis as a practice framework. METHODS: A cross-sectional survey design was used. A sample of 239 nurses working in the Catalan primary health care system were categorised into clusters with similar attitude and utilisation profiles, which were compared with each other a posteriori. RESULTS: Nursing managers were grouped into more positive attitude clusters than clinical nurses. Nurses working in supportive nursing practice environments were classified into more positive attitude and higher utilisation clusters. CONCLUSION: The field of work and nursing practice environments were found as differential factors in profiles of nurses with different attitudes towards and/or utilisation of nursing diagnosis. IMPLICATIONS FOR NURSING MANAGEMENT: The promotion of supportive nursing practice environments could enhance the implementation and maintenance of nursing diagnosis as a practice framework in primary health care.
AIM: To identify clusters of nurses in relation to the utilisation and attitude towards nursing diagnosis and to compare their profiles considering demographics, professional characteristics and nursing practice environments. BACKGROUND: Nursing diagnosis has benefits for both patients and nurses, and the attitude of nurses towards nursing diagnosis has been proposed as a determinant of its use. Therefore, an adequate understanding of nurses' attitude and utilisation profiles regarding nursing diagnosis is essential for the nursing managers who want to adopt nursing diagnosis as a practice framework. METHODS: A cross-sectional survey design was used. A sample of 239 nurses working in the Catalan primary health care system were categorised into clusters with similar attitude and utilisation profiles, which were compared with each other a posteriori. RESULTS: Nursing managers were grouped into more positive attitude clusters than clinical nurses. Nurses working in supportive nursing practice environments were classified into more positive attitude and higher utilisation clusters. CONCLUSION: The field of work and nursing practice environments were found as differential factors in profiles of nurses with different attitudes towards and/or utilisation of nursing diagnosis. IMPLICATIONS FOR NURSING MANAGEMENT: The promotion of supportive nursing practice environments could enhance the implementation and maintenance of nursing diagnosis as a practice framework in primary health care.