RESUMO
Nursing process is a systematic approach to identify, and treat human responses to health problems and illness. Studies have showed that implementing nursing process and its steps including recording nursing diagnosis, is facing many challenges in Iran many other countries. The aim of this study was to assess nurses, and nurse managers' point of view about the barriers for documenting the nursing diagnoses. This cross - sectional study with a problem-solving approach examined the barriers for documenting the nursing diagnosis. The study was carried out in May 2013 in Besat Nahaja, Imam Hussain [AS], and Khatamolanbya hospitals in Tehran. The sample of the study consisted of 16 nurse managers [Supervisors and matrons] and 54 nurses, and were selected by convenience sampling method. A two-part questionnaire was used for data collection. The first part of the questionnaire included demographic information and the second part was consisted of questions regarding personal, managerial and organizational barriers for identifying and recording nursing diagnoses. Each items was rated in a 5 point likert scale. Validity of the instrument was assured by face and content validity method, and reliability was determined by calculating Cronbach's alpha reliability. Data were analyzed by SPSS software and descriptive and inferential statistics. From point of view of nurses, managerial factors [2/77] were the main barriers for documentation of nursing diagnosis, while nurse managers [3/25] mentioned organizational factors as the most important barrier. Using a problem solving approach, establishing in service and continuing education programs is proposed. The recommended strategy for improving documentation of nursing diagnoses is establishing in-service education programs on nursing process and nursing diagnoses and nursing documentation