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Bolivian nurses have not yet incorporated the scientific method and taxonomies into nursing care. This qualitative study aims at understanding the meaning that faculty and nursing professionals from the Department of Santa Cruz de la Sierra (Bolivia) attribute to the nursing process. Data collection was performed through interviews and participant observation. The analysis was performed using the theoretical and methodological framework of Symbolic Interactionism and Grounded Theory, utilizing ATLAS.ti.6.0. The following topics emerged from the data: difficulties in implementing the nursing process due to a lack of preparation and training in leadership, dominance by physicians, lack of records, and poor support from the institution. Advantages were that it combines criteria and language and facilitates the autonomous role of nursing. In conclusion, nurses should establish their professional expectations regarding the implementation of the nursing process and care plans, which is a cultural change that involves faculty, management and clinical nurses.

Objective: To find out the expectations, constraints and training needs of nurses in four Health Care Centers in Santa Cruz in Bolivia, and to develop a pilot project to introduce nursing procedures and standardized care plans., Method: A multicenter, observational, cross-sectional, descriptive study and non-probability study using a closed questionnaire, with responses grouped according to six categories of analysis of problems for the introduction of nursing procedures, previously identified by in-depth interview with nursing staff managers and lecturers of the University. Data analysis was used the statistical program SPSS 15.0., Results: Ninety-five (97.9%) of the nurses surveyed considered it necessary to reinforce theoretical, practical and specific taxonomy management concepts prior to the introduction of nursing procedures. A negative element for the introduction into practice highlights the poor use of training resources. The willingness of nurses to use procedures, 91 (93.8%), increasing the quality and continuity of care between hospital and community, 85 (87.6%) and strengthening the social and scientific visibility of the profession, 87 (89, 7%), are key elements for change., Conclusions: Nurses surveyed support the introduction of nursing procedures in Hospitals and Health Centers. The strengths and weaknesses identified in this study, along with the support of University of Almería (Spain) and the Autonomous University Gabriel René Moreno of Santa Cruz de la Sierra (Bolivia), will be key to enhance a profession whose activity is very important for the development of programs and public health in the country., (Copyright © 2010 Elsevier España, S.L. All rights reserved.)