Implementation of Free Text Format Nursing Diagnoses at a University Hospital’s Medical Department. Exploring Nurses’ and Nursing Students’ Experiences on Use and Usefulness. A Qualitative Study

Background. Nursing documentation has long traditions and represents core element of nursing, but the documentation is often criticized of being incomplete. Nursing diagnoses are an important research topic in nursing in terms of quality of nursing assessment, interventions, and outcome in addition...

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Main Authors: Sigrun Aasen Frigstad, Torunn Hatlen Nøst, Beate André
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2015/179275
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author Sigrun Aasen Frigstad
Torunn Hatlen Nøst
Beate André
author_facet Sigrun Aasen Frigstad
Torunn Hatlen Nøst
Beate André
author_sort Sigrun Aasen Frigstad
collection DOAJ
description Background. Nursing documentation has long traditions and represents core element of nursing, but the documentation is often criticized of being incomplete. Nursing diagnoses are an important research topic in nursing in terms of quality of nursing assessment, interventions, and outcome in addition to facilitating communication and continuity. Aim. The aim of this study was to explore the nurses’ and nursing students’ experiences after implementing free text format nursing diagnoses in a medical department. Method. The study design included educational intervention of free text nursing diagnoses. Data was collected through five focus group interviews with 18 nurses and 6 students as informants. The data was analyzed using qualitative content analysis. Results. The informants describe positive experiences concerning free text format nursing diagnoses’ use and usefulness; it promotes reflection and discussion and is described as a useful tool in the diagnostic process, though it was challenging to find the diagnosis’ appropriate formulation. Conclusion. Our findings indicate a valid usability of free text format nursing diagnoses as it promotes the diagnostic process. The use seems to enhance critical thinking and may serve as valuable preparation towards an implementation of standardized nursing diagnoses. Use and support of key personnel seem valuable in an implementation process.
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spelling doaj-art-b23a694ab1de482cb25e238d92d6360a2025-02-03T01:06:56ZengWileyNursing Research and Practice2090-14292090-14372015-01-01201510.1155/2015/179275179275Implementation of Free Text Format Nursing Diagnoses at a University Hospital’s Medical Department. Exploring Nurses’ and Nursing Students’ Experiences on Use and Usefulness. A Qualitative StudySigrun Aasen Frigstad0Torunn Hatlen Nøst1Beate André2Faculty of Nursing, Sør-Trøndelag University College (HiST), Postboks 2320, 7004 Trondheim, NorwaySt. Olav’s Hospital, Trondheim University Hospital, Postboks 3250, 7006 Trondheim, NorwayFaculty of Nursing, Sør-Trøndelag University College (HiST), Postboks 2320, 7004 Trondheim, NorwayBackground. Nursing documentation has long traditions and represents core element of nursing, but the documentation is often criticized of being incomplete. Nursing diagnoses are an important research topic in nursing in terms of quality of nursing assessment, interventions, and outcome in addition to facilitating communication and continuity. Aim. The aim of this study was to explore the nurses’ and nursing students’ experiences after implementing free text format nursing diagnoses in a medical department. Method. The study design included educational intervention of free text nursing diagnoses. Data was collected through five focus group interviews with 18 nurses and 6 students as informants. The data was analyzed using qualitative content analysis. Results. The informants describe positive experiences concerning free text format nursing diagnoses’ use and usefulness; it promotes reflection and discussion and is described as a useful tool in the diagnostic process, though it was challenging to find the diagnosis’ appropriate formulation. Conclusion. Our findings indicate a valid usability of free text format nursing diagnoses as it promotes the diagnostic process. The use seems to enhance critical thinking and may serve as valuable preparation towards an implementation of standardized nursing diagnoses. Use and support of key personnel seem valuable in an implementation process.http://dx.doi.org/10.1155/2015/179275
spellingShingle Sigrun Aasen Frigstad
Torunn Hatlen Nøst
Beate André
Implementation of Free Text Format Nursing Diagnoses at a University Hospital’s Medical Department. Exploring Nurses’ and Nursing Students’ Experiences on Use and Usefulness. A Qualitative Study
Nursing Research and Practice
title Implementation of Free Text Format Nursing Diagnoses at a University Hospital’s Medical Department. Exploring Nurses’ and Nursing Students’ Experiences on Use and Usefulness. A Qualitative Study
title_full Implementation of Free Text Format Nursing Diagnoses at a University Hospital’s Medical Department. Exploring Nurses’ and Nursing Students’ Experiences on Use and Usefulness. A Qualitative Study
title_fullStr Implementation of Free Text Format Nursing Diagnoses at a University Hospital’s Medical Department. Exploring Nurses’ and Nursing Students’ Experiences on Use and Usefulness. A Qualitative Study
title_full_unstemmed Implementation of Free Text Format Nursing Diagnoses at a University Hospital’s Medical Department. Exploring Nurses’ and Nursing Students’ Experiences on Use and Usefulness. A Qualitative Study
title_short Implementation of Free Text Format Nursing Diagnoses at a University Hospital’s Medical Department. Exploring Nurses’ and Nursing Students’ Experiences on Use and Usefulness. A Qualitative Study
title_sort implementation of free text format nursing diagnoses at a university hospital s medical department exploring nurses and nursing students experiences on use and usefulness a qualitative study
url http://dx.doi.org/10.1155/2015/179275
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