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

Table 1

Educational measures in the intervention—nurses and nurse key personnel.

Phase	Structure and content	Duration and participants	Intension
1	Teaching session: Understand the theory and use of FTF-ND, PES structure, and nursing process.; Focus on nurse key personnel as local opinion leaders in the study.; Group work max 2-3 persons: practical training using depersonalized patient data.	6 hours; Nurse key personnel: 7 persons; Unit leaders: 5 persons; Instructors: 2 research team members	Prepare nurse key personnel. Ensure their understanding.; Include them in the preparations of phase 2.; Include nursing management as strategic personnel.
2	Teaching session: Understand the theory and use of FTF-ND, PES structure, and nursing process.; Group work max 3–5 persons: practical training using depersonalized patient data.	4 hours; Nurse staff members: 25–30 persons; Repeated: 3 times; Instructors: 2 research members, with nurse key personnel actively contributing as coinstructors.	Prepare the nurse staff members on theoretical and practical use.; Create a collective experience.; Ensure joint knowledge.
3	Guidance and counselling follow-up period: Practical use of FTF-ND and focus on use and challenges.	Initial 2 months: every second week; Last 5 months: once a month/or based on individual needs; Nurse key personnel: one-one guidance.; Instructors: 2 research team members	Support the nurse key personnel in their role and offer professional support on use of FTF-ND.
4	Teaching session: Reflection and discussion of use and usefulness.; How to go on after closure of study	6 hours; Nurse key personnel: 7 persons; Unit leaders: 5 persons; Instructors: 2 research team members	Summarize experiences.; Identify action after closure of study.; Include nursing management as strategic personnel.