Research Article

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 4

Results from qualitative content analysis—nurses.

Content areaCategories Themes

Educational measures: 
Teaching sessions, practical and theoretical
Consciousness and reflection
Usefulness and recognition
Challenging before group work
Educational preparations are useful

Nurses at work: 
Nursing documentation  in general
Care plans: better overview, ease workload
Increased focus
Increased focus on nursing documentation
Nurses at work: 
Frustrations
Challenges r.t framework: inaccessible equipment, interference, disturbanceExternal factors are barriers
Nurses at work: 
Nursing process 
Assessment
Nurse diagnosis FTF-ND
Planning, goals
Interventions
Evaluation/outcome
Assessment is crucial
FTF-ND:
Focus on patient empowerment
Useful
Increased awareness of patient’s needs
Increased reflection, but time-consuming
Goals are difficult but ensure direction
Evaluation gets easier
Initial skepticism
Nursing diagnoses enhance critical thinking
Focus on usefulness
Nurses at work: 
Collaborating on nursing documentation
Day shifts are essential
Encourage, support, and help
Challenging, when alone
Support and security dominate
Visible, present, and supportive nurse key personnel
The role of nurse key personnel Distinct support initially
Visible, promotes consciousness, a reminder

The way ahead: 
Nursing diagnoses FTF-ND, documentation in general
Help and recognize each other
Organize the work
Continuation of ND use
Teamwork/collaboration is essential