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 5

Results from qualitative content analysis—nurse key personnel.

Content areaCategories Themes

Educational measures:  
Teaching sessions, practical and theoretical
Well prepared as nurse key personnel 
Positive experience to participate in teaching
Essential to be well prepared

The nurse key role:Clarification of the nurse key role 
Positive organizational opportunities 
Useful guidance 
Practical challenges
Empowerment of the nurse key role

Nurses at work: 
Nurse documentation, in general
Increased professional focus 
Mutual educational experience promotes teamwork 
Development of practical solutions
Increased focus on nursing documentation
Nurses at work: 
Frustrations
Challenges r.t framework: inaccessible computers interference, interruptionsExternal factors are barriers
Nurses at work:  
Nursing process  
Nurse careplan (NCP)   
Assessment  
Nurse diagnosis FTF-ND  
Planning, goals  
Interventions  
Evaluation/outcome
NCP: positive development 
structure, improvement 
Emphasis on patient empowerment 
FTF-ND:  
Useful  
Increased consciousness  
Goals ensure direction 
Clarifies interventions 
Evaluation gets easier
Nursing diagnoses enhance critical thinking and affect completeness of the nursing care plan 
Focus on usefulness
Nurses at work: 
Collaborating on nurse documentation
More discussions, common focus 
Importance of organizing the work
Nursing documentation—joint mission

The way ahead: 
The future nurse key role
Balance and maintaining focus on documentation, motivate 
Requires time and effort
Maintain a visible focus, requires resources