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 6

Results from qualitative content analysis—nursing students. 

Content areaCategories Themes

Educational measures: 
Nursing documentation in school, practically and theoretically
Discover personal development 
Discussions and practical training are valuable 
Need clinical training 
Hope for future AEHR 
Feel insecure
Training prior to practice is valuable, wish for more
Learning nursing diagnoses FTF-ND in particular:Gradually increased understanding from 1 to 2 years 
Reflection and training
Understand the use of nursing diagnoses

Nursing student in practice: 
The intervention unit’s focus on nursing documentation
Evident focus 
Noticeable discussions of use and formulations of ND’s 
Occasions of low assessment/work by routine
The nursing students use their critical thinking when observing the unit
Nursing student in practice: 
The preceptor’s focus on nursing documentation
Distinct and well-planned counselling/guidance  
Acknowledgement 
Positive learning environment 

Occasions of vague guidance from others beside preceptors
Acknowledged and empowered in a secure learning environment
Nursing students in practice: 
Nursing process  
Nurse careplan (NCP):  
Assessment
Nurse diagnosis FTF-ND
planning, goals
Interventions
Evaluation/outcome
The EHR system requires training 
Participation NCP: promotes independence and consciousness  
Data collections require training 
More apparent focus this year 
Can feel insecure on what, where, and how to formulate
Utilization promotes nursing consciousness/critical thinking.  
Displays challenges of utilization

The student assignment: 
Nurse care plan  including a reflection/assessment component
Discover personal development 
Enhance consciousness 
Difficult to communicate the theoretical foundation of clinical practice 
Stressful
Positive learning outcome, challenges critical thinking.  
Displays a stressful factor