Challenges in Action Programs to Improve the Quality of Nursing Records

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Other Title
  • 看護記録の質向上を目指すアクションプログラムの課題
  • : Qualitative Research with Nurses who Serve as Facilitators
  • ─ファシリテーターを担った看護師への質的研究─

Abstract

The purpose of this study was to clarify the thoughts of nurses who served as facilitators in an action program designed to improve the quality of nursing records, as well as to identify related issues. The action program aimed to improve the quality of nursing records for training and auditing by specifying when, where, and how records would be handled and by whom. In this program, the facilitator appointed by the person in charge of each unit played a central role by carrying out the training, auditing the records, and conducting unit review meetings with supervisors and unit members. In this study, semi-structured interviews were conducted with six facilitators who had participated in the program and consented to participate in the study. The results were analyzed using a qualitative integration method (i.e., the KJ method), and the following were identified: “disadvantages for facilitators”, “benefits for facilitators”, “results as facilitators”, “need to improve the learning environment”, “need to change the recording format”, and improvement of the action program”. The program did not incorporate facilitator education, so there were undeniable differences in the readiness of each facilitator that led to certain disadvantages. However, taking on the role of facilitator not only helped the nurses acquire knowledge but also resulted in the creation of a cooperative system within the unit. For nurses to further develop as facilitators, it is necessary for supervisors to consider measures to facilitate train and support facilitators.

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