Participants' perceptions of an intervention implemented in an Action Research Nursing Documentation Project
Aims and objectives The aim of this study is to describe healthcare professionals’ experiences and perceptions of an intervention implemented in an action research project conducted to improve nursing documentation practices in four municipalities in Norway. Background Documentation of individualize...
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| Veröffentlicht in: | Journal of clinical nursing 2017-04, Vol.26 (7-8), p.983-993 |
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| container_title | Journal of clinical nursing |
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| creator | Vabo, Grete Slettebø, Åshild Fossum, Mariann |
| description | Aims and objectives
The aim of this study is to describe healthcare professionals’ experiences and perceptions of an intervention implemented in an action research project conducted to improve nursing documentation practices in four municipalities in Norway.
Background
Documentation of individualized patient care is a continuing concern in healthcare services and could impacts the quality and safety of healthcare. Use of electronic systems has made some aspects of documentation more comprehensive, but creation of an individualized care plan remains a pressing issue.
Design
A qualitative descriptive design was used.
Methods
An action research project was conducted between 2010–2012 to improve the content and quality of nursing documentation in community healthcare services in four municipalities. One year after the project was completed four focus group interviews were conducted with healthcare professionals, one for each involved municipality. Two unit managers were interviewed individually. Qualitative content analysis was used.
Results
Three themes emerged: healthcare professionals perceived competing interest; they experienced that they had to manage complexity and changes; and they highlighted a clear and visible leader as important for success.
Conclusions
Quality improvement activities are essential. Healthcare professionals experience a complicated situation when electronic health record systems do not support workflow. Further research is recommended to focus on the functionality and user interface of electronic health record systems, and on the role of leadership when implementing changes in clinical practice.
Relevance to clinical practice
Stronger cooperation among policymakers, electronic health record system vendors, and healthcare professionals is essential for improving electronic health record systems and documentation practices. Involvement of end‐users in these improvements can make a difference in the way the systems are perceived in the clinical workflow. |
| doi_str_mv | 10.1111/jocn.13389 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1885868171</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1885868171</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3909-eb028ce69a59441047ec00be48744721025534b0c7ca1940565472116936434d3</originalsourceid><addsrcrecordid>eNqNkU1vEzEQhi1ERULgwg9AK3EAIW3x2F5_HKvw0VZVGyE4rxxnAo527a29C-q_726S9sABdS7WzPvokayXkDdAT2GcT7vowilwrs0zMgcuq5Ipyp6TOTWSlUClmpGXOe8oBc4Yf0FmTIFhAticNCubeu98Z0Of3xcdJodd72PIRdwWNhQ-9Jj-YJhuhW-7Bttxwc0YTPGZ2wffMaNN7ndxPaTsw6_ic3TDBNp9vEpxh65_RU62tsn4-vguyM-vX34sz8urm28Xy7Or0nFDTYlryrRDaWxlhAAqFDpK1yi0EkIxoKyquFhTp5wFI2glq-kM0nApuNjwBflw8HYp3g6Y-7r12WHT2IBxyDVoXWmpQcETUCal5kKLEX33D7qLQwrjRyYhrQzTSo7UxwPlUsw54bbukm9tuquB1lNd9VRXva9rhN8elcO6xc0j-tDPCMAB-OsbvPuPqr68WV4fpPcGnZ4W</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1880592876</pqid></control><display><type>article</type><title>Participants' perceptions of an intervention implemented in an Action Research Nursing Documentation Project</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Vabo, Grete ; Slettebø, Åshild ; Fossum, Mariann</creator><creatorcontrib>Vabo, Grete ; Slettebø, Åshild ; Fossum, Mariann</creatorcontrib><description>Aims and objectives
The aim of this study is to describe healthcare professionals’ experiences and perceptions of an intervention implemented in an action research project conducted to improve nursing documentation practices in four municipalities in Norway.
Background
Documentation of individualized patient care is a continuing concern in healthcare services and could impacts the quality and safety of healthcare. Use of electronic systems has made some aspects of documentation more comprehensive, but creation of an individualized care plan remains a pressing issue.
Design
A qualitative descriptive design was used.
Methods
An action research project was conducted between 2010–2012 to improve the content and quality of nursing documentation in community healthcare services in four municipalities. One year after the project was completed four focus group interviews were conducted with healthcare professionals, one for each involved municipality. Two unit managers were interviewed individually. Qualitative content analysis was used.
Results
Three themes emerged: healthcare professionals perceived competing interest; they experienced that they had to manage complexity and changes; and they highlighted a clear and visible leader as important for success.
Conclusions
Quality improvement activities are essential. Healthcare professionals experience a complicated situation when electronic health record systems do not support workflow. Further research is recommended to focus on the functionality and user interface of electronic health record systems, and on the role of leadership when implementing changes in clinical practice.
Relevance to clinical practice
Stronger cooperation among policymakers, electronic health record system vendors, and healthcare professionals is essential for improving electronic health record systems and documentation practices. Involvement of end‐users in these improvements can make a difference in the way the systems are perceived in the clinical workflow.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/jocn.13389</identifier><identifier>PMID: 27192412</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Action research ; Clinical medicine ; Content analysis ; Documentation ; Documentation - methods ; Health Services Research ; Humans ; implementation evidence based practice ; Leadership ; Norway ; Nursing ; nursing documentation ; nursing organization ; Nursing Records ; Patient Care Planning - organization & administration ; Perceptions ; Qualitative Research ; Quality ; Research Design ; usability issues ; Workflow</subject><ispartof>Journal of clinical nursing, 2017-04, Vol.26 (7-8), p.983-993</ispartof><rights>2016 John Wiley & Sons Ltd</rights><rights>2016 John Wiley & Sons Ltd.</rights><rights>Copyright © 2017 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3909-eb028ce69a59441047ec00be48744721025534b0c7ca1940565472116936434d3</citedby><cites>FETCH-LOGICAL-c3909-eb028ce69a59441047ec00be48744721025534b0c7ca1940565472116936434d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocn.13389$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocn.13389$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27192412$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vabo, Grete</creatorcontrib><creatorcontrib>Slettebø, Åshild</creatorcontrib><creatorcontrib>Fossum, Mariann</creatorcontrib><title>Participants' perceptions of an intervention implemented in an Action Research Nursing Documentation Project</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aims and objectives
The aim of this study is to describe healthcare professionals’ experiences and perceptions of an intervention implemented in an action research project conducted to improve nursing documentation practices in four municipalities in Norway.
Background
Documentation of individualized patient care is a continuing concern in healthcare services and could impacts the quality and safety of healthcare. Use of electronic systems has made some aspects of documentation more comprehensive, but creation of an individualized care plan remains a pressing issue.
Design
A qualitative descriptive design was used.
Methods
An action research project was conducted between 2010–2012 to improve the content and quality of nursing documentation in community healthcare services in four municipalities. One year after the project was completed four focus group interviews were conducted with healthcare professionals, one for each involved municipality. Two unit managers were interviewed individually. Qualitative content analysis was used.
Results
Three themes emerged: healthcare professionals perceived competing interest; they experienced that they had to manage complexity and changes; and they highlighted a clear and visible leader as important for success.
Conclusions
Quality improvement activities are essential. Healthcare professionals experience a complicated situation when electronic health record systems do not support workflow. Further research is recommended to focus on the functionality and user interface of electronic health record systems, and on the role of leadership when implementing changes in clinical practice.
Relevance to clinical practice
Stronger cooperation among policymakers, electronic health record system vendors, and healthcare professionals is essential for improving electronic health record systems and documentation practices. Involvement of end‐users in these improvements can make a difference in the way the systems are perceived in the clinical workflow.</description><subject>Action research</subject><subject>Clinical medicine</subject><subject>Content analysis</subject><subject>Documentation</subject><subject>Documentation - methods</subject><subject>Health Services Research</subject><subject>Humans</subject><subject>implementation evidence based practice</subject><subject>Leadership</subject><subject>Norway</subject><subject>Nursing</subject><subject>nursing documentation</subject><subject>nursing organization</subject><subject>Nursing Records</subject><subject>Patient Care Planning - organization & administration</subject><subject>Perceptions</subject><subject>Qualitative Research</subject><subject>Quality</subject><subject>Research Design</subject><subject>usability issues</subject><subject>Workflow</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1vEzEQhi1ERULgwg9AK3EAIW3x2F5_HKvw0VZVGyE4rxxnAo527a29C-q_726S9sABdS7WzPvokayXkDdAT2GcT7vowilwrs0zMgcuq5Ipyp6TOTWSlUClmpGXOe8oBc4Yf0FmTIFhAticNCubeu98Z0Of3xcdJodd72PIRdwWNhQ-9Jj-YJhuhW-7Bttxwc0YTPGZ2wffMaNN7ndxPaTsw6_ic3TDBNp9vEpxh65_RU62tsn4-vguyM-vX34sz8urm28Xy7Or0nFDTYlryrRDaWxlhAAqFDpK1yi0EkIxoKyquFhTp5wFI2glq-kM0nApuNjwBflw8HYp3g6Y-7r12WHT2IBxyDVoXWmpQcETUCal5kKLEX33D7qLQwrjRyYhrQzTSo7UxwPlUsw54bbukm9tuquB1lNd9VRXva9rhN8elcO6xc0j-tDPCMAB-OsbvPuPqr68WV4fpPcGnZ4W</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Vabo, Grete</creator><creator>Slettebø, Åshild</creator><creator>Fossum, Mariann</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201704</creationdate><title>Participants' perceptions of an intervention implemented in an Action Research Nursing Documentation Project</title><author>Vabo, Grete ; Slettebø, Åshild ; Fossum, Mariann</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3909-eb028ce69a59441047ec00be48744721025534b0c7ca1940565472116936434d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Action research</topic><topic>Clinical medicine</topic><topic>Content analysis</topic><topic>Documentation</topic><topic>Documentation - methods</topic><topic>Health Services Research</topic><topic>Humans</topic><topic>implementation evidence based practice</topic><topic>Leadership</topic><topic>Norway</topic><topic>Nursing</topic><topic>nursing documentation</topic><topic>nursing organization</topic><topic>Nursing Records</topic><topic>Patient Care Planning - organization & administration</topic><topic>Perceptions</topic><topic>Qualitative Research</topic><topic>Quality</topic><topic>Research Design</topic><topic>usability issues</topic><topic>Workflow</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vabo, Grete</creatorcontrib><creatorcontrib>Slettebø, Åshild</creatorcontrib><creatorcontrib>Fossum, Mariann</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vabo, Grete</au><au>Slettebø, Åshild</au><au>Fossum, Mariann</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Participants' perceptions of an intervention implemented in an Action Research Nursing Documentation Project</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2017-04</date><risdate>2017</risdate><volume>26</volume><issue>7-8</issue><spage>983</spage><epage>993</epage><pages>983-993</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aims and objectives
The aim of this study is to describe healthcare professionals’ experiences and perceptions of an intervention implemented in an action research project conducted to improve nursing documentation practices in four municipalities in Norway.
Background
Documentation of individualized patient care is a continuing concern in healthcare services and could impacts the quality and safety of healthcare. Use of electronic systems has made some aspects of documentation more comprehensive, but creation of an individualized care plan remains a pressing issue.
Design
A qualitative descriptive design was used.
Methods
An action research project was conducted between 2010–2012 to improve the content and quality of nursing documentation in community healthcare services in four municipalities. One year after the project was completed four focus group interviews were conducted with healthcare professionals, one for each involved municipality. Two unit managers were interviewed individually. Qualitative content analysis was used.
Results
Three themes emerged: healthcare professionals perceived competing interest; they experienced that they had to manage complexity and changes; and they highlighted a clear and visible leader as important for success.
Conclusions
Quality improvement activities are essential. Healthcare professionals experience a complicated situation when electronic health record systems do not support workflow. Further research is recommended to focus on the functionality and user interface of electronic health record systems, and on the role of leadership when implementing changes in clinical practice.
Relevance to clinical practice
Stronger cooperation among policymakers, electronic health record system vendors, and healthcare professionals is essential for improving electronic health record systems and documentation practices. Involvement of end‐users in these improvements can make a difference in the way the systems are perceived in the clinical workflow.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27192412</pmid><doi>10.1111/jocn.13389</doi><tpages>11</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0962-1067 |
| ispartof | Journal of clinical nursing, 2017-04, Vol.26 (7-8), p.983-993 |
| issn | 0962-1067 1365-2702 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Action research Clinical medicine Content analysis Documentation Documentation - methods Health Services Research Humans implementation evidence based practice Leadership Norway Nursing nursing documentation nursing organization Nursing Records Patient Care Planning - organization & administration Perceptions Qualitative Research Quality Research Design usability issues Workflow |
| title | Participants' perceptions of an intervention implemented in an Action Research Nursing Documentation Project |
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