Table 6 Results from qualitative content analysis of interviews
Content area | Categories | Themes |
|---|---|---|
Workshop | Professional discussions | Professional discussions as inspiration for best practice |
Motivating | ||
Sharing | ||
Local opinion leader | Collaboration | Valued and empowering role, but significant allies are essential |
Mastering | ||
Educational outreach | Enabling | Change require guidance over time, feedback and a sense of ownership |
Maintained focus | ||
Monitoring | ||
FI guideline | Organizes knowledge | The FI guideline facilitates clinical and critical thinking |
Decision support | ||
Comprehensive | ||
Concrete and goal oriented | ||
Made nurses think | ||
Barriers | Staff discontinuity | Hard to communicate important information to all |
Insufficient time | ||
Large care staff | ||
Few RNs | Isolated nurses and vague nurse identity in a fragmented care community | |
Unclear nursing role | ||
Sub-optimal use of skill-mix | ||
Reluctance to use computers | Insecurity in how to find, report and utilize assessments and care plans in EPR | |
EPR is difficult to navigate | ||
Too few computers | ||
Facilitators | Demonstrable results | Raised consciousness on bowel problems and concrete results motivates |
Heightened awareness | ||
Distinct nurse identity | Strong nurse identity in a positive care community | |
Sense of community |