Implementing the advanced nursing process into clinical practice

A qualitative study of workshops experience

Authors

  • Maja Klancnik-Gruden University Medical Centre Ljubljana, Zaloška cesta 7, 1000 Ljubljana, Slovenia, and University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia https://orcid.org/0000-0002-6798-9656
  • Andreja Mihelič Zajec University of Ljubljana, Faculty of Health Sciences, Zdravstvena pot 5, 1000 Ljubljana, Slovenia https://orcid.org/0009-0009-5612-6570
  • Doroteja Rebec University of Primorska, Faculty of Health Sciences, Department of Nursing, Polje 42, 6310 Izola, Slovenia
  • Anja Novak General hospital Jesenice, Cesta maršala Tita 112, 4270 Jesenice, Slovenia https://orcid.org/0009-0001-8050-4035
  • Matejka Pintar Babič University Psychiatric Clinic Ljubljana, Grablovičeva 44a, 1000 Ljubljana, Slovenia https://orcid.org/0009-0004-2713-9069
  • Tamara Lubi Community Health Center dr. Adolfa Drolca Maribor, Ulica talcev 9, 2000 Maribor, Slovenia and Faculty of Health and Social Sciences Slovenj Gradec, Gosposvetska cesta 4, 2380 Slovenj Gradec,, Slovenia https://orcid.org/0009-0009-9006-3067
  • Tanja Podlipnik Community Health Center Kranj, Gosposvetska ulica 10, 4000 Kranj, Slovenia https://orcid.org/0009-0009-7712-4953
  • Maja Medvešček Smrekar University Medical Centre Ljubljana, Zaloška cesta 7, 1000 Ljubljana and University, Slovenia https://orcid.org/0009-0005-9762-5596

DOI:

https://doi.org/10.14528/snr.2024.58.4.3270

Keywords:

experience, standardized language, education, acute care, nurses

Abstract

Introduction: To address the challenges that the advanced nursing process poses to nurses working in clinical practice, workshops were organised to familiarise them with standardised nursing languages. The aim of this study was to explore nurses' experience of these workshops.
Methods: The study utilised a qualitative approach with a descriptive research design. An evaluation questionnaire with three open-ended questions was used for data  collection. The study was conducted on a convenience sample of 160 nurses who had participated in the training workshops in 2020 and 2021. A qualitative analysis of the transcripts was conducted using a thematic network.
Results: Based on the analysis of the transcripts, a thematic network of participants' experiences of the training workshop was created with two common themes: (1) the implementation of the workshop, and (2) the practical application. Within the first common theme, the participants' perceptions were mostly positive, with the exception of those related to the workshop materials.  Within the second common theme, suggestions for putting the advanced nursing process into practice were  the most common, followed by negative experiences related to the complexity of the content, and positive experiences related to insight into future knowledge.
Discussion and conclusion: While the majority of participants were satisfied with the workshops, they also expressed concern about the appropriateness of introducing standardised language into practice in the current situation of nursing shortage. It is necessary to continue implementing systematic formal as well as informal training of nurses working in clinical practice, using training methods adapted to the participants, in order to achieve greater impact and higher motivation.

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References

Attride-Stirling, J. (2001). Thematic networks: An analytic tool for. Qualitative Research, 1(3), 385–405. https://doi.org/10.1177/146879410100100307

Alfaro-LeFevre, R. (2020). Comparison of nursing process, Tanner/Lasater, and NGN Clinical Judgment Models. http://www.alfaroteachsmart.com/textbooktools.html

Asmirajanti, M., Hamid, A. Y. S., & Hariyati, R. T. S. (2019). Nursing care activities based on documentation. BMC Nursing, 18(Suppl 1), Article 32. https://doi.org/10.1186/s12912-019-0352-0 PMid:31427894; PMCid:PMC6696695

Blažun, H., Saranto, K., & Vošner, J. (2013). Educating teachers and multipliers for future work with the elderly and the role of motivational workshops for the elderly≪s future participation in ICT training courses. International Journal of Health Research and Innovation, 1(1), 25–46. https://www.scienpress.com/Upload/IJHRI/Vol%201_1_3.pdf

Bruylands, M., Paans, W., Hediger, H., & Muller-Staub, M. (2013). Effects on the quality of the nursing care process through an educational program and the use of electronic nursing documentation. International Journal of Nursing Knowledge, 24(3), 163–170. https://doi.org/10.1111/j.2047-3095.2013.01248.x PMid:23859641

Butcher, H. K., Bulechek, G. M., Dochterman, J. M., & Wagner, C. M. (2018). Nursing Intervention Classification (NIC) (7th ed). Elsevier. Camargo-Figuera, F. A, Ortega-Barco, M. A., Rojas-Plata, M. C., Marin-Rodriguez, D., Alarcon-Melendez, L. J., & Villamizar-Carvajal, B. (2021). Measurement of practicesknowledge- attitudes of the nursing process: Systematic review. Investigacion y Educacion en Enfermeria, 39(3), Article e15. https://doi.org/10.17533/udea.iee.v39n3e15 PMid:34822242; PMCid:PMC8912155

Campbell, J. A., & Bogliatto, F. (2016). Speaking the same language: Using standardized terminology. Journal of Lower Genital Tract Disease, 20(1), 8–10. https://doi.org/10.1097/LGT.0000000000000157 PMid:26579837

Gordon, M. (2003). Negovalne diagnoze: priročnik (10th ed.,1st sl. ed.). Rogina. Hajdinjak, A. (1999). Pomen teoretičnih modelov za sodobno zdravstveno nego. Obzornik zdravstvene nege, 33(3/4),137–140. https://obzornik.zbornica-zveza.si/index.php/ObzorZdravNeg/article/view/2267

Herdman, T. H., & Kamitsuru, S. (2017). Negovalne diagnoze NANDA International: definicije in klasifikacija 2015–2017 (10th ed.,1st sl. ed.). Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.

Herdman, T. H., & Kamitsuru, S. (2019). Negovalne diagnoze NANDA International: definicije in klasifikacija 2018–2020 (11th ed., 2nd sl. ed.). Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.

Howitt, D., & Cramer, D. (Eds.). (2014). Introduction to research methods in psychology (4th ed., pp. 350–362). Pearson/Prentice Hall.

Kavalič, S., & Hajdinjak, G. (1985). Učni načrt predmeta zdravstvena nega. In Vzgojnoizobraževalni program za zdravstveno nego (pp. 78–84). Univerza Edvarda Kardelja v Ljubljani, Višja šola za zdravstvena delavce.

Klančnik Gruden, M., Muller-Staub, M., Pajnkihar, M., & Štiglic, G. (2022). Standardization of quality of diagnoses, interventions, and outcomes (Q-DIO) measurement instrument for use in Slovenia. Zdravstveno Varstvo, 61(1), 14–23. https://doi.org/10.2478/sjph-2022-0004 PMid:35111262; PMCid:PMC8776288

Kodeks etike v zdravstveni negi Slovenije. (2024). Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.

Moorhead, S., Swanson, E., Johnson, M., & Maas, L. M. (2018). Nursing Outcomes Classificatinon (NOC) (6th ed.). Elsevier.

Muller-Staub, M., Lunney, M., Odenbreit, M., Needham, I., Lavin, M.A., & van Achtenberg, T. (2009) Development of an instrument to measure the quality of documented nursing diagnoses, interventions and outcomes: The Q-DIO. Journal of Clinical Nursing, 18(7), 1027–1037. https://doi.org/10.1111/j.1365-2702.2008.02603.x PMid:19220614

Leoni-Scheiber, C., Mayer, H., & Muller-Staub, M. (2019a). Relationships between the Advanced Nursing Process quality and nurses≪ and patient≪ characteristics: A cross-sectional study. Nursing Open, 7(1), 419–429. https://doi.org/10.1002/nop2.405 PMid:31871727; PMCid:PMC6917982

Leoni-Scheiber, C., Mayer, H., & Muller-Staub, M. (2019b). Does the quality of the Advanced Nursing Process match reality: A comparison of observations, patient interviews, and nursing records. https://www.researchgate.net/publication/351970779

Leoni-Scheiber, C., Mayer, H., & Muller-Staub, M. (2019c). Measuring the effects of guided clinical reasoning on the Advanced Nursing Process quality, on nurses≪ knowledge and attitude: Study protocol. Nursing Open, 6(3), 1269–1280. https://doi.org/10.1002/nop2.299 PMid:31367454; PMCid:PMC6650691

Melo, L. S., Figueiredo, L. S., Pereira, J. M. V., Flores, P. V. P., Siqueira, M. E. B., & Cavalcanti, A. C. D. (2018). Educational strategies used in standardized language systems by nurses: An integrative review. Online Brazilian Journal of Nursing, 16(3), 366–375. https://doi.org/10.17665/1676-4285.20175549

O'Sulivan, P. S., & Irby, D. M. (2021). Educator identity formation: A faculty development workshop. MedEdPORTAL 17, Article 11070. https://doi.org/10.15766/mep_2374-8265.11070 PMid:33473380; PMCid:PMC7809926

Oreofe, A. I, & Oyenike, A. M. (2018). Transforming practice through nursing innovative patient centered care: Standardized nursing languages. International Journal of Caring Sciences, 11(2), 1319–1322. https://www.internationaljournalofcaringsciences.org/docs/76_oyenike_special_10_5.pdf

Ozveren, H., Ozden, D., & Gulnar, E. (2019). Determination of nursing studensts perception states in nursing diagnosis. International Journal of Caring Sciences, 12(2), 1049–1056. https://internationaljournalofcaringsciences.org/docs/50_ozveren_original_12_2.pdf

Ozkaynak, M., Sircar, C. M., Frye, O., & Valdez, R. S. (2021). A systematic review of design workshops for health information technologies. Informatics, 8(2), Article 34. https://doi.org/10.3390/informatics8020034

Patiraki, E., Katsaragakis, S., Dreliozi, A., & Prezerakos, P. (2017). Nursing care plans based on NANDA, Nursing Interventions Classification, and Nursing Outcomes Classification: The investigation of the effectiveness of an educational intervention in Greece. International Journal of Nursing Knowledge, 28(2), 88–93. https://doi.org/10.1111/2047-3095.12120 PMid:26472136; PMCid:PMC6120146,

Papež, T. (2017). Učinkovitost delavnice zdravega hujšanja v Zdravstvenem domu Trebnje v letu 2013: poročilo o raziskavi [diplomsko delo, Univerza v Ljubljani].

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed). Walters Kluwer.

Roblek, V. (2009). Primer analize besedila v kvalitativni raziskavi. Management, 4(1), 53–69. https://www.fm-kp.si/zalozba/issn/1854-4231/4_053-069.pdf

Ruthenford, M. (2008). Standadized nursing language: What does it mean for nursing practice? The Online Journal of Issues of Nursing, 13(1), Article 5. https://doi.org/10.3912/OJIN.Vol13No01PPT05

Svet Evrope. (2009). Človekove pravice v zvezi z biomedicino: Oviedska konvencija in dodatni protokoli. Ministrstvo za zdravje Republike Slovenije.

World Medical Association (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053 PMid:24141714

Zupanc Grom, R. (2013). Ugotavljanje potreb po izobraževanju odraslih. In B. Bukovec, S. Preskar, & R. Zupanc Grom (Eds.) Ugotavljanje potreb, organizacija in vodenje programov neformalnega izobraževanja odraslih: izobraževalni program za usposabljanje strokovnih delavcev v izobraževanju odraslih (pp. 19–35). Zveza ljudskih univerz Slovenije.

Published

2024-12-19

How to Cite

Klancnik Gruden, M., Mihelič Zajec, A. ., Rebec, D., Novak, A., Pintar Babič, M., Lubi, T., Podlipnik, T., & Medvešček Smrekar, M. (2024). Implementing the advanced nursing process into clinical practice: A qualitative study of workshops experience. Slovenian Nursing Review, 58(4), 252–260. https://doi.org/10.14528/snr.2024.58.4.3270

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