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Pathways for Identifying Problems in Nursing Quality on-Site Supervision: A Descriptive Qualitative Study
Xiaohong Zhang1, Ya'nan Zhang2, Meirong Bian3
1Nursing Department, Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, 030032, People's Republic of China.
Journal of Multidisciplinary Healthcare
|December 30, 2024
Summary
Nursing managers can improve on-site supervision quality by using a new pathway to identify problems effectively. This structured approach helps pinpoint issues quickly and thoroughly, enhancing overall nursing care standards.
Area of Science:
- Nursing Management
- Healthcare Quality Improvement
- Qualitative Research Methods
Background:
- Current nursing quality supervision often identifies superficial problems or misses critical issues.
- Nursing managers may lack the competence or methods to effectively identify deep-seated problems during ward rounds.
- This leads to unsatisfactory nursing supervision quality and hinders healthcare improvements.
Purpose of the Study:
- To develop a systematic approach for nursing managers to identify problems during on-site nursing quality supervision.
- To enhance the ability to identify problems accurately, rapidly, and with high quality.
- To provide a clear framework for improving nursing supervision practices.
Main Methods:
- A descriptive qualitative study involving face-to-face semi-structured interviews with 14 nursing managers.
- Utilized the 5W1H analysis method to structure interview questions focused on problem identification during supervision.
- Employed thematic analysis to interpret interview data and extract key themes.
Main Results:
- Developed a novel "Pathways for identifying problems in nursing quality on-site supervision."
- Identified three core perspectives: direct access, comparison discovery, and deep excavation.
- Defined six key methods: listening, looking, asking, checking, visiting, and tracking.
Conclusions:
- The established pathway provides a scientific and reliable guideline for nursing quality supervision.
- This structured approach aids nursing managers in identifying problems more effectively, particularly during interdepartmental inspections.
- Implementation of this pathway can enhance nursing quality supervision and promote the advancement of nursing discipline.
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