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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.

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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.

Keywords:
problem identification pathwayproblem identification viewpointproblem identification wayquality of nursingsite supervision

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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.