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 |