チーム ケア アウトカム カンリ ケアリング トシテノ ギジュツテキ ノウリョク

The hospital evaluation and accreditation by Japan Council for Quality Health Care, and International Organization for Standardization （ISO）‐9001 have been playing an important role in standardizing general services of hospitals across the country in Japan. However, these cannot fulfill the patients and users’ needs in future societies. Hospitals in the future must provide unique services that are specific to each hospital in addition to standard services, i.e., it is necessary to develop medical services for which patients wish to stand in line and wait to receive them. Although hospital manuals and procedures are often considered the main parts of hospital evaluation, this poses a risk of making the service like robot. Health care providers ought to understand patients’ experience and convey an emphatic understanding to them with respectful words, so the patients can feel relieved and start to open their heart, contributing to establishing a favorable relationship. To develop such compassionate care services, the management of comprehensive outcomes, provision of interdisciplinary team care, and technological competency as caring were considered important

Nurses' perception on the impact of technology on nursing care practice in the intensive care unit: a grounded theory approach

Using Charmaz's (2006) constructivist grounded theory methodology, this study sought to establish a theory that explains how nurses perceive the influence of technology on their nursing care practises. This study used individual in-depth interviews and participant observation as a primary data collection method. In addition, participant observations were conducted before participant interviews to understand the phenomenon and practises in the ICU and corroborate with the participants' stories. During semi-structured face-to-face interviews, 19 staff nurses, one nursing manager and one medical assistant from an adult general ICU at a public hospital in Malaysia shared their experiences. The grounded theory of the emancipatory practise of ICU nurses was developed by a continuous comparison analysis of transcribed interview data. The predicament of practice was explored within the context of the theme 'navigating through complexity,' which implies that nurses were confronted with a conflicting situation that prompted them to gravitate toward a more "technologized" rather than humanised approach. This option might lead to professional value conflicts and a feeling of powerlessness. In order to reconcile the conflict, nurses attempt to shape their ideal professional identity by incorporating humane and technological values into the care of their patients. A new care paradigm is incorporated into the professional identity that accommodates human needs from a technological standpoint. Emancipatory practise in the context of this research, refers to the practise in which nurses have the opportunity to self-reflect and become conscious of the significance of striking a balance between humanistic nursing and technological care. This awareness assists nurses in constructing a viable professional identity within an environment heavily influenced by technology. Emancipatory practise entails the practise that is not only done but also developed and altered as nurses attempt to construct and reconfigure how to operate in a 'complex and dynamic environment due to pervasive technology. A new practice that prioritise both technological advancements and humanistic nursing would be gaining traction, and this theory provided the health care authorities with a realistic assessment of the nursing workload necessary to facilitate this transformation