Category | Subcategory | Code (excerpt from representative codes) |
Recognizing the implementation of timed induction that does not consider the intention and the micturition status of older people as an issue | Insufficient observation of micturition status when performing time induction | The current situation is that people tend to rely on highly absorbent diapers rather than on micturition induction. |
At the time of scheduled induction, we check for incontinence but do not measure micturition volume. | ||
Micturition induction lacks confirming the intention of older people and becomes a mechanical assembly line activity without due consideration. | Currently, micturition induction is carried out according to the staff’s will rather than the will of the older person. | |
Lack of consideration in the assembly line-like implementation of micturition induction. | ||
Leaders are an essential presence for new initiatives. | Staff awareness and leadership (when working on something new or different) is essential to implement the program. | Staff awareness and leadership are essential to implementing the program. |
A point person is necessary when implementing the program. | ||
Work is decided according to the work zone, and the system must be confirmed such as in cases where work needs to be adjusted to implement the program. | ||
Reluctance to adapt to new things | Difficulty in adapting to new things | |
I think it is difficult to continue the program at the facility without an objective. | ||
Inability to reliably implement the program while struggling with caring for several older people requiring long-term care | Request to implement the program on a small number of people considering the large number of older people requiring long-term care and insufficient staff | Difficulty in implementing a program in a setup where 50 people are in need of care |
Due to insufficient manpower, personalized care is limited. | ||
Postponement of induction if care separate from the research recipient needs to be prioritized | Implementation of the program may be postponed when responding to nurse calls. | |
Caregivers may be caught up in recipients who can clearly express intention, resulting in delayed response to those who are unable to clearly express intention. | ||
Risk of mistaking the identity of the recipient due to the large number of older people undergoing micturition induction and involvement of several staff | Staff change daily, so some may not be familiar with the recipient | |
There should be a means to identify the recipients among the numerous residents. | ||
Detailed information report is essential for effective implementation of the program. | ||
There should be a means to eliminate record omissions. | Clearly indicate the care recipient and eliminate record omission by being aware. | |
There should be a means to eliminate record omissions during implementation. | ||
Necessity of a place for information sharing and exchange of opinions using ordinary communication methods | Difficulty and huge burden associated with a descriptive record (assessment, planning, monitoring evaluation) during program implementation | Difficulty associated with descriptive records, such as assessment and planning, during program implementation |
Reduce workload by simplifying record-keeping during the program rather than using a descriptive format, and only emphasizing record-keeping. | ||
More details should be added in the guide, and the record-keeping during implementation should be selective rather than descriptive. | ||
Detailed information sharing between staff through oral communication is practiced, but record communication is insufficient. | When a problem arises in daily care, the person in charge considers how to address this and only verbally shares it during the conference. | |
Although records are also used, information is often shared verbally. | ||
Usually, information is shared among the staff verbally or by sending notes. | ||
Nursing records (in recovery period) are useful for looking back | Nursing records provide an opportunity to look back. |