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.