2024 Volume 44 Pages 397-407
Aim: To identify excellent nursing practice and its background factors associated with acquisition of excellent nursing practice by focusing on generalist nurses practicing excellence (high performers).
Methods: Department heads recommended 16 high performers for the study. Semi-structured interviews were conducted, and continuous comparative and qualitative content analyses were conducted.
Results: Seven categories of excellent nursing practice were generated: “intervening intentionally with the patient/family at the right time,” “through dialogue, the patient is convinced and the patient’s attitude becomes proactive” and so on. Five categories of background factors were found; “valuing being close to the patient’s life and fulfilling their wishes leads to action” and so on.
Conclusion: The all categories of excellent nursing practice were related to the core category of background factors of valuing being close to the patient’s life and fulfilling their wishes. Therefore, expressing feelings for patients/families is essential in supporting these practices. Moreover, multiple core categories of background factors were associated with outstanding nursing practice, suggesting that high performers have diverse experiences.
