Hewitt-Taylor Jaqui
School of Health and Social Care, Bournemouth University.
Nurs Stand. 2012;26(40):35-41. doi: 10.7748/ns2012.06.26.40.35.c9139.
When a problem is identified in practice, it is important to clarify exactly what it is and establish the cause before seeking a solution. This solution-seeking process should include input from those directly involved in the problematic situation, to enable individuals to contribute their perspective, appreciate why any change in practice is necessary and what will be achieved by the change. This article describes some approaches to identifying and analysing problems in practice so that effective solutions can be devised. It includes a case study and examples of how the Five Whys analysis, fishbone diagram, problem tree analysis, and Seven-S Model can be used to analyse a problem.
当在实践中发现问题时,在寻求解决方案之前,明确问题到底是什么并找出其原因非常重要。这个寻求解决方案的过程应包括直接参与问题情境的人员的意见,以便每个人都能贡献自己的观点,理解为什么实践中的任何改变是必要的,以及这种改变将带来什么成果。本文介绍了一些在实践中识别和分析问题的方法,以便能够设计出有效的解决方案。它包括一个案例研究,以及关于如何使用“五个为什么”分析、鱼骨图、问题树分析和七要素模型来分析问题的示例。