We also discussed what your vision means for us here in Europe. We came up with a list of questions, if you find time we would appreciate your responses (but if your are too busy for this, we understand this). We would share your responses with all participants. Here are the questions:
1. In some European countries, there is a trend to reduce documentation efforts, as documentation is understood as "burocratic" and not part of nursing care. This is a barrier towards the vision you describe in your talk. Are there related trends in the U.S.?
2. In some European countries there is a trend to let less educated people do the documentation. This is also a barrier towards the aim you describe in your talk. Are there related trends in the U.S.?
3. In many European countries, the activities of nurses are not considered for administration and billing. This makes the activities invisible. How is this situation in the U.S.?
4. Often, physicians do often not use nursing documentation. How is this in the U.S.? How can we come to a multi-professional documentation?
5. Should nurses be more self-confident when discussing the outcome of their work? Sometimes nurses seem to be really quite here. How can we give them more self-confidence?
6. How can we increase qualification&education for nurses, to support your vision?
7. You have described a vision and a pathway. What are your overall recommendations for us? What are the first steps, what are barriers, how can they be overcome?
At the end, the workshop participants wanted to personally thank you and to send best wishes from Austria to the U.S