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Learning Objective 1: Understand the characteristics of safety management behaviors for nurses in the Japanese clinical setting.
Learning Objective 2: Discuss the difference of safety management behaviors when the Japanese nurses from novice to proficient level carry out their assistant works for medical treatment.
Methods: Among 478 Japanese nurses participated in the previous study, we covered 34 nurses with less than 5 years of clinical experience. With utilizing a category system as a result of qualitative study, we analyzed qualitatively and deductively for the answers of open-endes questionnaire from those 34 nurses regarding safety management behaviors at the time of their assistant works for medical treatment. This Category System consists of 44 categories representing the safety management behaviors for nurses (Ito, 2006 ;Sadahiro,2010). We also compared the characteristic difference by years of experience.
Results: We could divide the answers of 34 nurses into 162 recording units. Among those 162 recording units, we could classify for 29 categories as a result of classifying the analyzable 145 recording units into 44 categories. We compared the recording units between Novice nurses and Proficient nurses (4-5 years of clinical experience). As a result, Proficient nurses used more various methods for assured and inerrable nursing care than Novice nurses. Furthermore, behaviors for facilitating a treatment process between doctor and patient were seen only among Proficient nurses . Behaviors for being involved with treatment plan by doctor and guaranteeing a medical quality provided to patients were not appeared for nurses with less than 5 years of clinical experience.
Conclusion: The safety management behaviors of Novice nurses are more principle behaviors than Proficient nurse and their behaviors that guarantee the safety are appeared through facilitating a treatment process between doctor and patient in accordance with accumulating their experiences. In addition, from a viewpoint of safety assurance for patients, it is highly possible that behaviors for treatment plan by doctor would appear during the Expert level.