Problems That Hospital Nurses Encounter in Japan from the Viewpoint of Work Position: Toward Developing Effective Continuing Education Programs in Nursing

Monday, 7 July 2008
Tomomi Kameoka, RN, DNSc , Nursing Education, National College of Nursing Japan, Kiyose, Tokyo, Japan
Naomi Funashima, RN , School of Nursing, Chiba University, Chiba, Japan
Toshiko Nakayama, RN, DNSc , National College of Nursing Japan, Kiyose, Tokyo, Japan
Miwa Suzuki, RN, DNSc , School of Nursing and Nutrition, Tenshi College, Saporo , Hokkaido, Japan
Yuriko Nomoto, RN, DNSc , School of Nursing, Chiba University, Chiba, Chiba, Japan
Misae Yoshitomi, RN, DNSc , Interdisciplinary Graduate School of Medicine and Engineering Sciences, University of Yamanashi, Yamanashi, Japan
Midori Sugimori, RN, BLL , Gunma Prefectural College of Health Science, Gunma Prefectural College of Health Science, Maebashi, Gunma, Japan

Learning Objective 1: The learner will be able to understand the commonalities and differenceis of the problems that hospital nurses encounter according to position.

Learning Objective 2: The learner will be able to discuss the effective continuing education program in nursing based on the research findings.

This is a secondary analysis of data from a study of problems that hospital nurses encounter in the nursing profession in Japan, and explored the following research questions. (1) Does the percentage of nurses who encountered problems differ according to position? (2) What are the commonalities and differences in the problems that hospital nurses encounter according to position?

In the original study, head nurses (n=141), assistant head nurses (n=185), and staff nurses (n=426) were the participants. Their answers to an open-ended question about problems encountered as nursing professional were analyzed qualitatively, and forty one problem categories were formed.

In this study, the data were analyzed statistically to obtain the answers to the research questions. The results showed that 87.9% of head nurses, 71.9% of assistant head nurses, and 51.6% of staff nurses encountered problems in the nursing profession. There was a significant difference between the three groups in the percentage of nurses who encountered problems among the three groups was identified (p<.001). Among the 41 problems, “difficulty of communication or collaboration with various people in hospital” was the most common and serious problem for the three groups. However, the percentage of head nurses who described the problems, “difficulty in providing educational support for subordinate/younger nurses” and “difficulty in improving job design”, was higher than for assistant head nurses and staff nurses (p<.001). The percentage of assistant head nurses and staff nurses who described the problem, “work overload and chronic fatigue”, was higher than for head nurses (p<.01).

The results suggested that there are the commonalities and differences in the problems that hospital nurses encounter according to position. Developing effective continuing education program in nursing based on the findings of this study will promote quality nursing care through problem solving by each nurse.