Tuesday, 14 July 2009: 10:50 AM
Tomomi Kameoka, RN1
Naomi Funashima, RN2
Takako Ueda, MN, RN3
Kyoko Yokoyama, RN4
Yuriko Nomoto, RN2
Michiyo Mochizuki, MN, RN5
Midori Sugimori, RN, BLL6
1Nursing Education, National College of Nursing Japan, Kiyose, Japan
2School of Nursing, Chiba University, Chiba, Japan
3Certified Nurses Training Course, Continuing Nursing Education Center in Social Insurance Hospitals Association, Funabashi, Japan
4School of Nursing, Gunma Prefectural College of Health Science, Maebashi, Japan
5Nursing Education, School of Nursing, Chiba University, Chiba, Japan
6Gunma Prefectural College of Health Science, Gunma Prefectural College of Health Science, Maebashi, Japan
Learning Objective 1: The learner will be able to understand the hospital nurses' self-evaluation of their excellence in nursing practice in Japan.
Learning Objective 2: The learner will be able to discuss the continuing education in nursing based on the research results.
Purpose: To explore the hospital nurses’ self-evaluation of their excellence in nursing practice in Japan.
Methods: In 62 hospitals in Japan, 1585 nurses were asked to respond to the two instruments; the Self-Evaluation Scale of Excellence in Nursing Practice for Hospital Nurses(ENP) and the Nurses’ Attributes Questionnaire(NAQ). The ENP was used to measure the hospital nurses’ self-evaluation of their excellence in nursing practices. The items show excellent nursing practice in hospitals as identified by a qualitative study(Ueda et al,2003), and the participants rate their degree of achievement. The ENP has 35 items with a 5-point Likert scale, and the items were grouped into 7 subscales with 5 items each. The ENP has a well-established internal consistency(Cronbach’s alpha=.96), and its construct validity was confirmed by a factor analysis. The NAQ was used to collect the demographic data of nurses. Content validity of the NAQ was established by a pilot study and a panel of experts. The data were analyzed statistically.
Results: There were 901 responses(56.8%), and 799 valid data were analyzed. The mean score of the ENP was 122.2(SD=18.1), and that of each subscale was as follows; (1)collecting and using client’s information continuously and efficiently(mean=16.9,SD=3.07), (2)performing with appropriate knowledge/skills in clinical settings(mean=16.8,SD=3.4), (3)developing relationship with clients/families through communication(mean=18.9,SD=3.2), (4)overcoming difficult condition of clients and/or in work environment(mean=16.8,SD=3.2), (5)identifying potential problems for clients and solving them creatively(mean=15.8,SD=3.3 ), (6)protecting the personality and human dignity of clients(mean=18.2,SD=3.3), (7)being awareness of a variety of roles as a medical and nursing team member and being able to perform them (mean=18.7,SD=3.4).
Conclusion: The hospital nurses in Japan self-evaluated that they had to improve their excellence in nursing practice, especially in (5)identifying potential problems for clients and solving them creatively. Providing programs related to this is an important issue in continuing nursing education in Japan.