Tuesday, 13 July 2010
Tomomi Kameoka, RN, DNSc1
Naomi Funashima, RN, DNSc2
Takako Ueda, MN, RN3
Toshiko Nakayama, RN, DNSc2
Kyoko Yokoyama, RN, DNSc4
Yuriko Nomoto, RN, DNSc5
Wakako Sadahiro, RN, DNSc6
Midori Sugimori, RN, BLL7
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
5Faculty of Health Sciences, Ehime Prefectural University of Health Sciences, Ehime, Japan
6School of Nursing, Sapporo City University, Sapporo, Japan
7Gunma Prefectural College of Health Science, Gunma Prefectural College of Health Science, Maebashi, Japan
Learning Objective 1: understand the important factors associated with the excellence in nursing practice.
Learning Objective 2: discuss the important factors of professional development of nurses.
Purpose: To explore the important factors associated with the excellence in nursing practice by focusing on nurses with more than 10 years of clinical experiences in Japan. Methods: The Self-Evaluation Scale of Excellence in Nursing Practice for Hospital Nurses(ENP) was used to measure the excellence in nursing practice of nurses(Funashima,2009). The 35 items with a 5-point Likert scale 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 reliability and validity of the ENP are well-established. The Nurses’ Attributes Questionnaire(NAQ) was used to collect the data of 26 attributes of nurses. The content validity of it was established by a pilot study and a panel of experts. A mail survey was conducted, and the data were analyzed statistically.
Results: Four-hundred and sixty eight nurses with more than 10 years of clinical experiences in Japan participated. The mean age of them was 43.2(SD=17.8) years old, and the mean years of their clinical experience was 19.6(SD=7.3). The participants were classified into 3 categories according to the ENP scores; high score group(HSG, less than 103), middle score group(MSG,between 104 and 140), and low score group(LSG, more than 141). As the result, 46(10.2%) nurses were in the HSG, 331(71.4%) nurses were in the MSG, and 9(19.4%) nurses were in the LSG. Furthermore, the results of univariate analysis showed that 10 attributes of nurses associated with the excellence in nursing practice significantly(p<.005). The results of multiple regression analysis showed that “performing with one’s professional value and belief”(R=.638, standardized beta=.250,p<.001) was the most important attribute, which influenced on the excellence in nursing practice, in the 10 attributes.
Conclusion: The result suggested it is important for nurses to have the value and belief as a nursing profession for improving the quality of nursing practice.
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