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An Analysis of the Clinical Practice Guidance System and the Surveys on Training Requirements of Clinical Practice Instructors in Japan

Thursday, July 14, 2011

Hitomi Tsukahara, MD, RN1
Emiko Nakashima, MS, RN1
Matsuyo Inoue, MHS, RN, RM2
Yoshihide Kinjo, PhD2
Shigeko Shono, PhD, RN3
Kazuyo Hazemoto, MS, RN3
Kuniko Sakai, MS, RN, RM3
Midori Matsuoka, PhD, RN4
Chika Tetsui, MS, RN4
Takumi Yamada, MS, RN4
Kinuyo Inagaki, PhD, RN5
Miyoko Uza, PhD, RN6
Yoko Sunagawa, PhD, RN6
Noriko Teruya, MHS, RN6
Naomi Komori, MS, RN7
Natsuko Shimizu, MS, RN7
Yasue Yamazumi, MS, RN7
Akira Kitagawa, MS, RN7
Fumiko Yasukata, PhD, RN7
(1)School of Nursing, Faculty of Medicine, Fukuoka University, Fukuoka, Japan
(2)Okinawa Prefectural College of Nursing, Okinawa, Japan
(3)Department of Nursing, Faculty of nursing and Welfare, Kyushu University of Nursing and Social Welfare, Kumamoto, Japan
(4)School of Nursing, Fukuoka Jogakuin Nursing College, Fukuoka, Japan
(5)Department of Nursing, Faculty of Human Health Sciences, Meio University, Okinawa, Japan
(6)School of Health Sciences, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
(7)Faculty of Nursing, Fukuoka Prefectural University, Fukuoka, Japan

Learning Objective 1: For the participants to understand about the guidance system for clinical practice.

Learning Objective 2: For the participants to understand the learning requirements of clinical practice instructors.

Purpose: 

 The objective of this research is to clarify the clinical practice guidance system and its related training requirements in order to provide support for the improvement of the educational capabilities of clinical practice instructors.

Methods:  

 A questionnaire was sent by mail between May and June 2010 to a total of 530 persons who were either clinical practice instructors or persons in charge at 53 main training facilities of the 13 universities.

 Out of ethical considerations, the survey was carried out after obtaining the approval of the Ethical Review Board at Fukuoka Prefectural University.

Results: 

 The questionnaire was returned by 35 (66.0%) of the persons in charge of training facilities and by 289 (54.5%) of training counselors.

 With regard to the number of schools imparting practical training in 2009, four places accepted training only from one school, while the highest was nine (average 3.47 ± 1.93). Among the respondents, 224 (77.5%) said that the work they did when in charge of clinical practice guidance was “clinical practice guidance in addition to my regular duties,” while 171 (59.2%) answered “Yes” to the question of whether they have received training for training guidance in the past. For the question of whether they wanted to participate in training, 50 respondents (17.3%) answered they did, while 195 (67.5%) answered they did but under certain conditions, such as if work/attendance could be arranged.

Conclusion: 

  A total of 88.6% clinical practice hospitals accepted clinical practice training from more than one university. The clinical practice instructors carry out the training in addition to their regular work, therefore it can be conjectured that they are extremely busy.

  As the training requirements of clinical practice counselors are high, it is necessary to investigate a method of training that allows for easy participation.

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