Common Issues Among Colleges of Nursing in Japan and Collaborative Efforts by Universities to Solve the Issues

Thursday, July 14, 2011

Fumiko Yasukata, PhD, RN
Akira Kitagawa, MS, RN
Yasue Yamazumi, MS, RN
Natsuko Shimizu, MS, RN
Naomi Komori, MS, RN
Kencho Matsuura, PhD
Faculty of Nursing, Fukuoka Prefectural University, Fukuoka, Japan

Learning Objective 1: The participants will be able to learn issues common to colleges of nursing in Japan.

Learning Objective 2: The participants will be able to understand the problem-solving-oriented collaborative efforts of colleges of nursing in Japan.

Purpose: 

  This present study aims to identify common causes for concern among 13 colleges of nursing in Japan, and to investigate how these concerns could be addressed through collaborative action research.

Methods:

   An action research approach was used consisting of the following steps: i) identification of the problems.  ii) Exploration of solutions, with 4 colleges allocated to each identified problem; iii) finalization of intervention planning of the designed interventions at a workshop attended by representatives of the collaborating colleges; iv) implementation of the interventions by colleges in charge of the respective issues; and v) modification of planning according to evaluation by an external steering committee.vi) Providing feedback from participating members to respective colleges.Ethical consent was given by each of the participating collages` ethical review boards.

  Results: 

  Common issues among the colleges of nursing included: one third students having taken no biology courses in high school; variation in educational ability among college teachers and clinical training staff; and a high rate of turnover and insufficient nursing skills among newly graduated nurses was identified.

  Twelve collaborative workshops were held to investigate the plan. Subsequently, 8 training sessions were held for college teachers and clinical training staff.

  In addition, in order to improve the nursing skills of newly graduated nurses, nursing skills assistants were hired at each college, and skills support was provided to the alumni on a trial basis at 3 of the colleges.

Conclusion: 

 This is the first attempt in Japan for colleges of nursing to collaborate in order to address their common issues. The collaborative efforts are still in progress. The foremost achievement at this point is the construction of the network of the 13 collaborating colleges of nursing as well as the PDCA cycle which allows multiple colleges to work together to address their common issues.