Safety Management Behaviors of Expert Nurses in Japan: Comparison with Novice to Proficient Level

Monday, 30 July 2012

Wakako Sadahiro, RN, DNSc
School of Nursing, Sapporo City University, Sapporo, Japan
Naomi Funashima, RN, DNSc
School of Nursing, Chiba University, Chiba, Japan

Learning Objective 1: The learner will be able to understand the alterations of safety management behaviors from novice nurses to expert-level nurses.

Learning Objective 2: The learner will be able to discuss the trans-cultural development of safety management behaviors of nurses in the world.

Purpose: The purpose of this study is to clarify the characteristics of safety management behaviors for Japanese expert nurses.

Methods: Among 478 Japanese nurses participated in the previous study, 403 nurses who had longer clinical experience than 6 years became the study subjects. We qualitatively and deductively analyzed the contents of their answers to open ended questionnaire about their safety management behaviors at the time of their assistant works for medical treatment utilising a category system (Ito,2006;Sadahiro,2010). We also characterized their safety management behaviors by comparing with those of nurses who had less than 5 years of clinical experiences. 

Results: The contents of the answers from 403 nurses could be divided into 2164 recording units. When we classified these units into 44 categories, we found that the largest number of behaviors were used as combinations of multiple confirmation methods. And the second and third largest numbers of behaviors consisted of such behaviors that nurses appropriately segregated and discarded contaminated materials and that they prevented any infections, respectively.This tendency was applicable from novice nurses to proficient nurses in the same way.But such behaviors that got involved in the treatment policy of a physician and that guaranteed the quality of a medical treatment given to a patient first emerged in those nurses who had more than 6 years of clinical experiences. In addition, the characteristics of those nurses did not change specifically even if the number of years of their experiences extended to 20 years.

Conclusion: In safety management behaviors of expert nurses who had more than 6 years of clinical experiences, there were special characteristics which could not be observed in nurses who had less than 6 years of clinical experiences. Therefore, this suggested the importance that nurses have more than 6 years of clinical experiences.