Development of a Competency Scale for Nurses of a Japanese Community Hospital: The Unnan Ladder

Maejima, Satoko; Ohta, Ryuichi

doi:10.1891/jnm-d-19-00010

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…Training NPs to reflect on the Japanese context is the basis of education, and an increase in the number of such NPs will lead to improved healthcare in Japan. Nursing education has improved through the application of clinical ladder as a competency-based education, based on various nursing contexts [ 43 , 44 ]. Furthermore, it is well known that multidisciplinary team collaboration is beneficial worldwide [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Exploring the Competencies of Japanese Expert Nurse Practitioners: A Thematic Analysis

Igarashi

Ohta²,

Kurita

et al. 2021

Healthcare

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Nurse practitioners (NPs) provide medical care equivalent to that of physicians and facilitate access to healthcare. Although Japan’s first NP graduated in 2010, how Japanese expert NPs work effectively in clinical contexts is yet to be investigated. We aimed to identify the competencies that make expert NPs in Japan effective. Twelve Japanese expert NPs were purposely selected. The average age of the participants was 44.8 years, average NP experience was 7.5 years, and eight participants were women. Semi-structured interviews were conducted online from March to May 2021. Interviews were recorded, transcribed verbatim, and analyzed using thematic analysis. Thematic analysis revealed five themes: working in physicians’ contexts, interprofessional collaboration, involvement in nurses’ work, contribution to healthcare, and personal qualities for effective working. Japanese expert NPs can function effectively in clinical settings by flexibly and humbly collaborating with other medical professionals who have autonomous positions. They can improve the quality of healthcare by proposing practical solutions to problems faced by patients and medical organizations. These explored competencies can be applied to other aging and more complex societal contexts, and in updating the required competencies of Japanese NPs.

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Section: Discussionmentioning

confidence: 99%

Exploring the Competencies of Japanese Expert Nurse Practitioners: A Thematic Analysis

Igarashi

Ohta²,

Kurita

et al. 2021

Healthcare

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“…Unnan City Hospital in Shimane Prefecture, Japan, was selected as the setting for this study due to its representative nature of rural healthcare challenges, including an aging population and limited access to specialized healthcare services. The hospital is critical to the local healthcare system, making it an ideal site for implementing and evaluating an APN education curriculum [12][13][14]. Participants were recruited from the hospital staff, including the hospital dean, the nursing director, APNs, and other healthcare professionals interacting with APNs.…”

Section: Setting and Participantsmentioning

confidence: 99%

Applying Advanced Practice Nurses in Rural Japan: A Mixed-Methods Perspective

Ohta,

Maejima,

Sano

2024

Cureus

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IntroductionRural hospitals, particularly those in geographically isolated regions like Shimane Prefecture, Japan, face significant healthcare delivery challenges. These include limited resources, an aging population, and a scarcity of healthcare professionals. Advanced practice nurses (APNs) have emerged as pivotal in addressing these gaps, offering specialized patient assessment, diagnosis, and management skills. This study aimed to evaluate the demand for APNs in rural community hospitals, focusing on the specific educational needs and clinical competencies required to improve healthcare outcomes in these settings. MethodEmploying a mixed-methods approach, this research combined qualitative insights from stakeholder interviews with quantitative data analysis of electronic health records (EHRs) at Unnan City Hospital. This sequential exploratory design aimed to capture comprehensive educational needs and outcomes, integrating the depth of qualitative data with the breadth of quantitative evidence to tailor a curriculum for APNs in rural healthcare contexts. ResultsThe study revealed a critical demand for APNs skilled in managing common medical issues in rural settings, such as infections, circulatory failures, and respiratory problems. Stakeholder interviews highlighted the necessity for a curriculum that enhances clinical competencies and emphasizes soft skills like communication and leadership. An analysis of EHRs identified 21 specific diseases across six categories, underlining the importance of targeted education on these prevalent conditions. ConclusionThe findings underscore the urgent need for specialized education programs for APNs in rural hospitals to address these communities' unique healthcare challenges. Developing a curriculum that focuses on clinical and soft skills essential for rural healthcare delivery can significantly enhance the quality of care. This study advocates for implementing such tailored educational programs to empower APNs, thereby contributing to healthcare equity and improving patient outcomes in rural settings.

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“…Rural family medicine education may involve various conflicts due to systemic and cultural changes for medical residents, as they may have to change their working styles in adjusting to rural clinical situations [ 21 , 22 , 23 ]. In these processes, as the number of senior doctors is low, nurses may play critical roles in supporting residents’ conflicts [ 24 ]. As nurses frequently observe the residents, they could provide residents with various educational recommendations to improve their collaboration.…”

Section: Introductionmentioning

confidence: 99%

Nurses’ Contributions in Rural Family Medicine Education: A Mixed-Method Approach

Ohta¹,

Maejma²,

Sano

2022

IJERPH

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Family medicine residents frequently collaborate with nurses regarding clinical decisions and treatments, which contributes to their education. In rural areas, these residents experience a wider scope of practice by collaborating with nurses. However, nurses’ contributions to rural family medicine education have not been clarified. This study measured the contributions of 88 rural community hospital nurses to family medicine education using a quantitative questionnaire and interviews. The interviews were recorded, transcribed verbatim, and analyzed using the grounded theory approach. Nurses’ average clinical experience was 20.16 years. Nurses’ contributions to the roles of teacher and provider of emotional support were statistically lower among participants working in acute care wards than those working in chronic care wards (p = 0.024 and 0.047, respectively). The qualitative analysis indicated that rural nurses’ contributions to family medicine education focused on professionalism, interprofessional collaboration, and respect for nurses’ working culture and competence. Additionally, nurses struggled to educate medical residents amid their busy routine; this education should be supported by other professionals. Rural family medicine education should incorporate clinical nurses as educators for professionalism and interprofessional collaboration and as facilitators of residents’ transition to new workplaces. Subsequently, other professionals should be more actively involved in improving education quality.

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Development of a Competency Scale for Nurses of a Japanese Community Hospital: The Unnan Ladder

Cited by 5 publications

References 18 publications

Exploring the Competencies of Japanese Expert Nurse Practitioners: A Thematic Analysis

Exploring the Competencies of Japanese Expert Nurse Practitioners: A Thematic Analysis

Applying Advanced Practice Nurses in Rural Japan: A Mixed-Methods Perspective

Nurses’ Contributions in Rural Family Medicine Education: A Mixed-Method Approach

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