Organizational culture and roles in promoting nurse specialty certifications: A qualitative study in the United States

Wei, Holly; Haddad, Lisa; Nwokocha, Tricia A.; Powers, Margaret; Wei, Aaron; Carroll, Quinton; Ballard, Nancy

doi:10.1016/j.ijnss.2023.03.003

Cited by 5 publications

(2 citation statements)

References 31 publications

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“…In contrast with studies that have highlighted a correlation between the distribution of nurses in Japan and their wages, this study did not nd a correlation between wages and the APNW size [17]. Financial incentives have motivated the development of advanced nurses in other countries [41,42]. A 2022 survey revealed that only in 7.7% of the cases, evaluation and treatment were based on the quali cations of the APNW, while in 87% of the cases, no speci c nancial rewards were offered based on quali cations [43].…”

Section: Discussioncontrasting

confidence: 57%

Trends in the Geographic Inequality of Advanced Practice Nursing Workforce in Cancer Care in Japan from 1996 to 2022: A Panel Data Analysis

Tamaki,

Morioka,

Machida

et al. 2024

Preprint

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Background Cancer was ranked as the second leading cause of global mortality in 2019, with an increasing incidence. An adequate workforce of healthcare professionals with special skills and knowledge in cancer care is vital for addressing the disparities in cancer prognosis. This study aimed to elucidate the trends in the advanced practice nursing workforce (APNW) in cancer care, which included certified nurse specialists (CNSs) and certified nurses (CNs) in each prefecture of Japan from the system's inception to the present. Further, it sought to analyse the regional disparities and compare these trends with other healthcare resources to identifycontributing factors associated with the APNW in cancer care in each prefecture. Methods We performed a panel data analysis using publicly available data on the APNW in cancer care in each prefecture of Japan from 1996 to 2022. Gini coefficients were calculated to examine the trends in geographic equality. Univariate and multivariable fixed effect panel data regression models were used to examine regional factors associated with an APNW in cancer care. Results From 1996 to 2012, the APNW in cancer care increased from four to 6,982 staff, while their Gini coefficients decreased from 0.79 to 0.43. However, from 2012 to 2022, the Gini coefficientsdecreased slightly from 0.43 to 0.41. The coefficient value was comparable to that for the disparity between hospital doctors (0.43) but more pronounced compared to those for other medical resources, such as hospitals (0.34), hospital nurses (0.37), and designated cancer care hospitals (0.29). The APNW in cancer care in each prefecture was significantly associated with a higher number of hospital nurses (coefficient: 0.63, 95% confidence interval (CI): 0.23-1.03), a higher number of designed cancer care hospitals in the previous year (see first quartile, the coefficient for second quartile:0.31, 95% CI: 0.21–0.40), and a fewer number of hospital doctors (-1.89, 95%CI: -2.70 to -1.09). Conclusions The size of the APNW in cancer care has increased since the system was established in 1996 up till 2022. With the increase in numbers, geographic inequality narrowed until 2012 and has since then remained stagnant.

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Section: Discussioncontrasting

confidence: 57%

Trends in the Geographic Inequality of Advanced Practice Nursing Workforce in Cancer Care in Japan from 1996 to 2022: A Panel Data Analysis

Tamaki,

Morioka,

Machida

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…In contrast with studies that have highlighted a correlation between the distribution of nurses in Japan and their wages, this study did not find a correlation between wages and the APNW size [ 17 ]. Financial incentives have motivated the development of advanced nurses in other countries [ 46 , 47 ]. A 2022 survey revealed that only in 7.7% of the cases, evaluation and treatment were based on the qualifications of the APNW, while in 87% of the cases, no specific financial rewards were offered based on qualifications [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

Trends in the geographic inequality of advanced practice nursing workforce in cancer care in Japan from 1996 to 2022: a panel data analysis

Tamaki,

Morioka,

Machida

et al. 2024

Hum Resour Health

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Background Cancer was ranked as the second leading cause of global mortality in 2019, with an increasing incidence. An adequate workforce of healthcare professionals with special skills and knowledge in cancer care is vital for addressing the disparities in cancer prognosis. This study aimed to elucidate the trends in the advanced practice nursing workforce (APNW) in cancer care, which included certified nurse specialists (CNSs) and certified nurses (CNs) in each prefecture of Japan from the system's inception to the present. Further, it sought to analyze the regional disparities and compare these trends with other healthcare resources to identify contributing factors associated with the APNW in cancer care in each prefecture. Methods We performed a panel data analysis using publicly available data on the APNW in cancer care in each prefecture of Japan from 1996 to 2022. Gini coefficients were calculated to examine the trends in geographic equality. Univariate and multivariable fixed effect panel data regression models were used to examine regional factors associated with an APNW in cancer care. Results From 1996 to 2012, the APNW in cancer care increased from four to 6982 staff, while their Gini coefficients decreased from 0.79 to 0.43. However, from 2012 to 2022, the Gini coefficients decreased slightly from 0.43 to 0.41. The coefficient value was comparable to that for the disparity between hospital doctors (0.43) but more pronounced compared to those for other medical resources, such as hospitals (0.34), hospital nurses (0.37), and designated cancer care hospitals (0.29). The APNW in cancer care in each prefecture was significantly associated with a higher number of designed cancer care hospitals in the previous year (see first quartile, the coefficient for second quartile: 0.31, 95% confidence interval (CI) 0.21–0.40), and a fewer number of hospital doctors (− 1.89, 95%CI − 2.70 to − 1.09). Conclusions The size of the APNW in cancer care has increased since the system was established in 1996 up till 2022. With the increase in numbers, geographic inequality narrowed until 2012 and has since then remained stagnant.

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Preparing Future Leaders: Communication Skills and Leadership Development for E-Government and ICT Reforms

Setianingsih,

Wulan,

Lestari

2024

Lecture Notes in Networks and Systems

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Organizational culture and roles in promoting nurse specialty certifications: A qualitative study in the United States

Cited by 5 publications

References 31 publications

Trends in the Geographic Inequality of Advanced Practice Nursing Workforce in Cancer Care in Japan from 1996 to 2022: A Panel Data Analysis

Trends in the Geographic Inequality of Advanced Practice Nursing Workforce in Cancer Care in Japan from 1996 to 2022: A Panel Data Analysis

Trends in the geographic inequality of advanced practice nursing workforce in cancer care in Japan from 1996 to 2022: a panel data analysis

Preparing Future Leaders: Communication Skills and Leadership Development for E-Government and ICT Reforms

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