Development of Nursing Clinical Competency Acquisition Precess

• Project/Area Number: 17K12117
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Fundamental nursing
• Research Institution: Tottori University
• Principal Investigator: FUKADA Mika 鳥取大学, 医学部, 教授 (10218894)
• Co-Investigator(Kenkyū-buntansha): 櫛田 大輔 鳥取大学, 工学研究科, 准教授 (30372676) ; 奥田 玲子 鳥取大学, 医学部, 講師 (40632930) ; 山本 陽子 鳥取大学, 医学部, 助教 (20632904)
• Project Period (FY): 2017-04-01 – 2020-03-31
• Project Status: Completed (Fiscal Year 2019)
• Budget Amount: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000); Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000); Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
• Keywords: 看護実践能力 / 獲得順序性 / 能力獲得順序性 / 階層構造化モデル / 看護師 / 自己評価 / 能力の獲得順序性 / 能力育成 / 教育プログラム

Outline of Final Research Achievements

I/We have elucidated the characteristics of nursing competency, i.e., the abilities that nurses must acquire. I/We then graphically represented the process of nursing competency acquisition using Interpretive Structural Modeling.
Competency acquisition begins with "Risk management" and ends with "Supportive interpersonal relationships" and "Continuous learning." "Risk management" is acquired first and involves providing nursing care with an awareness of one's own behavioral tendencies to avoid making mistakes. "Supportive interpersonal relationships" and "Continuous learning" are achieved at the end of the process. Whereas the former involves the ability to provide nursing care in an ideal relationship with the patient, the latter involves maintaining and improving competency as a nursing professional for future career advancement.

Academic Significance and Societal Importance of the Research Achievements

質の高い看護を提供するために，看護実践能力の獲得，向上は重要である．本研究により，看護実践能力の獲得には適正な順序があることが示された．このことは，新人看護師教育および看護継続教育のプログラム作成に大いに寄与する．看護実践能力を順序良く獲得していくことができるプログラムの活用により，看護師は看護実践能力を段階的，かつ確実に獲得していくことができる．
看護実践能力の高い看護師が増えることは、質の高い看護を享受することができる人が増えることにつながる．

Research Products

• [Journal Article] Nursing Competency: Definition, Structure, and Development (2018)
  • Author(s): Mika Fukada
  • Journal Title: Yonago Acta Medica Volume: 61 Pages: 1-7
  • NAID: 130007612453
  • Peer Reviewed / Open Access
• [Presentation] 看護学教育のための看護実践能力修得の視覚化 (2019)
  • Author(s): 中村紘之，櫛田大輔，深田美香
  • Organizer: 第28回計測自動制御学会中国支部学術講演会
• [Presentation] How Nursing Competency of Japanese Clinical Nurses Has Changed Over Time: A Cross-Sectional Study (2019)
  • Author(s): M. Fukada, R. Okuda, Y. Fujihara, K. Shokawa, D. Kushida, H. Nakamura
  • Organizer: ICN Congress
  • Int'l Joint Research
• [Presentation] Development of Nursing Clinical Competency Acquisition Process Using Interpretive Structural Modeling (2019)
  • Author(s): Hiroyuki Nakamura, Daisuke Kushida, Mika Fukada
  • Organizer: The 6th International Nursing Research Conference
  • Int'l Joint Research
• [Presentation] 看護師が有する看護実践能力に影響する要因 (2019)
  • Author(s): 山本陽子，奥田玲子，深田美香
  • Organizer: 日本看護研究学会第33回中国四国地方会学術集会
• [Presentation] How Nursing Competency of Japanese Clinical Nurses Has Changed Over Time: A Cross-Sectional Study (2019)
  • Author(s): 深田美香
  • Organizer: International Council of Nurses Congress 2019
  • Int'l Joint Research