Expanding Roles and Evaluation Indicators of Certified Nurse Specialists in the Community-based Integrated Care System.

2022 Fiscal Year Final Research Report

• Project/Area Number: 19K10899
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Chiba University
• Principal Investigator: Nakamura Nobue 千葉大学, 大学院看護学研究院, 教授 (20282460)
• Co-Investigator(Kenkyū-buntansha): 水野 芳子 東京情報大学, 看護学部, 准教授 (20730360) ; 仲井 あや 千葉大学, 大学院看護学研究科, 助教 (30612197) ; 眞嶋 朋子 千葉大学, 大学院看護学研究科, 教授 (50241112)
• Project Period (FY): 2019-04-01 – 2023-03-31
• Keywords: 専門看護師 / 役割 / 評価

Outline of Final Research Achievements

This research project aimed to clarify the expanding roles of certified nurse specialists (CNSs) regarding medical and social conditions and examine the evaluation indicators, roles required in the community-based integrated care system, and education that should be strengthened for CNSs. We found that the roles of CNSs were indicated by activities including “comprehensive assessment”, “designing interventions based on evidence and expertise”, “creating and implementing necessary nursing care and systems”, and “reflecting and evaluating” and by goals including “providing advanced care for all patients (recommendations for healthcare policies, meaningful organizational change)”, “optimizing the patient’s self-care ability to continue their best possible life (patient outcome)”, “independently providing quality care (staff education)”, and “empowering the patient, family, and medical staff”. These results suggested evaluation indicators and education targets for CNSs.

Free Research Field

Nursing

Academic Significance and Societal Importance of the Research Achievements

専門看護師の活動や評価を明確に示すことは、診療報酬に結び付きやすい認定看護師や、保健師助産師看護師法で明記されている特定行為などより難しい。専門看護師は、大学院での専門看護師教育を基盤に自ら必要な知識や技術を学び、新たな活動を生み出しているが、その活動を明確にした研究は少ない。また、社会情勢の変化のなかで求められる専門看護師の役割や強化すべき大学院教育・継続教育を明確にすることは社会的意義がある。