Study of Nursing Expertise by Nurses Working at a General Patient Wards : Focus to the Clinical Experience

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  • 一般病棟に勤務する看護師が認識する看護の専門性に関する研究 : 臨床経験年数に焦点をあてて
  • イッパン ビョウトウ ニ キンムスル カンゴシ ガ ニンシキスル カンゴ ノ センモンセイ ニ カンスル ケンキュウ リンショウ ケイケン ネンスウ ニ ショウテン オ アテテ

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Abstract

With the aim of clarifying what constitutes expertise in nursing in a form that nurses who work in general patient wards would acknowledge, a semi-structured interview was carried out for 20 nurses who work in the general patient ward at an institution and who consented to participate in this study. The subjects were classified into Groups I (3-5years), II (6-10years), and III (over 11 years), according to the number of years of clinical experience, and the characteristics or differences by classification were investigated. According to the details extracted from the subjects, the following findings were obtained, consisting of four core categories of expertise in nursing that nurses who work in a general ward would acknowledge: "Possession of Special Knowledge and Motivation to Pursue that Knowledge," "Practice of Nursing Based on Knowledge and Judgment," "Fulfillment of One's Role as a Nurse," and "Difficulties in Expertise Expression." From the above, the nurses acknowledge that the possession of knowledge is the basis of expertise in nursing, and in particular, nurses in Groups II and III recognize the importance of expertise in the implementation of such knowledge and the details also vary from general to specific. Furthermore, it was discovered that their mental support varies and expands to encompass more specific and special situations, covering a wider range was the years of experience for the nurses increase. In addition, the nurses recognize from the perspective of caring for patients that the role of acting as a liaison between doctors and patients is also a form of expertise in nursing. Moreover, 14 codes-approximately 1/4 of the 54 codes that were extracted as expertise in nursing-were codes that cannot specifically describe expertise in nursing.

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