Health  Vol.7 No.2 , February 2015
Relationship of Clinical Nursing Competence to Nursing Occupational Experience in Hospice/Palliative Care Nurses in Japan
ABSTRACT
Aim: The purpose of this research is to examine the relationship between the clinical nursing competence and nursing occupational experience in hospice/palliative care nurses (HPN) in Japan. Methods: A mail survey using an anonymous self-administered questionnaire was conducted on clinical nursing competence regarding communication, care and prediction of worsening of symptoms with the authors’ previous research as a framework. The subjects were nurses working in hospice/palliative care units in Japan, and the period of survey was January to February, 2014. Results: In this study, the relationship between the clinical nursing competence and nursing occupational experience of HPNs in hospice/palliative care which was clarified in the authors’ previous research was examined. The results showed that the amount of clinical nursing experience as a nurse was related to clinical nursing competence in the care of end-of-life patients and worsening of symptoms. The abundance of specialized nursing experience was also related to clinical nursing competence in communication in addition to care and prediction of worsening of symptoms. Training experience was also shown to be effective for hospice/palliative care. Conclusion: From these results, clinical nursing competence of HPNs in care of end-of-life patients and prediction of worsening of symptoms are possibly learned through the accumulation of clinical nursing experience as a nurse. However, HPN’s clinical nursing competence in communication was suggested to be developed through nursing practice in hospice/palliative care.

Cite this paper
Tsutsumi, K. and Sekido, K. (2015) Relationship of Clinical Nursing Competence to Nursing Occupational Experience in Hospice/Palliative Care Nurses in Japan. Health, 7, 279-288. doi: 10.4236/health.2015.72032.
References
[1]   Tsutsumi, K., Sekido, K. and Tanioka, T. (2014) Characteristics of Nursing Care for Terminally Ill Patients in Hospice/Palliative Care Unit. Health, 6, 2121-2128.
http://dx.doi.org/10.4236/health.2014.616246

[2]   Japanese Nursing Association.
http://www.nurse.or.jp/nursing/education/training/plan.html

[3]   Takase, M., Teraoka, S., Miyakoshi, Y. and Kawada, A. (2006) A Concept Analysis of Nursing Competence: A Review of International Literature. (In Japanese)
http://www.jsnr.jp/search/docs/403404001.pdf

[4]   American Nurses Association (2010) Nursing: Scope and Standards of Practice. 2nd Edition, American Nurses Publishing, Silver Spring.

[5]   Matsutani, M., Miura, Y., Hirabayashi, Y., et al. (2010) Nursing Competency: Concept, Structure of Dimensions, and Assessment. Journal of St. Luke’s Society of Nursing Research, 14, 18-28.
http://arch.slcn.ac.jp/dspace/bitstream/10285/6257/2/2010031-gakkai14 (2)-6257.pdf

[6]   O’Leary, J. (2012) Comparison of Self-Assessed Competence and Experience among Critical Care Nurses. Journal of Nursing Management, 20, 607-614.
http://dx.doi.org/10.1111/j.1365-2834.2012.01394.x

[7]   Tsuzi, C., Ogasawara, C., Takeda, C., et al. (2007) The Plateau Phenomena and Factors Related to the Development of Nurses’ Practical Abilities. Japanese Journal of Nursing Research, 30, 31-38. (In Japanese)

[8]   Masuhara, K., Hiromi, H.U. and Tarui, E. (2007) Development of Nurses with Nursing Performance and Social Skills. Bulletin of Shimane University Faculty of Medicine, 30, 51-57. (In Japanese)

[9]   Numminen, O., Meretoja, R., Isoaho, H. and Leino-Kilpi, H. (2013) Professional Competence of Practicing Nurses. Journal of Clinical Nursing, 22, 1411-1423.
http://dx.doi.org/10.1111/j.1365-2702.2012.04334.x

[10]   Nakanishi, M. and Ohishi, M. (2002) Nursing & Medical Dictionary. 6th Edition, Igakushoin, Tokyo, 407-408. (In Japanese)

[11]   Lyneham, J., Parkinson, C. and Denholm, C. (2009) Expert Nursing Practice: A Mathematical Explanation of Benner’s 5th Stage of Practice Development. Journal of Advanced Nursing, 65, 2477-2484.
http://dx.doi.org/10.1111/j.1365-2648.2009.05091.x

[12]   Komatsu, M., Izumi, M. and Okubo, Y. (2011) Nursing Practical Skills and Educational Issues among Nurses at Completion of Nursing Curriculum and Nurses in the First to Third Years after Graduation. Journal of Kyoto Prefectural University of Medicine, 120, 781-791. (In Japanese)
http://www.f.kpu-m.ac.jp/k/jkpum/pdf/120/120-10/komatsu10.pdf

[13]   Takase, M. (2013) The Relationship between the Levels of Nurses’ Competence and the Length of Their Clinical Experience: A Tentative Model for Nursing Competence Development. Journal of Clinical Nursing, 22, 1400-1410.
http://dx.doi.org/10.1111/j.1365-2702.2012.04239.x

[14]   Rudman, A., Gustavsson, P., Ehrenberg, A., Bostrom, A.M. and Wallin, L. (2012) Registered Nurses’ Evidence-Based Practice: A Longitudinal Study of the First Five Years after Graduation. International Journal of Nursing Studies, 49, 1494-1504.
http://dx.doi.org/10.1016/j.ijnurstu.2012.07.007

[15]   Byrne, D. and McMurray, A. (1997) Caring for the Dying: Nurses’ Experiences in Hospice Care. The Australian Journal of Advanced Nursing, 15, 4-11.

[16]   Johnston, B. and Smith, L.N. (2006) Nurses’ and Patients’ Perceptions of Expert Palliative Nursing Care. Journal of Advanced Nursing, 54, 700-709.
http://dx.doi.org/10.1111/j.1365-2648.2006.03857.x

[17]   Tanaka, I., Higa, H. and Yamada, K. (2012) Comparison of Clinical Nursing Competence Based on Attributes of Nurses, and Relationship between Number of Working Years, Sense of Coherence, and Spirituality. Journal of the Nursing Society of University of Toyama, 12, 81-92. (In Japanese)

[18]   Braun, M., Gordon, D. and Uziely, B. (2008) Associations between Oncology Nurses’ Attitudes toward Death and Caring for Dying Patients. Oncology Nursing Forum, 37, E43-E49.
http://dx.doi.org/10.1188/10.ONF.E43-E49

[19]   Gama, G., Barbosa, F. and Vieira, M. (2012) Factors Influencing Nurses’ Attitudes toward Death. International Journal of Palliative Nursing, 18, 267-273.
http://dx.doi.org/10.12968/ijpn.2012.18.6.267

[20]   White, K.R. and Coyne, P.J. (2011) Nurses’ Perceptions of Educational Gaps in Delivering End-of-Life Care. Oncology Nursing Forum, 38, 711-717.
http://dx.doi.org/10.1188/11.ONF.711-717

[21]   Montagnini, M., Smith, H. and Balistrieri, T. (2011) Assessment of Self-Perceived End-of-Life Care Competencies of Intensive Care Unit Providers. Journal of Palliative Medicine, 15, 29-36.
http://dx.doi.org/10.1089/jpm.2011.0265

[22]   Lee, J., Choi, M., Kim, S.S., Kim, H. and Kim, D. (2013) Korean Nurses’ Perceived Facilitators and Barriers in Provision of End-of-Life Care. International Journal of Nursing Practice, 19, 334-343.
http://dx.doi.org/10.1111/ijn.12070

 
 
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