RESUMEN
AIM: The present study aimed to examine the effects of a learning programme for nurse managers on connecting learning with their own experiences and fostering competence. BACKGROUND: In Japan, second-level programmes for certified nurse administrators represent the main opportunity for formal training for nurse managers. However, it is difficult for nurse managers to transfer second-level programme learning to their workplace. METHODS: This quasi-experimental study used a two-group pretest-posttest design with purposive sampling and non-random assignment of 29 consenting Japanese nurse managers who were participating in a second-level programme through a prefectural nursing association. The programme provided reflection papers and feedback from a researcher, as well as reflective group sessions. The outcome measure was the Japanese First-Line Nurse Managers Competence Inventory (JNMCI) score. RESULTS: The intervention group showed significant improvement in JNMCI scores after participating in the programme. A significant difference in JNMCI scores was also observed between the intervention and comparison groups. CONCLUSION: This learning programme led to improved competency among nurse managers. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse manager development programmes should include reflection papers and feedback, as well as reflective group sessions, to improve competency among nurse managers.
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Enfermeras Administradoras , Humanos , Japón , Aprendizaje , Enfermeras Administradoras/educación , Lugar de TrabajoRESUMEN
OBJECTIVE: This study aimed to examine the relationship between experiential learning and nursing management competency among nurse managers (NMs) in the early years of a supervisory role. BACKGROUND: The relevance of experiential learning to the development of NMs has been explored in an effort to harvest the knowledge embedded in shared NM practice narratives. However, the relationship between experiential learning and nursing management competency has not been empirically measured. METHODS: The author developed an experiential learning-based program for NMs in the initial 3 years of a supervisory role. Sixty-three NMs were enrolled. The relationship between experiential learning and nursing management competency was evaluated using multiple regression analysis after completing this program. RESULTS: The results of multiple regression analysis revealed a significant relationship between experiential learning and nursing management competency (P < .001). CONCLUSIONS: A significant relationship was identified between experiential learning and nursing management competence.
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Educación Continua en Enfermería/métodos , Enfermeras Administradoras/educación , Enfermeras Administradoras/normas , Supervisión de Enfermería/organización & administración , Aprendizaje Basado en Problemas/métodos , Competencia Clínica/normas , Curriculum , Humanos , Rol de la Enfermera , Investigación Metodológica en Enfermería , Evaluación de Programas y Proyectos de SaludRESUMEN
AIM: The present study aimed to examine the effect of providing an experiential learning-based programme to foster competence among nurse managers in the early years of their supervisory roles. BACKGROUND: Nurse managers take supervisory positions without being sufficiently prepared for the task and therefore often experience difficultly in the early years of managerial roles. They need support from their supervisor and require opportunities for development. METHODS: We developed an experiential learning-based programme for nurse managers in the first 3 years of a supervisory role. Sixty-three nurse managers and their supervisors were enrolled. The programme was evaluated using a one-group pretest-posttest design. The outcome measures were experiential learning, knowledge, social support, competency as a nurse manager, and sense of coherence. Outcomes were compared using paired t tests. RESULTS: Nurse managers showed significantly improved experiential learning (p = .001), knowledge (p < .001) and competence as a nurse manager (p = .002) after participating in this programme. CONCLUSION: This programme increased knowledge, promoted experiential learning, and improved competence among nurse managers. IMPLICATIONS FOR NURSING MANAGEMENT: This experiential learning-based programme for nurse managers in the early years of a supervisory role fostered competence among nurse managers.
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Competencia Clínica/normas , Enfermeras Administradoras/educación , Aprendizaje Basado en Problemas/normas , Evaluación de Programas y Proyectos de Salud/normas , Adulto , Competencia Clínica/estadística & datos numéricos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermeras Administradoras/psicología , Enfermeras Administradoras/normas , Aprendizaje Basado en Problemas/métodos , Psicometría/instrumentación , Psicometría/métodos , Psicometría/estadística & datos numéricos , Encuestas y CuestionariosRESUMEN
BACKGROUND: A tube feeding decision aid designed at the Ottawa Health Research Institute was specifically created for substitute decision-makers who must decide whether to allow placement of a percutaneous endoscopic gastrostomy (PEG) tube in a cognitively impaired older person. We developed a Japanese version and found that the decision aid promoted the decision-making process of substitute decision-makers to decrease decisional conflict and increase knowledge. However, the factors that influence decision regret among substitute decision-makers were not measured after the decision was made. The objective of this study was to explore the factors that influence decision regret among substitute decision-makers 6 months after using a decision aid for PEG placement. METHODS: In this prospective study, participants comprised substitute decision-makers for 45 inpatients aged 65 years and older who were being considered for placement of a PEG tube in hospitals, nursing homes and patients' homes in Japan. The Decisional Conflict Scale (DCS) was used to evaluate decisional conflict among substitute decision-makers immediately after deciding whether to introduce tube feeding and the Decision Regret Scale (DRS) was used to evaluate decisional regret among substitute decision-makers 6 months after they made their decision. Normalized scores were evaluated and analysis of variance was used to compare groups. RESULTS: The results of the multiple regression analysis suggest that PEG placement (P < .01) and decision conflict (P < .001) are explanatory factors of decision regret regarding placement of a PEG among substitute decision-makers. CONCLUSIONS: PEG placement and decision conflict immediately after deciding whether to allow PEG placement have an influence on decision regret among substitute decision-makers after 6 months.
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Toma de Decisiones Clínicas , Conflicto Psicológico , Emociones , Nutrición Enteral/psicología , Adulto , Anciano , Anciano de 80 o más Años , Toma de Decisiones Clínicas/métodos , Nutrición Enteral/métodos , Femenino , Humanos , Japón/epidemiología , Masculino , Persona de Mediana Edad , Casas de Salud/tendencias , Estudios ProspectivosRESUMEN
BACKGROUND: In Japan, there is no decision-making guide regarding long-term tube feeding that specifically targets individuals making decisions on behalf of cognitively impaired older persons (substitute decision makers). The objective of this study was to describe the development and evaluation of such a decision aid. METHODS: In this before-and-after study, participants comprised substitute decision makers for 13 cognitively impaired inpatients aged 65 years and older who were being considered for placement of a percutaneous endoscopic gastrostomy tube in acute care hospitals and mixed-care hospitals in Japan. Questionnaires were used to compare substitute decision makers' knowledge, decisional conflict, and predisposition regarding feeding tube placement before and after exposure to a decision aid. The acceptability of the decision aid was also assessed. Paired t-tests were used to compare participants' knowledge and decisional conflict scores before and after using the decision aid. RESULTS: Substitute decision makers showed significantly increased knowledge (P < .001) and decreased decisional conflict (P < .01) regarding long-term tube feeding after using the decision aid. All substitute decision makers found the decision aid helpful and acceptable. CONCLUSIONS: The decision aid facilitated the decision-making process of substitute decision makers by decreasing decisional conflict and increasing knowledge.