Effectiveness of a Simulation-Based Education Program to Improve Novice Nurses' Clinical Judgment Skills.

INTRODUCTION: We assessed the effectiveness of a simulation-based education program to improve novice nurses' clinical judgment skills. METHODS: A simulation education program was implemented for 21 novice nurses. Surveys were conducted on program satisfaction, learning, and clinical judgment skills before, immediately after, and two months after the program. RESULTS: Novice nurses were highly satisfied with the simulation education program. The following nine categories were identified as learnings: provide psychological care for patients, conduct sufficient observation, conduct assessment and make judgment based on observational findings, consult and report appropriately to senior nurses, take response action calmly, collect necessary information, acquire knowledge, predict patients' conditions, and make environmental arrangements. The subscale score for theoretical and practical reasoning was significantly higher immediately after and two months after the program than before it. In addition, the subscale for grasping the condition by observation was significantly higher two months after the program than before and immediately after it. CONCLUSION: The novice nurses learned to sufficiently observe, obtain necessary information, and prospectively assess patients' conditions by taking part in the simulation education program. The subscale score for grasping the condition by observation was significantly higher two months after the program than before and immediately after it. After the simulation program, novice nurses were likely actively practicing nursing; therefore, this program may not be directly responsible for the improvement of these new nurses' clinical judgment. Nevertheless, we found that the completion of the simulation program was correlated with enhanced clinical judgment.

Development of a Clinical Judgment Scale for Japanese Nurses.

BACKGROUND: The purpose of this study was to develop a scale to assess the clinical judgment of nurses based on the clinical judgment process. METHOD: Based on a qualitative analysis of interviews with specialized and certified nurses and extant literature, a scale comprising 44 question items was created. A questionnaire survey was conducted with 1,444 nurses working in 28 general hospitals, psychiatric wards, cardiac care units, and intensive care units in Japan. RESULTS: Valid responses were obtained from 610 nurses. Exploratory factor analysis was performed on the 23 items extracted by item analysis, and two factors, "theoretical and practical reasoning" and "grasping the condition by observation," were extracted. Confirmatory factor analysis revealed the fit of the model. Cronbach's alpha confidence factor was 0.943 for the first factor and 0.924 for the second factor. CONCLUSION: These results support the factor validity and reliability of the clinical judgment scale. [J Contin Educ Nurs. 2021;52(8):383-391.].

Addressing practical issues related to nursing care for international visitors to Hiroshima.

When nine million foreigners visited Japan in 2013, the federal government set a goal to attract an additional two and a half million visitors including medical tourists by 2020. This research investigates the attitudes and concerns of Japanese nurses when they are in a situation dealing with foreign patients. The data were collected from March through September 2010, from 114 nurses at three hospitals, in close proximity to popular tourist destinations in Hiroshima. A questionnaire was developed for this research, named Mari Meter, which included a section to write answers to an open question for the nurses to express their opinions. These responses were examined statistically and by word analysis using Text Mining Studio. Japanese nurses expressed greatest concern about payment options, foreign language skills, and issues of informed consent, when dealing with foreigners. The results confirm that, in order to provide a high quality of patient care, extra preparation and a greater knowledge of international workers and visitors are required by nursing professionals in Japan.

Addressing Practical Issues Related Tto Nursing Care For International Visitors To Hiroshima / Problemas Práticos Relacionados Aos Cuidados De Enfermagem Para Visitantes Internacionais A Hiroshima / Cuestiones Prácticas Relacionadas Con La Atención De Enfermería Para Visitantes Internacionales A Hiroshima

When nine million foreigners visited Japan in 2013, the federal government set a goal to attract an additional two and a half million visitors including medical tourists by 2020. This research investigates the attitudes and concerns of Japanese nurses when they are in a situation dealing with foreign patients. The data were collected from March through September 2010, from 114 nurses at three hospitals, in close proximity to popular tourist destinations in Hiroshima. A questionnaire was developed for this research, named Mari Meter, which included a section to write answers to an open question for the nurses to express their opinions. These responses were examined statistically and by word analysis using Text Mining Studio. Japanese nurses expressed greatest concern about payment options, foreign language skills, and issues of informed consent, when dealing with foreigners. The results confirm that, in order to provide a high quality of patient care, extra preparation and a greater knowledge of international workers and visitors are required by nursing professionals in Japan.
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Quando nove milhões de estrangeiros visitaram o Japão em 2013, o governo federal estabeleceu uma meta de atrair outros dois milhões e meio de visitantes, incluindo o turismo médico, em 2020. Esta pesquisa investiga atitudes e preocupações de enfermeiras japonesas ao lidar com pacientes estrangeiros. Os dados foram coletados no período de março a setembro de 2010, com 114 enfermeiros de três hospitais próximos a destinos turísticos populares em Hiroshima. Um questionário denominado Mari Meter foi desenvolvido especificamente para esse fim, incluindo uma seção de respostas a uma questão aberta para que os enfermeiros expressem suas opiniões. As respostas foram submetidas a procedimentos estatísticos e de análise de discurso, usando o software Text Mining Studio . As enfermeiras japonesas expressaram maior preocupação quanto a opções de pagamento, conhecimentos de línguas estrangeiras e questões de consentimento informado, ao prestar cuidados a pacientes estrangeiros. Os resultados confirmam que, a fim de proporcionar um atendimento de qualidade ao paciente, é necessário preparação extra e maior conhecimento sobre trabalhadores e visitantes internacionais por parte de profissionais de enfermagem no Japão.

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Cuando nueve millones de extranjeros visitaron Japón en el año 2013, el gobierno federal estableció la meta de atraer al año 2020 a más de dos millones y medio de visitantes, incluyendo el turismo médico. Esta investigación analiza las actitudes y preocupaciones de enfermeras japonesas en el cuidado pacientes extranjeros. Los datos fueron recolectados entre marzo y septiembre del año 2010, por medio de entrevistas a 114 profesionales de enfermería de tres hospitales cercanos a zonas turísticas populares en Hiroshima. Se desarrolló específicamente para este fin un cuestionario llamado Mari Meter, con una sección con una pregunta abierta, para que las enfermeras expresan sus opiniones. Las respuestas fueron sometidas a procedimientos estadísticos y de análisis de discurso, utilizando el software Text Mining Studio. Las enfermeras japonesas expresaron su preocupación con respecto a las formas de pago, conocimientos de idiomas y tópicos del consentimiento informado mientras brindaban cuidados de enfermería a pacientes extranjeros. Los resultados confirman que para proporcionar una atención de calidad al paciente, los profesionales de enfermería en Japón necesitan de una preparación adicional y de un mayor conocimiento acerca de los trabajadores y visitantes internacionales.