Maejima Satoko, Ohta Ryuichi, Sano Chiaki
Department of Nursing, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan City 699-1221, Japan.
Community Care, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan City 699-1221, Japan.
Healthcare (Basel). 2021 Apr 15;9(4):469. doi: 10.3390/healthcare9040469.
The clinical ladder is an essential tool for nursing education, enabling nurses to ascend from novice to expert. The learning content for nurses can depend on their clinical situations. The aging of societies has changed the demand for nurses at community hospitals because of the multimorbidity of older patients. At the same time, the gap in nursing education between urban and rural hospitals is wide, as rural hospitals often lack the application of the clinical ladder. This study investigates the effectiveness of using the clinical ladder in a rural Japanese community hospital using the clinical ladder scale and interviews. Through its application, we found that both novice nurses and nursing educators came to recognize the effectiveness and importance of the ladder. However, unfamiliarity with assessments, working conditions, and Japanese culture inhibited the smooth application of the ladder. For the effective application of the clinical ladder, continual training on assessments and the ladder's effectiveness in clinical situations, along with consideration of educational background, should be enhanced through the monitoring of the clinical ladder.
临床阶梯是护理教育的重要工具，能使护士从新手成长为专家。护士的学习内容可取决于他们的临床情况。由于老年患者的多种疾病共存，社会老龄化改变了社区医院对护士的需求。与此同时，城乡医院之间的护理教育差距很大，因为农村医院往往缺乏临床阶梯的应用。本研究使用临床阶梯量表和访谈，调查了在日本农村社区医院使用临床阶梯的效果。通过其应用，我们发现新手护士和护理教育工作者都开始认识到临床阶梯的有效性和重要性。然而，对评估、工作条件和日本文化的不熟悉阻碍了临床阶梯的顺利应用。为了有效应用临床阶梯，应通过对临床阶梯的监测，加强对评估以及临床阶梯在临床情况中的有效性的持续培训，并考虑教育背景。
