Nakano Youko, Yokotani Tomoya, Betriana Feni, Kawai Chihiro, Ito Hirokazu, Yasuhara Yuko, Tanioka Tetsuya, Locsin Rozzano, Miyagawa Misao
Kagawa University Hospital, Kagawa, Japan.
Tokushima University Hospital, Tokushima, Japan.
Belitung Nurs J. 2021 Dec 6;7(6):467-475. doi: 10.33546/bnj.1767. eCollection 2021.
Nurses as primary healthcare providers demonstrate quality nursing care through competencies with healthcare technologies, while nurse managers assume the primacy of managing quality healthcare in their respective care settings. However, little is known about perceptions of the influence of care technologies on their nursing practice.
This study aimed to determine managers' and staff nurses' perceptions regarding the Technological Competency as Caring in Nursing (TCCN) theory in general hospitals in Japan.
This study employed a cross-sectional survey design, with 421 participants selected using a stratified sampling method. Technological Competency as Caring in Nursing Instrument-Revised (TCCNI-R) was used for online data collection using Survey Monkey©. Data were analyzed using Welch's t-test and ANOVA.
Nurses with years of experience within the range of 20 to less than 30 years showed the highest TCCNI-R scores among the two groups. Nurses who had received education on caring in nursing showed significant differences for Factor 2 (Technological Competency as Caring), that of expressing Technological Competency as Caring. Three other factors showed no significant difference, namely in Factor 1 (Nursing Expression as Caring), Factor 3 (Technology and Caring), and Factor 4 (Technological Knowing). However, the average scores of these factors were high, which reflect high professional ethics and occupational discipline and increased awareness of caring in nursing. It was also found that the nurse managers were more aware of the TCCN than were the staff nurses. The nurse managers were also more aware of providing care using technology, recognizing the need-to-know patient needs through technology and providing care to the ever-changing patient's condition.
The study discovered that continuing education is needed regarding the practice of nursing based on theory, enabling appropriate and accurate understanding of practicing knowing persons as caring in nursing.
护士作为初级医疗服务提供者，通过掌握医疗技术能力来展现优质护理服务，而护士长则在各自的护理环境中承担着管理优质医疗服务的首要职责。然而，对于护理技术对其护理实践影响的看法却知之甚少。
本研究旨在确定日本综合医院中护士长和护士对护理中关怀技术能力（TCCN）理论的看法。
本研究采用横断面调查设计，通过分层抽样方法选取了421名参与者。使用护理中关怀技术能力量表修订版（TCCNI-R），通过Survey Monkey©进行在线数据收集。数据采用韦尔奇t检验和方差分析进行分析。
在两组中，工作经验在20年至不足30年之间的护士TCCNI-R得分最高。接受过护理关怀教育的护士在因子2（作为关怀的技术能力），即表达作为关怀的技术能力方面存在显著差异。其他三个因子，即因子1（作为关怀的护理表达）、因子3（技术与关怀）和因子4（技术知识），没有显著差异。然而，这些因子的平均得分较高，这反映了较高的职业道德和职业纪律以及对护理中关怀意识的提高。还发现护士长比护士更了解TCCN。护士长也更了解使用技术提供护理，认识到需要通过技术了解患者需求并根据患者不断变化的病情提供护理。
该研究发现，需要开展基于理论的护理实践继续教育，以促进对将护理实践理解为关怀他人的恰当且准确的认识。
