DSpace
   聖路加国際大学図書館 聖路加国際大学   

SLIU Repository >
聖路加看護学会誌 >
14巻2号 >

この研究成果の引用には次のURIを利用してください。: http://hdl.handle.net/10285/6257

種類: Journal Article
タイトル: 看護実践能力:概念、構造、および評価
タイトル別表記: Nursing Competency : Concept, Structure of Dimensions, and Assessment
著者: 松谷, 美和子
三浦, 友理子
平林, 優子
佐居, 由美
卯野木, 健
大隅, 香
奥, 裕美
堀, 成美
井部, 俊子
高屋, 尚子
西野, 理英
寺田, 麻子
飯田, 正子
佐藤, エキ子
キーワード: 看護実践能力
看護コンピテンス
看護コンピテンシー
看護学士課程
nursing competence
nursing competency
bachelor of nursing students
調査法・尺度: 文献レビュー
literature review
掲載誌: 聖路加看護学会誌
巻: 14
号: 2
開始ページ: 18
終了ページ: 28
発行年月日: 2010年8月31日
出版者: 聖路加看護学会
抄録: 医療技術の急速な発展と高齢社会の進展により,看護の働きへの期待が高まっている。人々の健康と安寧 を目的に機能する看護は,世の中の変化に明るくなければならない。間もなく200校にならんとする看護系 大学は,どのような能力をどのようにどのレベルまで育むことを基準とするのか,専門職者集団として明言 する profess ことが求められている。そこで,この研究は,看護実践能力の定義と属性,要素と構造を明確 にすること,基礎教育課程における育成方法とその評価方法を,文献検討をとおして明らかにすることを目 的とした。 看護実践能力について30件の英文献を検討し:看護実践能力の①定義,属性,要素とその構造,②育成方 法,③評価方法に関する情報を分析し,整理・統合した。その結果,看護実践能力とは,知識や技術を特定 の状況や背景の中に統合し,倫理的で効果的な看護を行うための主要な能力を含む特質であり,複雑な活動 で構成される全体的統合的概念であると定義づけられ,潜在的能力コンピテンスを前提とした基準を満たす 行為コンピテンシーと説明することができた。さらに,看護実践能力は7要素に分類でき,大きく3つの主 要能力構造として図式化することができた。①人々を理解する力(知識の適用力,人間関係をつくる力), ②人々中心のケアを実践する力(看護ケア力,倫理的実践力,専門職者間連携力),および③看護の質を改 善する力(専門職能開発力および質の保証実行力)である。 看護実践能力の評価については,観察可能な能力にはOSCE が適用されていた。しかし,実践能力全体 に関しては他者評価の不適切性が指摘されており,さまざまな自己評価尺度の開発が試みられていた。また, 看護実践能力の育成方法については,主に臨床実践能力の開発に関するシミュレーション演習や実習によっ て理論と実践とをつなぐための工夫がなされていた。学士課程でどこまで実践能力を育成するかという目標 に関する知見は得られなかった。
抄録別表記: The rapid development of medical sciences and the progressive aging of society have led to increased expectations for qualified nursing care. In addition, in Japan, the number of nursing colleges and universities is rapidly increasing, and will soon reach over 200. Nursing, out of its commitment to the health and wellness of people, must be sensitive to these local and global changes and the demands such changes place on nursing practice. As nursing professionals, we are expected to profess clearly what competencies our new graduates can offer. Therefore, nursing educators have a responsibility to make clear what standard competencies are expected of students, as well as how and to what degree students are expected actually to attain such competencies. The purpose of this study is to define the meaning of nursing competency, identify its constructs, and describe learning processes and assessment tools with regard to nursing competency. We reviewed 30 English manuscripts to :(1)develop definitions and the content of nursing competency and identify conceptual elements;(2)delineate nursing students' learning process, and(3)determine competency assessment. As a result of the review, nursing competency was defined as: the main skills and abilities needed to practice nursing ethically and synthesize knowledge and skills effectively in unique situations or contexts. Nursing competency is thus a holistic and integrated concept consisting of a matrix of complex actions. Furthermore, we inductively identified three constructs with seven dimensions of nursing competency; (1)the ability to understand people(ability to apply knowledge, developing interpersonal relationships),( 2)practicing people-centered nursing (providing nursing care, ethical practice, and professional relationships and management)and(3)ensuring quality of nursing( professional development, and ensuring quality nursing care). Self-assessment is an acceptable method of evaluation for nursing competency. An objective, structured clinical examination can be used to assess competency. Simulations, scenarios, and clinical preceptorship were used to develop students' competency. The degree of competency that ought to be attained prior to undergraduate certification remains unclear.
参考文献: Allen, P. et al.(2008).Evaluating continuing competency : A challenge or nursing. Journal of Continuing Education in Nursing . 39(2).81-85.
Bartlett, H.P. et al.(2000).A comparison of the nursing competence of graduates and diplomats from UK nursing programmes. Journal of Clinical Nursing . 9. 396-381.
Battersby, D., Hemmings, L.(1991).Clinical performance of university nursing graduates. Australian Journal of Advanced Nursing . 9(1).30 -34.
Bradshaw, A(2000a).Editorial. Journal of Clinical Nursing . 9(3).319-320.
Brosnan, M. et al.(2005).Implementing objective structured clinical skills evaluation(OSCE)in nurse registration programmes in a centre in Ireland : A utilisation focused evaluation. Nurse Education Today . 26. 115-122.
Burns, P. , Poster, E.C.(2008).Competency development in new registered nurse graduates : Closing the gap between education and practice. Journal of Continuing Education in Nursing . 39 (2).67-73.
Cassidy, S.(2009).Interpretation of competence in student assessment. Nursing Standard . 23(18).39 -46.
Clark, M.C., Owen, S.V., Tholcken, M.A.(2004). Measuring student percept ions of cl inical competence. Journal of Nursing Education . 43(12). 548-554.
Cowan, D.T., Norman, I., Coopamah, V.P.(2005). Competence in nursing practice : A controversial concept-a focused review of literature. Nurse Education Today . 25. 355-362.
Cowan, D.T., Norman, I., Coopamah, V.P.(2005). A project to establish a skills competency matrix for EU nurses. British Journal of Nursing . 13(11). 613-617.
Cowan, D.T, Barnett, J.W., Norman, I.J.(2006).A European survey of general nurses’self assessment of competence. Nurse Education Today . 27. 452- 458.
Cowan, D.T. et al.(2008).Measuring nursing competence: development of a self-assessment tool for general nurses across Europe. International Journal of Nursing Studies . 45. 902-913.
Cowin, L.S. et al.(2008).Competency measurements : Testing convergent validity for two measures. Journal of Advanced Nursing . 64(3).272-277.
Decker, S. et al.(2008).The evolution of simulation and its contribution to competency. Journal of Continuing Education in Nursing . 39(2).74-80.
Defloor, T. et al.(2006).The clinical nursing competences and their complexity in Belgian general hospitals. Journal of Advanced Nursing . 669-678. response301-302.
Dunn, S.V. et.al.(2000).The development of competency standards for specialist critical care nurses. Journal of Advanced Nursing . 31(2).339- 346.
Epilogue : Safeguarding patients through continuing competency. Journal of Continuing Education in Nursing . 39(2).92-94.
Ferguson, L.M., Calder, B.L.(1993).A comparison of preceptor and educator evaluing on nursing student clinical performance criteria. Journal of Nursing Education . 32(1).30-36.
Jordan, C. et al.(2008).Public policy on competency : how will nursing address this complex issues?. Journal of Continuing Education in Nursing . 39 (2).86-91.
Gardner, D.L.(1992).Career commitment in nursing. Journal of Professional Nursing . 8(3). 155-160.
Kim, K.H.(2007).Clinical competence among senior nursing students after their preceptorship experiences. Journal of Professional Nursing . 23 (6).369-375.
Klein, C.J.(2006).Linking competency-based assessment to successful clinical practice. Journal of Nursing Education . 45(9).379-383.
Lasater, K.(2007).Clinical judgment development:Using simulation to create an assessment rubric. Journal of Nursing Education . 46(11).49-503.
Laschinger, H.K.S. , MacMaster, E.(1992). Effect of pregraduate preceptorship experience on development of adaptive competencies of baccalaureate nursing students. Journal of Nursing Education . 31(69).258-264.
Laschinger, H.K.S.(1992).Impact of nursing learning environments on adaptive competency development in baccalaureate nursing students. Journal of Professional Nursing . 8(2).105-114.
Lee-Hsieh, J. et al .(2002).Cl inical nursing competence of RN-to-BSN students in nursing concept-based curriculum in Taiwan. Journal of Nursing Education . 42(12).536-545.
Loving, G.L.(1993).Competence validation and cognitive flexibility : A theoretical model grounded in nursing educat ion. Journal of Nursing Education . 32(9).415-421.
Luhanga, F. , Yonge, O. , Myrick, F.(2008). Hallmarks of unsafe practice : what preceptors know. Journal for Nurses in Staff Development . 24 (6).257-264.
Lui, Ming. et al.(2009).Competency inventory for registered nurses in Macao : instrument validation. Journal of Advanced Nursing . 65(4).893-900.
May, B.A. et al.(1999).Critical thinking and clinical competence : A study of their relationship in BSN seniors. Journal of Nursing Education . 38 (3).100-110.
McCloskey, J.C., McCain, B.(1988).Variables related to nurse performance. Image-Journal of Nursing Scholarship . 20(4).203‐207.
Mozingo, J., Thomas, S., Brooks, E.(1995).Factors associated with perceived competency levels of graduating seniors in a baccalaureate nursing program. Journal of Nursing Education . 34(3). 115-122.
Myri c , F. , Awrey, J.(1988).The e f f e c t of preceptorship on the clinical competency of baccalaureate student nurses : A pilot study. Canadian Journal of Nursing Research . 20. 29-43.
中岡亜希子,小笠原知枝,久米弥寿子,他(2004).大 卒の看護師が認識している看護実践能力:短大・専門 学校卒者との比較.日本看護学教育学会誌.14(2). 17-25.
Rentschler, D.D. et al.(2007).Evaluation of undergraduate students using objective structured clinical evaluation. Journal of Nursing Education . 46(3).135-138.
Rogers,B.L.,Knafl,K.A.(2000).Concept development in nursing : Foundations, techniques, and applications (2nd ed).77-102. Philadelphia : W.B. Saunders company
Schwirian, P.M.(1978).Evaluating the performance of nurses : A multidimensional approach. Nursing Research . 27. 347-351.
立田慶裕(2008).キーコンピテンシーとは.日本看護 学教育学会誌.18(2).75-86.
Tilley, D.S. et al.(2007).Promoting clinical competence : Using scaffolded instruction for practice-based learning. Journal of Professional Nursing . 23(5).285-289.
Tilley, D.S.(2008).Competency in nursing : A concept analysis. Journal of Continuing Education in Nursing . 39(2).58-66.
White, A.H.(2003).Clinical decision making among fourth-year nursing students : An interpretive study. Journal of Nursing Education . 42(3).113- 120.
本文の種類: publisher
リンクURL: http://hdl.handle.net/10285/6257
出現コレクション:14巻2号
4.総説・論説・報告・資料
4.総説・論説・報告・資料
4.総説・論説・報告・資料
4.総説・論説・報告・資料
4.総説・論説・報告・資料
4.総説・論説・報告・資料

このアイテムのファイル:

ファイル 記述 サイズフォーマット
2010031-gakkai14(2)-6257.pdf505.64 kBAdobe PDF見る/開く

このリポジトリに保管されているアイテムは、他に指定されている場合を除き、著作権により保護されています。

 

Valid XHTML 1.0! Powered by DSpace Software Copyright © 2002-2007 MIT and Hewlett-Packard - このリポジトリへのご意見をお寄せください