Research on Carrier Development of Experienced, Middle Aged Nurses in Revolutionary Era

通过对6名中年护理人员的访谈，了解到要掌握护理工作经验的意义，就必须理解工作经验对护士的意义，了解护士对自己护理经验的重视过程，并以此为依据，对279名中年护理人员进行问卷调查，中年护士（40-55岁），在日本某县200张以上的综合医院工作。本研究试图弄清是什么样的护理经历使护士积累了知识，从而扩大或提高了护理实践，并确定了他们从这些经历中学到了什么，以及这些经历对职业发展的意义。我们还对日本全国300张床位以上的综合医院的261名护士管理者进行了问卷调查。我们希望确定护士管理者对他们有经验的，中等的， ...更多信息 研究结果显示，有经验的护理人员表示，他们的工作经验使他们能够从病人和家属那里学习，了解何时根据病人的需要调整工作环境，了解工作环境中的人际关系，并认识到特殊的临床情况如何为他们提供职业发展的机会。然而，我们发现，个别护士在如何和他们从他们的临床经验中学到了什么，这取决于解释护士放置在每个experience.The研究结果从护士经理问卷调查表明，有很大的差异，在职业发展的经验丰富，中年护士医院之间。护理管理者还认为，这组护士中存在两极分化，有些护士愿意学习，有些护士不愿意学习。我们还发现，由医院提供的经验丰富的职业发展计划，中年护士的组织差，这是具有挑战性的激励这一群体的护士有学习的愿望。这为我们提供了一些与职业发展相关的问题，我们应该解决。我们建议确定护士如何积累临床经验的重要性，以及她如何分享这些经验。我们还了解到，让护士学习和使用自己的临床经验，以提高职业发展的特点的重要性，并证明个性化的学习机会，帮助护士在他们的职业生涯发展。少

It has become clear by interviewing 6 experienced, middle-aged nurses, that in order to grasp the meanings of the nursing care work experience, it is necessary to interpret the meaning that work experiences have for nurses and to understand the process of how nurses give significance to their own nursing care experiences.Based upon these ideas, we administered a questionnaire to 279 experienced, middle-aged nurses (40-55 years old), working at general hospitals of 200 beds or more in a certain prefecture in Japan. We attempted to clarify what nursing care experiences lead nurses to accumulate knowledge to expand or improve their nursing practice, identify what they learned through these experiences, and what significance these experiences had that led to career development.We also administered a questionnaire to 261 nurse managers working at general hospitals of 300 beds or more throughout Japan. We hoped to identify what expectations the nurse managers had for their experienced, middl … More e-aged nurses, and the problems or issues related to career development for these nurses.The research findings showed us that the experienced nurses indicated that their work experiences allows them to learn from their patients and their families, learn when to adjust the work setting for patients needs, understand human relationships in the work settings, and recognize how unusual clinical situations provided them opportunities for career development. However, we found that individual nurses varied in how and what they learned from their clinical experiences and this depended upon the interpretation the nurses placed upon each experience.The research outcomes from the nurse manager questionnaire suggested that there was wide variation in career development of experienced, middle-aged nurses among hospitals. The nurse managers also suggested there was polarization among nurses in this group, some nurses were willing to learn, others were not. We also found the career development programs for experienced, middle-aged nurse provided by hospitals were poorly organized and it was challenging to motivate this group of nurses to have a desire to learn. This provided us with some issues related to career development we should address.We have suggested the importance of identifying how a nurse accumulates her clinical experience, and how she shares this experience. We also learned the importance of enabling nurses to learn and use characteristics of their own clinical experiences to enhance career development, and that proving for individualized learning opportunities help nurses develop in their career. Less