The purpose of this study was to clarify how Japanese nurse managers (i.e., “shunin”) or higher-ranked positions self-rate their nursing management competencies and to identify factors associated with their ability to develop staff. Data were collected using a questionnaire based on the 41-item Management Index for Nurses. This index assesses the competencies related to six components of nursing management: planning, motivating staff, developing staff, communication, organization, and ensuring safety. The total possible score is 205 points. The mean percentage score for each component was calculated based on the responses from 118 participants (107 women; mean age = 44.1 ± 7.0 years). Results showed that the mean percentage score for competencies related to ensuring safety was, by far, the highest (71.8%), and the lowest was for competencies related to organization (47.6%). Principal factors found to be associated with participants’ ability to develop staff were “gathering and using information” (a subscale of “educational background and interests”) and “supportiveness of the work environment”. These results suggest that, to improve nurse managers’ competencies related to their ability to develop staff, hospitals need to establish continuing education systems that offer nurse managers convenient educational opportunities in management science, either on-site or at a higher education institution; and develop an in-house support system that enables managers to obtain counseling when practical management concerns cause them stress.
Objective: In this study, we analyzed a sample of nursing students, focusing on their self-directed learning experiences as they completed a program comprising specialized exercises and examinations and clinical training. Through this, we aimed to identify means of improving nurses' self-directed learning skills during nursing education. Methods: Sixty-six third-year university students underwent a six-week adult-nursing training involving participatory-type simulated-patient (SP) exercises and objective structured clinical examinations (OSCEs), during which they maintained portfolios in which they noted their experiences and thoughts as they engaged in this education. We analyzed, through qualitative induction, the written data in these portfolios. We followed this by cross-sectionally integrating, using a chronological perspective, experiences reported by the same sample in previous research, consequently clarifying the structure of the students' self-directed learning. Results: The students' self-directed learning experiences during the adult-nursing training were divided into six classifications. Comparison of self-directed learning in participatory-type SP exercises, OSCE, and training, respectively, showed that few students applied their experience of the SP and OCSE exercises in training. However, during training they showed a strong ability to independently perform reviews of challenges that arose in actual practice and to engage in collaboration. They also showed increased desire to perform nursing. Conclusions: As the exercises and practice were not conducted consecutively, external experiences may have affected the continuity of the education, and hindered the students' ability to maintain a sense of continuous development. Thus, encouraging students to regularly review their education may enhance their self-directed learning skills.
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