2015 Volume 7 Issue 1 Pages 1_2-1_12
Purpose
To clarify and discuss challenges in consensus on training newly graduated home visiting nurses(new graduates)in collaboration with university faculty members(faculty)and nurses of a home-visit nursing agency(agency)from the cross-cultural viewpoint.
Method
The collaborators in this research were 3 nurses of 1 administrator and 2 nursing staffs from 1 agency who supported the new graduates’ learning, 1 supervisor from the prefectural nursing association, and 2 new graduates. Analysis was conducted on 19 records of proceedings from learning supporter meetings, records of 4 interviews assessing the new graduates’ goal achievement, transcripts of 17 individual interview surveys by faculty, and so forth. Descriptions about issues in consensus forming between faculty and nurses were extracted from the records and transcripts, and simply summarized, focusing on changes in problem recognition and behaviors. Next, the problems in consensus forming were discussed from the cross-cultural viewpoint.
Results
The problems related to the consensus forming between nurses and faculty were difficulty agreeing to the application of protocol for learning visiting nursing skills, and the application of self-evaluation sheets for the new graduates’ learning tasks. The nurses prioritized skill acquisition and application to users. On the other hand, the faculty focused on developing learning skills as lifelong learners. Understanding necessity and effects of the application of them for new graduates, nurses and faculty made an agreement.
Discussion
The issue of consensus building between nurses and faculty was supposed to be based on differences in cultural factors arising from roles in both organizations. Understanding the cultural factors each other and trying to accept actively the other cultural context was supposed to make effective support for the new graduates in collaboration with nurses and faculty.