抄録
In this article, I have deliberated on medical sociology specialist Shinya Tateiwa's proposal about "nursing specialties."
When a new nursing qualification system was implemented in 1993, Tateiwa criticized the idea that emphasis on nursing specialties could cause the expansion and monopoly of work fields. He redefined nursing specialties by pointing out that there were already established specialties that needn't be emphasized.
Tateiwa defined the principal body of nursing as 'a work to support patients living with their diseases through direct relations with their lives,' and said that nursing is a very important element for human relation support.
He sees nursing specialties in 'daily routines,' each of which can not be separated and can be (and often are) performed by any nurse, as the core of their work getting comprehensively involved with those who face sickness.
Tateiwa pointed out that separating specialties would not help raise the nursing quality because it would leave the major portion of nurses, generalists, behind. This point is worth listening to closely In order to improve the nursing quality, we need to hold on to good nurses and prevent them from leaving work. Even if we work on the development of human resources, treatments and working environments, we must remember that 'specialties' are deeply involved in this development. One might say that they are the key. After my deliberation of Tateiwa's ideas, I can see that If nurses who work in a severe environment intend to raise the overall nursing quality, they can't help but revert to their own specialties.
