Abstract
The purpose of this study is to clarify the relationship between learning activities developed by nurses working at hospitals and the quality of their nursing practice, and to consider effective learning activities connecting to improvement of their nursing practice and challenges to achieve their implementation.
A conceptual framework was constructed based on literature review. A questionnaire consisting of items which measure demographic characteristics of the participants, questions regarding learning activities, and the Nursing Excellence Scale in Clinical Practice which measures the quality of nursing practice, was used. A questionnaire survey was sent by mail to 91 hospitals in Japan, targeting 1,177 ward nurses with more than 5 years and less than 11 years of clinical experience. 516 responses (43.8%) were received, of which 383 were valid for analysis.
As a result, 5 types of learning activities, such as “intentionally and systematically ensuring learning opportunities
”,
“not leaving questions or matters that are unclear unanswered, but continue to search for understanding based on the evidence until you are convinced
”,
“finding opportunities to study in the daily nursing scene and positively utilizing them
”, were related to the quality of nursing practice. In consideration, it is suggested that awareness their responsibility for quality nursing practice, value the importance of learning, value the nursing practice based on evidence, and using this as the foundation for action, are important in order to achieve these five types of learning activities.
