Total Quality Science
Online ISSN : 2189-3195
ISSN-L : 2189-3195
Research on Promoting the Activation of Nurses Based on Competence Evaluation in Specific Medical Acts
Yuri Nakano Ryoko ShimonoYoshihiro NatoriHiroyuki OdaEmiko MomoseMunechika Masahiko
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JOURNAL OPEN ACCESS

2025 Volume 11 Issue 1 Pages 12-21

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Abstract
Securing medical personnel in outpatient or inpatient wards in the medical field is difficult. In particular, the 2024 reform will apply overtime limits to physicians’ work. Reducing the burden on physicians and their working hours is a crucial task. Therefore, the demand for nurses who can perform specific actions has increased to reduce the burden on physicians. However, many challenges exist, such as the fact that physicians cannot be entrusted with all their duties, and the specific actions to be performed by nurses are vague and unclear. It is necessary to resolve these issues and establish appropriate work systems to effectively activate specific types of nurses. This study identified issues in activating specific nurses through a review of previous studies and a case study of Hospital I. Measures to enhance their effective activation were proposed, along with a roadmap outlining steps to establish appropriate work systems. Additionally, methods for evaluating the competence of specific nurses and verifying their effectiveness were suggested. The findings are expected to serve as a practical guide for hospitals, providing actionable measures to optimize the use of specific nurses and reduce physicians’ workloads while improving operational efficiency.
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© 2025 The Japanese Society for Quality Control
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