Because the nursing assessment is important factors to provide a specific care to individual patient and to establish the nursing specialty as well, nursing students are expected to acquire this competence during the fundamental nursing education. This competence is based on one's scientific consciousness covering both wide knowledge and experiences, it is likely that experiences obtained through clinical works might result in the advancement of this competence. However, our previous crosssectional studies, held in 1992, indicated that individual nurse's competence exhibited no prominent advancement. Therefore, we designed the longitudinal study focused on the same panels to evaluate the advancement of this competence. The same fill-in-the-blank questionnaires mailed in 1992 which consisted of paper-simulated patient were delivered again in 1997, and replies from 46 "four-years experienced" nurses were analyzed by comparing with those from 100 novice nurses obtained in 1992.
As a result, both novice and experienced nurses exhibited poor competence for assessment and no clear advancement was observed. However, competence for analysis, and problem-extraction and priority setting were significantly high in novice and experienced nurses, respectively. In addition, it was suggested that the advancement of the competence of nursing assessment seemed to be correlated with one's background of the diploma program.
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