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Psychometric Testing of the Technological Competency as Caring in Nursing Instrument â€“ Revised (English Version Including a Practice Dimension) Yokotani, Tomoya; Tanioka, Tetsuya; Betriana, Feni; Yasuhara, Yuko; Ito, Hirokazu; Soriano, Gil P.; Dino, Michael Joseph; Locsin, Rozzano C
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.41409

Background: The middle range theory Technological Competency as Caring in Nursing (TCCN) guides nursing practices. The TCCN Instrument (TCCNI) measures perception dimension of the theory and has been revised and translated into the Japanese language (TCCNI-R). Testing the translated version of the TCCNI-R to English language with the inclusion of a practice dimension is warranted.Purpose: This study aims to determine the psychometric properties of the TCCNI-Revised English version with Practice dimension (TCCNI-RePract).Methods: A web-based cross-sectional study was conducted with data from 202 valid questionnaire copies from professional nurses in selected hospitals and nurse educators in universities. Â Â Results: The suitability for factor analysis was determined using Kaiser-Meyer-Olkin index (0.93), Bartlett's sphericity test of 3256.93, p<0.001, the anti-image correlations ranged between 0.87 and 0.96, and an average value of communalities of 0.66. In the four rotations conducted with the maximum likelihood method with a Harris-Kaiser Orthoblique rotation, four items were excluded with factor loadings less than 0.40. These results determined the final scale with 21 items and four subscales, namely: (1) Knowing the person (8 items); (2) Technological competency as Caring (6 items); (3) Technology and caring (4 items); and (4) Expression of nursing as Caring (3 items). Cronbachâ€™s alpha coefficient for the total scale was 0.94. With two dimensions of the TCCNI-RePract, the perception dimension had significantly higher scores than the practice dimension. When comparing mean factor point among the dimensions, the perception scores were significantly higher for Factor 1 and Factor 3.Conclusion:The TCCNI-RePract is an acceptable tool that can reliably measure nursesâ€™ perception and practice of TCCN. It is affirmed that with this tool, measuring perception and practice status of TCCN theory is possible. It is considered that the evaluation results can be used to plan in-hospital education.Â

Nurse Managers’ Perception and Practice on the Theory of Technological Competency as Caring in Nursing: A Preliminary Study Nakano, Yoko; Yokotani, Tomoya; Takashima, Yoshiyuki; Betriana, Feni; Osaka, Kyoko; Kataoka, Mutsuko; Tanioka, Tetsuya; Locsin, Rozzano C
Jurnal Keperawatan Soedirman Vol 18 No 2 (2023): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2023.18.2.8357

In spite of emphasis on patient-centered care and promotion of their quality, shortcomings have been seen in psychiatric care due to lack of compassion. To improve the quality of psychiatric caring in nursing, it is important to develop and implement in-service education based on Locsin’s Technological Competency as Caring in Nursing (TCCN) theory. Objectives to determine psychiatric nurse managers' perception and practice status as a preliminary survey to serve as a resource for in-service psychiatric nursing education. This survey was conducted in August 2022 using the Technological Competency as Caring in Nursing Instrument-Revised for Practice (TCCNI-Repract) scale at "A" psychiatric hospital. Descriptive statistics and Wilcoxon's signed-rank tests were used. Eleven head nurses and assistant head nurses participated in this study. Mean values for the perception dimension of each item of the TCCNI-RePract were high, whereas mean values for practice dimension were low. The results indicated that perception dimension was significantly higher than practice dimension in 21 of 26 items of the TCCNI-RePract. Nurse managers demonstrated a high level of perception of the TCCN theory; however, many practical items scored low. Nurse managers suggested developing a current educational program to inform practice based on the TCCN theory.

The experience of older persons with mental health conditions who interact with healthcare robots and nurse intermediaries: The qualitative case studies Tanioka, Tetsuya; Betriana, Feni; Yokotani, Tomoya; Osaka, Kyoko; Locsin, Rozzano C.; King, Beth; Schoenhofer, Savina
Belitung Nursing Journal Vol. 7 No. 4 (2021): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1541

Background: Caring expressions between humans and nonhuman intelligent machines are futuristic prototypes with healthcare robots as major advocates. Objective: To examine the experience of older persons with mental health conditions, particularly patients with schizophrenia and with dementia in the interaction with healthcare robots and intermediaries in a transactive relational engagement. Methods: Two qualitative case studies were conducted using sophisticated audio-video technologies to record the conversation and activities that were carefully documented. Following the procedure for qualitative descriptive analysis, a framework based on the Transactive Relationship Theory of Nursing was employed to analyze and interpret the data. Results: Three themes were revealed, including feelings for the other, inspiring meaningful responses, and demonstrating expressions of joy. The description of the experience of older persons involved in the conversation with humanoid robots was feeling for the other while inspiring meaningful responses in demonstrating expressions of joy. Conclusion: This study provided initial evidence that the transactive engagements of robots with older persons with schizophrenia and dementia and nurse intermediaries in psychiatric and mental health settings can result in occasions of ‘joy’ for the patients. These findings suggest that transactive engagements with robots facilitate expressions of joy among older persons with schizophrenia and dementia. However, these findings are not intended to prescribe nursing care actions but to describe the experience of older persons who are in transactive engagements with intelligent machines, indicating the importance and value of healthcare robots in nursing older persons with schizophrenia and with dementia.

Perceptions of nurse managers and staff nurses regarding Technological Competency as Caring in Nursing theory in general hospitals in Japan Nakano, Youko; Yokotani, Tomoya; Betriana, Feni; Kawai, Chihiro; Ito, Hirokazu; Yasuhara, Yuko; Tanioka, Tetsuya; Locsin, Rozzano; Miyagawa, Misao
Belitung Nursing Journal Vol. 7 No. 6 (2021): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1767

Background: Nurses as primary healthcare providers demonstrate quality nursing care through competencies with healthcare technologies, while nurse managers assume the primacy of managing quality healthcare in their respective care settings. However, little is known about perceptions of the influence of care technologies on their nursing practice. Objective: This study aimed to determine managers’ and staff nurses’ perceptions regarding the Technological Competency as Caring in Nursing (TCCN) theory in general hospitals in Japan. Methods: This study employed a cross-sectional survey design, with 421 participants selected using a stratified sampling method. Technological Competency as Caring in Nursing Instrument–Revised (TCCNI-R) was used for online data collection using Survey Monkey©. Data were analyzed using Welch’s t-test and ANOVA. Results: Nurses with years of experience within the range of 20 to less than 30 years showed the highest TCCNI-R scores among the two groups. Nurses who had received education on caring in nursing showed significant differences for Factor 2 (Technological Competency as Caring), that of expressing Technological Competency as Caring. Three other factors showed no significant difference, namely in Factor 1 (Nursing Expression as Caring), Factor 3 (Technology and Caring), and Factor 4 (Technological Knowing). However, the average scores of these factors were high, which reflect high professional ethics and occupational discipline and increased awareness of caring in nursing. It was also found that the nurse managers were more aware of the TCCN than were the staff nurses. The nurse managers were also more aware of providing care using technology, recognizing the need-to-know patient needs through technology and providing care to the ever-changing patient’s condition. Conclusion: The study discovered that continuing education is needed regarding the practice of nursing based on theory, enabling appropriate and accurate understanding of practicing knowing persons as caring in nursing.

Development of a novel instrument to measure Japanese psychiatric nurses’ technological competency as caring in nursing Takashima, Yoshiyuki; Ito, Hirokazu; Soriano, Gil P.; Yasuhara, Yuko; Osaka, Kyoko; Schoenhofer, Savina; Tanioka, Tetsuya
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3623

Background: To effectively advance person-centered care (PCC) practice, it is important to equip healthcare providers with person-centered values and beliefs while simultaneously transforming their work environment to align with PCC. Thus, instruments to measure caring practice status in nursing competency for psychiatric-specific behavioral limitations, ethico-moral behavior, technology use, and PCC need to be developed. Objective: This study developed the Technological Competency as Caring in Psychiatric Nursing Instrument (TCCNPNI) to measure practice status and test its content and construct validity. Methods: Five different phases were followed: 1) Literature Review; 2) Operational definition of the construct and development of items; 3) Two-round Delphi method; 4) Validity measure; and 5) Reliability measure. The online survey was conducted in 2024. Results: The developed instrument comprises 22 items with a 4-factor structure: competency to practice caring and person-centered care (Factor 1); competency to recognize and respond to ethical issues in psychiatry (Factor 2); competency to utilize technology in psychiatry (Factor 3); and competence to practice care for the preservation of human dignity and shared decision making (Factor 4). Cronbach’s alpha for the entire scale was 0.864, while that for factors 1-4 was 0.911, 0.814, 0.773, and 0.64, respectively. Cumulatively, these four factors contributed 49.6% and explained nearly 50% of the total data. Item-total correlation values were 0.6 or higher among factors 1-3. However, factor 4, for which items were Q30, Q33, Q34, and Q35 (r = 0.03, 0.04, 0.21, 0.11, respectively), were inverted items and had low I-T correlation values. These low correlations suggest that these items capture different concepts. The developed TCCNPNI allows for the measurement of the practice of nursing as caring in psychiatry, the state of ethico-moral behavior, and the practice status of technological competency as caring in psychiatric nursing. Conclusion: This study demonstrated satisfactorily and efficiently evaluated the practice status of technological competency in psychiatric nurses’ caring. Measuring technological competency as caring in psychiatric nursing can be an important adjunct for in-service education in psychiatric hospitals or formalized nursing education in nursing universities.

Nurses' Perspectives on Challenging Nursing Practices for Patients with Acute Stroke in Japan Hisaka, Yukari; Blaquera, Allan Paulo; Soriano, Gil; Ito, Hirokazu; Yasuhara, Yuko; Matsumoto, Kazuyuki; Bollos, Leah Anne Christine; Tanioka, Ryuichi; Takase, Kensaku; Tanioka, Tetsuya
Celebes Nursing Journal Vol. 1 No. 2 (2024): December 2024
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v1i2.9

Introduction: Nurses in acute stroke units constantly face complex illness conditions that demand advanced understanding and effective execution of specialized nursing care. Objective: This study aimed to identify nursing practices that nurses find challenging to execute for patients with acute stroke. Method: The participants of this study were 1,040 nurses working in 53 stroke units in Japan. A survey was conducted from February to March 2021. The data used in this analysis were open-ended responses to the question “content of difficult nursing practices and causes of these difficulties in the care of patients with acute stroke.” These responses were analyzed by morphological analysis of text data mining using MeCab. Also, qualitative inductive analysis was performed by the researchers. Result: Seven categories were extracted: 1) caring for family members, 2) rehabilitation to improve patients’ activities of daily living, 3) life guidance after discharge, 4) reliable nursing practice, 5) protection of patients’ human rights, 6) physical management, and 7) understanding patients’ feelings. The nurses recognized the need to provide patients and their family with discharge counseling, rehabilitation, and nursing guidance in activities of daily living to improve independence and prevent the recurrence of stroke. Patient safety and well-being are ensured when nurses are able to fully comprehend the patient’s physical and mental conditions. Conclusion: hospitals should provide nurses with continuing education and a support system to ensure that they possess the necessary competencies in the management of patients with acute stroke.

Nurses' In-service Education Program Content for Psychiatric Nurses: An Integrative Review Osaka, Kyoko; Betriana, Feni; Blaquera, Allan Paulo; Soriano, Krishan; Kataoka, Mutsuko; Tanioka, Tetsuya
Celebes Nursing Journal Vol. 1 No. 2 (2024): December 2024
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v1i2.10

Introduction: The use of technologies to improve the quality of care in psychiatric nursing remains unclear. Objectives: This integrative review aims to clarify the contents of an in-service education program for psychiatric nurses. Method: The review was conducted between September 2023 and March 2024 using PubMed, ScienceDirect, ProQuest, and CINAHL databases. Result: The search returned 4993 studies, of which 50 were included in the final analysis. The results were integrated into six categories: 1) theory-based in-service educational programs; 2) nursing care using technology in various nursing situations; 3) nursing to promote the recognition of persons as participants in their care rather than as objects of care; 4) measures that ensure patient safety, such as prevention of falls and medication errors; 5) psychiatric nurses’ roles and responsibilities in addressing ethical and legal issues in the care of patients with mental illness; and 6) technological competence and caring in psychiatric nursing. Conclusion: Integrating technology into psychiatric nursing improves efficiency and safety while prioritizing ethical practices, empathy, training, equitable access, and patient dignity.

In-service Education for Psychiatric Nurses based on the Technological Competency as Caring in Nursing Theory Osaka, Kyoko; Blaquera, Allan Paulo; Soriano, Krishan; Betriana, Feni; Kataoka, Mutsuko; Tanioka, Tetsuya
Celebes Nursing Journal Vol. 1 No. 2 (2024): December 2024
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v1i2.16

Introduction: One of the strategies that can be used to improve the quality of psychiatric care is the development and dissemination of a new in-service education program based on the use of technologies for both psychiatric nurse managers and nurses. Objective: This discussion paper aimed to report on in-service education for improving the quality of psychiatric nursing care based on the Technological Competency as Caring in Nursing (TCCN) theory for psychiatric nurse managers and staff nurses. Method: Relevant articles related to psychiatric nursing care, in-service education, technologies in nursing, and caring in nursing were retrieved, analyzed, discussed, and developed. Result: The use of in-service education programs based on the TCCN is expected to become a practical approach to incorporating new technologies into quality psychiatric care. Conclusion: Use of in-service education programs based on the TCCN theory is expected to become a practical approach to incorporating new technologies into quality psychiatric nursing care in the future.

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