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All Journal Nurse Media Journal of Nursing Belitung Nursing Journal Celebes Nursing Journal
Yasuhara, Yuko
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Nursing

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Psychometric Testing of the Technological Competency as Caring in Nursing Instrument – 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

Abstract

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.   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). Cronbach’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 nurses’ 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. 
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

Abstract

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

Abstract

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.
Issues Related to the Use of Healthcare Communication Robots in Healthcare Settings Yasuhara, Yuko
Celebes Nursing Journal Vol. 2 No. 2 (2025): August 2025
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v2i2.40

Abstract

Introduction: Healthcare communication robots are being introduced in hospitals and nursing homes in Japan. To facilitate their implementation in such settings, it is essential to explore healthcare communication robots-related issues. Objective: This study aimed to evaluate the utilization of healthcare communication robots and identify issues related to their use immediately after introduction and 2 years later. Methods: In August 2022, focus group interviews were conducted with 11 healthcare providers (seven nurses, two occupational therapists and two care workers) at a cooperating facility for 1 h to discuss concerns related to the use of healthcare communication robots immediately after their introduction and 2 years later. The interviews were recorded using an IC recorder, transcribed, and analyzed. Results: Immediately after the introduction of Pepper a humanoid robot that supports users’ daily lives by providing recreation and conversation medical staff, particularly those responsible for managing Pepper, reported finding it “difficult to operate Pepper” and feeling “confused by the unfamiliar tasks.” Two years later, the medical staff recognized the benefits of Pepper’s use in recreational activities. Furthermore, patients at the facility looked forward to these activities. Conclusion: Although positive outcomes were observed, several challenges remained, including “Pepper’s inadequate interactive communication,” “hesitancy to handle the expensive and heavy Pepper,” “safety concerns,” and “periodic updates and malfunctions.”
Co-Authors Betriana, Feni Dino, Michael Joseph Ito, Hirokazu Kawai, Chihiro Locsin, Rozzano Locsin, Rozzano C Miyagawa, Misao Nakano, Youko Osaka, Kyoko Schoenhofer, Savina Soriano, Gil P. Takashima, Yoshiyuki Tanioka, Tetsuya Yokotani, Tomoya