Purpose: Nursing education in Japan has been influenced by that of the United States. This report presents initiatives undertaken to enhance the teaching ability of nursing instructors in the United States, with the aim of finding ways to improve the teaching ability of their counterparts in Japan.
Study participants: Seven nursing instructors employed at nurse training institutions in Texas and California, USA.
Research period: May to September 2015.
Method: Two interviewers conducted a semi-structured 30-90 minute long interview through interpreters about efforts to improve the effectiveness of classes. Interviews were conducted in a private room of the nurse training institution where the study participants work or by videophone.
Analysis method: A verbatim transcript of the interview was created, and the efforts to improve the effectiveness of lessons were summarized according to the commonality of semantic content. In addition, subcategories, categories, and aspects were extracted. The study was approved by the medical ethics review committee of which the researcher is a member and conducted in consideration of ethical practices such as ensuring anonymity (Approval Number 15-02).
Results: There were found to be 104 contexts in which efforts were being made to improve the teaching ability of nursing teachers in the United States, and these were divided into 29 subcategories. The subcategories were grouped into nine categories, including “state-required continuing education,” “providing plentiful training content,” and “improving the system for supporting teachers' independence.” Finally, these nine categories were grouped into three aspects: off-campus efforts, school organization efforts, and teachers' individual efforts.
Discussion: In the United States, there were comprehensive efforts to improve teachers' teaching ability, including off-campus initiatives, school organization initiatives, and individual teacher efforts. These efforts indicated that in order to improve the teaching ability of nursing teachers, it is important to establish and guarantee a well-organized system of opportunities for nursing teachers to learn independently and continuously.