A Study of the Excellence of Second-Career Nurses
Title
セカンドキャリアナースの卓越性に関する検討
A Study of the Excellence of Second-Career Nurses
Degree
博士（健康福祉学）
Dissertation Number
甲第31号
(2025-03-18)
Degree Grantors
Yamaguchi Prefectural University
Abstract
The utilization of post-retirement nurses, commonly referred to as second-career nurses (he reinafter SCNs), is being actively promoted. While SCNs are often said to bring a wealth of experience to nursing, concerns have been raised regarding their clinical competency and skills. However, currently, no concrete visualization or detailed examination exists of the nature of SCNs’ nursing practices, leaving such concerns unaddressed. Therefore, this study aimed to elucidate the specific aspects of excellence in the nursing practices of SCNs.
To clarify the excellence of SCNs, the study extracted specific elements of excellent nursing practices from previous research. These elements were conceptualized as the “Six Domains and 19 Components of Excellent Nursing.” Based on these concepts, a unique survey questionnaire was developed to measure perceptions of SCNs’ excellent nursing practices, which was employed to study two groups: second-career nurses (hereinafter referred to as the SCN group) and active nurses currently in practice (hereinafter referred to as the active group).
The SCN group included 84 participants, while the active group included 199 participants. Perceptions of excellent nursing practices among SCNs were analyzed as “excellence scores” for both groups. The results showed that in the active group, the average excellence scores tended to increase with age. Additionally, a factor analysis was performed to confirm whether the responses in the active group aligned with the conceptual framework. This analysis identified three factors: “Identity as a nursing professional,” “Excellent clinical practice competence,” and “Caring behaviors.”
A multiple comparison of the average total scores for the three factors across age groups revealed significant differences in “Excellent clinical practice competence” and “Caring behaviors” between the nurses in their 20s and 50s, as well as between those in their 30s and 50s. These findings suggest that age-related differences in how the active group perceived the excellence of SCNs may be attributed to varying levels of experience. Specifically, less experienced nurses may have difficulty focusing on others; consequently, they may not fully recognize the qualities of SCNs’ nursing practices. In contrast, nurses in their 40s and 50s, with greater experience, are more likely to engage in mutual interactions with SCNs, enabling them to observe and appreciate the visible aspects of SCNs’ excellent nursing practices.
The relationship between the excellence scores in the SCN group and external factors such as age, years of experience, experience as an SCN, pre-retirement position, current workplace, and employment format was analyzed. The results showed no significant differences in the excellence scores across any of these attributes. This lack of influence from external factors suggests that the exceptional nursing practices of SCNs are not externally imposed but are driven by intrinsic factors, such as a genuine interest in and passion for nursing, as well as a strong focus on others—factors rooted in SCNs’ “Identity as nursing professionals.”
Based on the above, the specific content of excellent nursing revealed in this study demonstrated by SCNs is threefold: nursing that makes visible “Excellent clinical practice competence,” “Caring behaviors,” and the intrinsic “Identity as a nursing professional” of second-career nurses. “Identity as a nursing professional” in SCNs reflects a deep-seated passion for nursing, characterized by a resolute dedication to the profession even after retirement. This identity is suggested to be shaped by the combination of their extensive nursing and life experiences, which results in an original approach to nursing, thus producing the excellence of SCNs.
To clarify the excellence of SCNs, the study extracted specific elements of excellent nursing practices from previous research. These elements were conceptualized as the “Six Domains and 19 Components of Excellent Nursing.” Based on these concepts, a unique survey questionnaire was developed to measure perceptions of SCNs’ excellent nursing practices, which was employed to study two groups: second-career nurses (hereinafter referred to as the SCN group) and active nurses currently in practice (hereinafter referred to as the active group).
The SCN group included 84 participants, while the active group included 199 participants. Perceptions of excellent nursing practices among SCNs were analyzed as “excellence scores” for both groups. The results showed that in the active group, the average excellence scores tended to increase with age. Additionally, a factor analysis was performed to confirm whether the responses in the active group aligned with the conceptual framework. This analysis identified three factors: “Identity as a nursing professional,” “Excellent clinical practice competence,” and “Caring behaviors.”
A multiple comparison of the average total scores for the three factors across age groups revealed significant differences in “Excellent clinical practice competence” and “Caring behaviors” between the nurses in their 20s and 50s, as well as between those in their 30s and 50s. These findings suggest that age-related differences in how the active group perceived the excellence of SCNs may be attributed to varying levels of experience. Specifically, less experienced nurses may have difficulty focusing on others; consequently, they may not fully recognize the qualities of SCNs’ nursing practices. In contrast, nurses in their 40s and 50s, with greater experience, are more likely to engage in mutual interactions with SCNs, enabling them to observe and appreciate the visible aspects of SCNs’ excellent nursing practices.
The relationship between the excellence scores in the SCN group and external factors such as age, years of experience, experience as an SCN, pre-retirement position, current workplace, and employment format was analyzed. The results showed no significant differences in the excellence scores across any of these attributes. This lack of influence from external factors suggests that the exceptional nursing practices of SCNs are not externally imposed but are driven by intrinsic factors, such as a genuine interest in and passion for nursing, as well as a strong focus on others—factors rooted in SCNs’ “Identity as nursing professionals.”
Based on the above, the specific content of excellent nursing revealed in this study demonstrated by SCNs is threefold: nursing that makes visible “Excellent clinical practice competence,” “Caring behaviors,” and the intrinsic “Identity as a nursing professional” of second-career nurses. “Identity as a nursing professional” in SCNs reflects a deep-seated passion for nursing, characterized by a resolute dedication to the profession even after retirement. This identity is suggested to be shaped by the combination of their extensive nursing and life experiences, which results in an original approach to nursing, thus producing the excellence of SCNs.
Creators
Tsuyushige Yoshie
Languages
jpn
Resource Type
doctoral thesis
Publishers
山口県立大学大学院健康福祉学研究科
File Version
Not Applicable (or Unknown)
Access Rights
open access