Evidence map›Paper›PMID 33920946›Full record

ArticleHealthcare (Basel, Switzerland)2021

The Implementation of a Clinical Ladder in Rural Japanese Nursing Education: Effectiveness and Challenges.

Satoko Maejima, Ryuichi Ohta, Chiaki Sano

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Nurses' Contributions in Rural Family Medicine Education: A Mixed-Method Approach.International journal of environmental research and public health · 2022
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Satoko MaejimaDepartment of Nursing, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan City 699-1221, Japan.
Ryuichi OhtaCommunity Care, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan City 699-1221, Japan.ORCID 0000-0003-2593-091X
Chiaki SanoDepartment of Community Medicine Management, Faculty of Medicine, Shimane University, 89-1 Enya cho, Izumo 693-8501, Japan.ORCID 0000-0002-9796-5161

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical ladder is an essential tool for nursing education, enabling nurses to ascend from novice to expert. The learning content for nurses can depend on their clinical situations. The aging of societies has changed the demand for nurses at community hospitals because of the multimorbidity of older patients. At the same time, the gap in nursing education between urban and rural hospitals is wide, as rural hospitals often lack the application of the clinical ladder. This study investigates the effectiveness of using the clinical ladder in a rural Japanese community hospital using the clinical ladder scale and interviews. Through its application, we found that both novice nurses and nursing educators came to recognize the effectiveness and importance of the ladder. However, unfamiliarity with assessments, working conditions, and Japanese culture inhibited the smooth application of the ladder. For the effective application of the clinical ladder, continual training on assessments and the ladder's effectiveness in clinical situations, along with consideration of educational background, should be enhanced through the monitoring of the clinical ladder.

Indexed as

clinical ladderJapanese culturenursing educationrural hospitalsself-assessments

Identifiers

PMID33920946
PMCPMC8071243

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.