First in Japan: Training Curriculum for PeriAnesthesia Nurses and their Clinical Practice

Yuko Akanuma

doi:10.1016/j.jopan.2022.09.012

First in Japan: Training Curriculum for PeriAnesthesia Nurses and their Clinical Practice

Yuko Akanuma, PhD, MSN, RN
Yuko Akanuma
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Address correspondence to Yuko Akanuma, St. Luke's International University, 104-8560, Tokyo, Japan
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St. Luke's International University, Tokyo, Japan
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Published:March 04, 2023DOI:https://doi.org/10.1016/j.jopan.2022.09.012

Abstract

Problem Definition

Japan is dealing with a super-ageing society found nowhere else in the world. This problem is provoking other complex issues such as aggravation of patients’ condition, and a shortage of anesthesiologists leading to overwork.

Strategies to Address the Problem

As a solution, our hospital established the PeriAnesthesia Nurse (PAN) for the first time in Japan. Unlike the United States and other developed countries in Europe, Japan did not have a license for nurses specialized in anesthesia. Thus, in collaboration with a graduate school of nursing, our hospital started a perianesthesia nursing course within the advanced practice nurse's training curriculum in 2010. At the graduate school, students take specialized lectures on anesthesia with a curriculum that focuses on risk management. Upon graduation, they work together with anesthesiologists in the department of anesthesiology and perform anesthesia-related tasks under the medical specialist's supervision. Their main duties include preoperative anesthesiology outpatient, surgical anesthesia, acute pain service (APS) for post-operative periods, and labor analgesia, and they collaborate with various specialists inside and outside of the operating room.

Evaluation and Results

Outcomes of patient care after the introduction of PAN have been observed. PAN provides persuasive explanations and guidance seamlessly to the patients by taking advantage of their experience in anesthesia and the scientific thinking they've acquired in graduate school. This paper reports on the training and clinical practice of perianesthesia nurses in Japan as a measure to improve the quality of perioperative medical care as well as the safety of patients.

Keywords

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References

Statistics Bureau, Ministry of Internal Affairs and Communications. Population of Japan: Final report of the 2005 population census. Accessed 3 March 2021. Available at: https://www.stat.go.jp/english/data/jinsui/tsuki/index.html
View in Article
- Google Scholar
Ministry of Health, Labour and Welfare. Study group on promoting task-shifting/sharing to promote physician work style reform. Accessed 9 March 2021 (in Japanese). Available at: https://www.mhlw.go.jp/content/12601000/000711171.pdf
View in Article
- Google Scholar
OECD Report. Accessed 6 March 2021. Available at: https://data.oecd.org/health.htm
View in Article
- Google Scholar
Japanese Society of Anesthesiologists. Proposed measures by the Japanese Society of Anesthesiologists for the manpower shortage of anesthesiologists. Accessed 6 March 2021 (in Japanese). Available at: http://www.anesth.or.jp/info/pdf/suggestion20080807.pdf
View in Article
- Google Scholar
- Takeda J.
Measures to address the manpower shortage in anesthesiology in Japan.
Jpn Med Assoc J. 2007; 50 (Available at:) (2010;163:51–59): 325-329https://doi.org/10.1016/j.Sc.2010.00372
https://www.med.or.jp/english/pdf/2007_04/325_329.pdf
View in Article
- Crossref
- Google Scholar
Japan Nurses Association. The Japan Nurses Association operates a certification system with the aim of providing quality health care to the public. Accessed 3 March 2021 (in Japanese). Available at: https://nintei.nurse.or.jp/nursing/qualification
View in Article
- Google Scholar
- Amaya F
- Shimamoto S.
Preoperative anesthesia clinic in Japan: A nationwide survey of the current practice of preoperative anesthesia assessment.
J Anesth. 2015; 29 (Available at:): 175-179
https://link.springer.com/article/10.1007/s00540-014-1918-3
View in Article
- Procter S
- Griffiths L.
Scoping the role and education needs of practice nurses in London.
Prim Health Care Res Dev. 2017; 18: 316-332https://doi.org/10.1017/S1463423617000093
View in Article
- Akanuma Y.
Satisfaction levels for nursing program sessions of peri-anesthesia care: A Questionnaire Survey.
Bulletin of St. Luke's International University. 2021; 7: 121-125
View in Article
- Google Scholar
- Kraus E
- DuBois JM.
A qualitative study of physician and nurse practitioner perspectives on NP independence in primary care.
J Gen Intern Med. 2017; 32: 284-290https://doi.org/10.1007/s11606-016-3896-7
View in Article

Article info

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Published online: March 04, 2023

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Conflict of Interest: None to report.

Funding: This research received no external funding.

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DOI: https://doi.org/10.1016/j.jopan.2022.09.012

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First in Japan: Training Curriculum for PeriAnesthesia Nurses and their Clinical Practice

Abstract

Problem Definition

Strategies to Address the Problem

Evaluation and Results

Keywords

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References

Article info

Publication history

Publication stage

Footnotes

Identification

Copyright

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