Vol. 2 No. 3 (2025): December 2025
Articles

Developing a Theoretical Direction for In-Service Education Using Locsin’s TCCN Theory in Psychiatric Nursing

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  • Yoshiyuki Takashima,
  • Krishan Soriano,
  • Kaito Onishi,
  • Soriano Gil,
  • Kyoko Osaka,
  • Mutsuko Kataoka,
  • Yuko Yasuhara,
  • Savina Schoenhofer,
  • Tetsuya Tanioka
Yoshiyuki Takashima
Faculty of Nursing, School of Medicine, Nara Medical University, Nara, Japan
Krishan Soriano
PhD Student, Graduate School of Health Sciences, Tokushima University, Tokushima, Japan
Kaito Onishi
PhD Student, Graduate School of Health Sciences, Tokushima University, Tokushima, Japan
Soriano Gil
Department of Nursing, College of Allied Health, National University, Manila, Philippines
Kyoko Osaka
Department of Nursing, Kochi Medical School, Kochi University, Kochi, Japan
Mutsuko Kataoka
Mifune Hospital, Kagawa, Japan
Yuko Yasuhara
Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan
Savina Schoenhofer
Rozzano Locsin Institute, Japan
Tetsuya Tanioka
Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan
DOI: https://doi.org/10.70848/cnj.v2i3.64

Published 2025-12-31

Keywords

  • In-Service Education,
  • Person-Centered Care,
  • Psychiatric Nursing

How to Cite

Takashima, Y., Soriano, K., Onishi, K., Gil, S., Osaka, K., Kataoka, M., … Tanioka, T. (2025). Developing a Theoretical Direction for In-Service Education Using Locsin’s TCCN Theory in Psychiatric Nursing . Celebes Nursing Journal, 2(3), 183–190. https://doi.org/10.70848/cnj.v2i3.64

Abstract

Introduction: There is a pressing need to improve psychiatric nursing services by bridging the gap between technological competency and ethical, compassionate care. Objective: This study aimed to develop and propose a structured in-service education program for psychiatric nurses, grounded in Locsin’s Technological Competency as Caring in Nursing (TCCN) theory. Methods: The program was developed using the Analyze, Design, Develop, Implement, and Evaluate (ADDIE) model. The proposed in-service education program consists of ten structured sessions, which are aligned with Locsin's five assumptions and three nursing processes. The planned evaluation includes participant reports and the use of the Technological Competency as Caring in Psychiatric Nursing Instrument (TCCNPNI), which assesses nurses' perceptions of their technological competency. This instrument allows for pre- and post-evaluations to determine the program's effectiveness. This education plan, rooted in TCCN theory, addresses the unique needs of psychiatric nurses working with vulnerable populations. Results: The anticipated outcomes highlight the potential of technology to enhance patient care quality and dignity in psychiatric settings. As technology becomes more integral to psychiatric nursing practice, nurses must not only develop technical competence but also uphold ethical sensitivity. Conclusion: This program provides a structured approach to achieving these competencies through continuing education.

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References

  1. Ashtari, Z., Farhady, Y., & Khodaee, M. R. (2009). Relationship between job burnout and work performance in a sample of Iranian mental health staff. African Journal of Psychiatry, 12(1), 71–77. https://doi.org/10.4314/ajpsy.v12i1.30282
  2. Byrne, A. L., Baldwin, A., & Harvey, C. (2020). Whose centre is it anyway? Defining person-centred care in nursing: An integrative review. PLoS ONE, 15(3), e0229923. https://doi.org/10.1371/journal.pone.0229923
  3. Carper, B. (1978). Fundamental patterns of knowing in nursing. Advances in Nursing Science, 1(1), 13–23. https://doi.org/10.1097/00012272-197810000-00004
  4. Dang, V. A., Vu Khanh, Q., Nguyen, V. H., Nguyen, T., & Nguyen, D. C. (2023). Intelligent healthcare: Integration of emerging technologies and internet of things for humanity. Sensors, 23(9), 4200. https://doi.org/10.3390/s23094200
  5. Davis, A. (2013). Using instructional design principles to develop effective information literacy instruction: The ADDIE model. College & Research Libraries News, 74(4), 205-207. https://doi.org/10.5860/crln.74.4.8934
  6. Eren, N. (2014). Nurses' attitudes toward ethical issues in psychiatric inpatient settings. Nursing Ethics, 21(3), 359–373. https://doi.org/10.1177/0969733013505315
  7. Esmaelzadeh, F., Abbaszadeh, A., Borhani, F., & Peyrovi, H. (2017). Ethical leadership and organizational climate: The experience of Iranian nurses. Iranian Red Crescent Medical Journal, 19(1), 1–10. https://doi.org/10.5812/ircmj.37753
  8. Locsin, R. C., & Purnell, M. J. (2015). Advancing the theory of technological competency as caring in nursing: The universal technological domain. International Journal for Human Caring, 19(2), 50–54. https://doi.org/10.20467/1091-5710.19.2.50
  9. Mahara, G., Tian, C., Xu, X., & Wang, W. (2023). Revolutionising health care: Exploring the latest advances in medical sciences. Journal of Global Health, 13, 03042. https://doi.org/10.7189/jogh.13.03042
  10. McCormack, B., & McCance, T. (2021). The person-centred nursing framework. In J. Dewing, B. McCormack, & T. McCance (Eds.), Person-centred nursing research: Methodology, methods and outcomes . Cham: Springer.
  11. Ministry of Health, Labour and Welfare. (2023). Medical facility survey (May 2023 preliminary report). https://www.mhlw.go.jp/toukei/saikin/hw/iryosd/m23/is2305.htm.
  12. Ministry of Health, Labour and Welfare. (2024a). Revision of the Mental Health and Welfare Act (April 2024). https://www.mhlw.go.jp/file/05-Shingikai-12201000-Shakaiengokyokushougaihokenfukushibu-Kikakuka/0000046397.pdf
  13. Ministry of Health, Labour and Welfare. (2024b). Mandatory reporting of abuse in psychiatric hospitals. https://www.mhlw.go.jp/content/001178770.pdf
  14. Nelson, W. A., Taylor, E., & Walsh, T. (2020). Building an ethical organizational culture. Health Care Manager, 39(4), 168–174.
  15. Orlando J, Koga S. Scoping review to identify burnout factors and future research questions among Japanese psychiatric nurses. Cent Clin Psychol Hum Dev Kyushu Univ. 2024;15:149–155.
  16. Osaka, K., Betriana, F., Blaquera, A. P., Soriano, K., Kataoka, M., & Tanioka, T. (2024a). Nurses’ In-service Education Program Content for Psychiatric Nurses: An Integrative Review . Celebes Nursing Journal, 1(2), 58–84. https://doi.org/10.70848/cnj.v1i2.10
  17. Osaka, K., Blaquera, A. P., Soriano, K., Betriana, F., Kataoka, M., & Tanioka, T. (2024). In-service Education for Psychiatric Nurses based on the Technological Competency as Caring in Nursing Theory. Celebes Nursing Journal, 1(2), 116–128. https://doi.org/10.70848/cnj.v1i2.16
  18. Portal Site of Official Statistics of Japan. (2024). Statistics on medical institutions and hospital beds. Retrieved November 28, 2024, from https://www.e-stat.go.jp/dbview?sid=0004011968.
  19. Roach, M. S. (1987). The human act of caring: A blueprint for the health professions. Canadian Hospital Association.
  20. Starfield, B. (2011). Is patient-centered care the same as person-focused care? The Permanente Journal, 15(2), 63–69. https://doi.org/10.7812/TPP/10-148
  21. Soonthornchaiya, R., Butcher, H. K., & Thong-on, R. (2025). Smartphone mental health application use among Thai older adults: A thematic analysis guided by Locsin’s theory of technological competency as caring in nursing. Nursing Science Quarterly, 38(3), 294–305. https://doi.org/10.1177/08943184251335238
  22. Takashima, Y., Ito, H., Soriano, G. P., Yasuhara, Y., Osaka, K., Schoenhofer, S., & Tanioka, T. (2025). Development of a novel instrument to measure Japanese psychiatric nurses' technological competency as caring in nursing. Belitung Nursing Journal, 11(1), 14–24. https://doi.org/10.33546/bnj.3274