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Conceptual reorganization of clinical reasoning education in nursing area and development of improved educational programme

Research Project

Project/Area Number 15K11502
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Fundamental nursing
Research InstitutionThe University of Tokyo

Principal Investigator

Onishi Hirotaka  東京大学, 大学院医学系研究科(医学部), 講師 (90401314)

Co-Investigator(Kenkyū-buntansha) 任 和子  京都大学, 医学研究科, 教授 (40243084)
西薗 貞子  大阪医科大学, 看護学部, 講師 (50458014)
Research Collaborator KITANO Ayaka  東京大学, 大学院医学系研究科(医学部), 大学院生
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords看護教育 / 臨床推論 / 医療者教育 / 医学教育 / inquiry-based learning / case-based learning / 看護過程 / 看護診断 / 看護学 / Inquiry-based learning / 特定行為研修 / 診断仮説 / シミュレーション教育 / 意思決定
Outline of Final Research Achievements

We reviewed and sorted out the concepts of nursing process and nursing diagnosis which are easily confused with clinical reasoning in the nursing area. It was clarified that clinical reasoning in the nursing area has two patterns: reasoning based on medical model and on viewpoint unique to nursing. Along with the development of collaborative practice, clinical reasoning patterns by nurses and by physicians are getting closer as clinical reasoning of medical model has been incorporated into the curriculum for nurses' designated procedures. As for educational methods of clinical reasoning, a case-based learning is effective for practicing reasoning and judgment by grasping moment-to-moment changes of patients in complexity and uncertainty. One method is inquiry-based learning.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (26 results)

All 2018 2017 2016 2015

All Journal Article (10 results) (of which Peer Reviewed: 4 results,  Open Access: 2 results) Presentation (12 results) (of which Int'l Joint Research: 4 results,  Invited: 3 results) Book (4 results)

  • [Journal Article] Medical students can teach communication skills?a mixed methods study of cross-year peer tutoring.2017

    • Author(s)
      Osamu Nomura, Hirotaka Onishi, Hiroyuki Kato
    • Journal Title

      BMC medical education

      Volume: 17 Issue: 1 Pages: 103-103

    • DOI

      10.1186/s12909-017-0939-7

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 在宅医療推進のための多職種連携研修プログラム開発:都市近郊地域における短期的効果の検証.2017

    • Author(s)
      土屋瑠見子,吉江悟,川越正平,平原佐斗司,大西弘高,村山洋史,西永正典,飯島勝矢,辻哲夫
    • Journal Title

      日本公衆衛生雑誌

      Volume: 64 Pages: 359-370

    • NAID

      130006108819

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 学習者評価とコンピテンシー基盤型教育2017

    • Author(s)
      大西弘高
    • Journal Title

      医療職の能力開発

      Volume: 4 Pages: 21-28

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 科学的根拠が不十分な場合,やらない方がよいとされる場合の介入はどうするか?尿検による腎疾患の二次予防を例に2017

    • Author(s)
      大西弘高
    • Journal Title

      Gノート

      Volume: 4 Pages: 566-574

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Assessment of Clinical Reasoning by Listening to Case Presentations: VSOP Method for Better Feedback2016

    • Author(s)
      Hirotaka Onishi
    • Journal Title

      Journal of Medical Education and Curricular Development

      Volume: 3 Pages: 125-131

    • DOI

      10.4137/jmecd.s30035

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 【プロ×プロ イナダ(研修医)も学べばブリ(指導医)になる 現場のプロと臨床推論のプロが教える診断能力アップ術(第5回)】太っただけ!?(体重増加)2015

    • Author(s)
      安藤公美恵,林寛之,大西弘高
    • Journal Title

      治療

      Volume: 97 Pages: 1818-1825

    • NAID

      40020661562

    • Related Report
      2015 Research-status Report
  • [Journal Article] 【プロ×プロ イナダ(研修医)も学べばブリ(指導医)になる 現場のプロと臨床推論のプロが教える診断能力アップ術(第4回)】痩せが止まらない……(体重減少)2015

    • Author(s)
      安藤公美恵,林寛之,大西弘高
    • Journal Title

      治療

      Volume: 97 Pages: 1602-1608

    • NAID

      40020629760

    • Related Report
      2015 Research-status Report
  • [Journal Article] 【プロ×プロ イナダ(研修医)も学べばブリ(指導医)になる 現場のプロと臨床推論のプロが教える診断能力アップ術(第3回)】眼が真っ赤で、頭は真っ白!?? 眼球結膜充血 まさかのred eyeのred flags2015

    • Author(s)
      山中俊祐,林寛之,大西弘高
    • Journal Title

      治療

      Volume: 97 Pages: 1450-1456

    • NAID

      40020603048

    • Related Report
      2015 Research-status Report
  • [Journal Article] 【プロ×プロ イナダ(研修医)も学べばブリ(指導医)になる 現場のプロと臨床推論のプロが教える診断能力アップ術(第2回)】めまいが、めまいがぁぁぁ(めまい2015

    • Author(s)
      神川洋平,林寛之,大西弘高
    • Journal Title

      治療

      Volume: 97 Pages: 1306-1312

    • NAID

      40020567336

    • Related Report
      2015 Research-status Report
  • [Journal Article] 【プロ×プロ イナダ(研修医)も学べばブリ(指導医)になる 現場のプロと臨床推論のプロが教える診断能力アップ術(第1回)】足が腫れたんですけど…(浮腫)2015

    • Author(s)
      林寛之,大西弘高
    • Journal Title

      治療

      Volume: 97 Pages: 1126-1132

    • NAID

      40020537865

    • Related Report
      2015 Research-status Report
  • [Presentation] The composite score reliability for different assessment components for family medicine specialist certification examination in Japan.2018

    • Author(s)
      Hirotaka Onishi, Yoon Soo Park, Ryo Takayanagi, Yasuki Fujinuma
    • Organizer
      Ottawa Conference 2018
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 看護領域の臨床推論.シンポジウム「看護領域の臨床推論」2018

    • Author(s)
      大西弘高
    • Organizer
      第10回日本医療教授システム学会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Development of values-based practice workshop to improve patient-centered interprofessional collaboration2018

    • Author(s)
      Hirotaka Onishi, Osamu Nomura
    • Organizer
      15th Asia Pacific Medical Education Conference
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Improved reliability of summative portfolio assessment for family medicine certification by Japan Primary Care Association2018

    • Author(s)
      Hirotaka Onishi. Ryo Takayanagi, Yasuki Fujinuma
    • Organizer
      15th Asia Pacific Medical Education Conference
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 上部消化管内視鏡被験者体験の教育的効果や問題点に関する質的研究.2017

    • Author(s)
      山本健、大西弘高
    • Organizer
      第94回日本消化器内視鏡学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] An Educational Intervention of Interprofessional Learning in Community Based Health Care2017

    • Author(s)
      Hirotaka Onishi
    • Organizer
      1st Asia Pacific Interprofessional Education and Collaboration (APIPEC) Conference
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 医師・看護師間連携能力の鍵を握る「クリティカルポイント」事例2017

    • Author(s)
      杉本なおみ,酒井郁子,藤沼康樹,大西弘高
    • Organizer
      第9回日本ヘルスコミュニケーション学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 医学部6年次生の診療専門家選択に関する基礎資料:JMECS study記述統計2017

    • Author(s)
      小宮山学,家研也,田原正夫,村田亜紀子,市川周平,竹村洋典,大西弘高.
    • Organizer
      第49回医学教育学会大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 医学部6年次生の専門科選択に関わる因子の検討:JMECS study二次解析2017

    • Author(s)
      家研也,村田亜紀子,田原正夫,小宮山学,市川周平,竹村洋典,大西弘高.
    • Organizer
      第49回医学教育学会大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 医学部6年次生の志向性・専門科選択への性差の影響:JMECS study二次解析2017

    • Author(s)
      村田亜紀子,家研也,田原正夫,小宮山学,市川周平,竹村洋典,大西弘高.
    • Organizer
      第49回医学教育学会大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 将来のキャリアに研究や教育を志望する医学部6年次生についての検討 JMECS study二次解析2017

    • Author(s)
      田原正夫,家研也,村田亜紀子,小宮山学,市川周平,竹村洋典,大西弘高.
    • Organizer
      第49回医学教育学会大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 臨床推論の基本を知り、エキスパートの視点で看護実践にどう活かすかを考える2015

    • Author(s)
      大西弘高
    • Organizer
      日本救急看護認定看護師会第11回総会・ブラッシュアップセミナー
    • Place of Presentation
      東京ファッションビル(東京都江東区)
    • Year and Date
      2015-09-26
    • Related Report
      2015 Research-status Report
    • Invited
  • [Book] イナダ(研修医)も学べばブリ(指導医)になる2017

    • Author(s)
      林 寛之、大西弘高
    • Total Pages
      181
    • Publisher
      南山堂
    • ISBN
      9784525281816
    • Related Report
      2017 Annual Research Report
  • [Book] eポートフォリオ―医療教育での意義と利用法2017

    • Author(s)
      大西弘高
    • Total Pages
      149
    • Publisher
      篠原出版新社
    • ISBN
      9784884123932
    • Related Report
      2017 Annual Research Report
  • [Book] ナースのための臨床推論で身につく院内トリアージ:最速・最強の緊急度アセスメント2016

    • Author(s)
      伊藤敬介,大西弘高
    • Total Pages
      183
    • Publisher
      学研メディカル秀潤社
    • Related Report
      2016 Research-status Report
  • [Book] 臨床薬理学 (ナーシング・グラフィカ―疾病の成り立ち(2))2015

    • Author(s)
      古川裕之,赤瀬智子,林正健二,大西弘高
    • Total Pages
      288
    • Publisher
      メディカ出版
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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