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Elucidation tacit knowledge supporting an expert nurse's advance practice for apathetic patients with stroke

Research Project

Project/Area Number 17K12279
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Clinical nursing
Research InstitutionSt. Mary's College

Principal Investigator

Obama Satsuki  聖マリア学院大学, 看護学部, 准教授 (20580731)

Co-Investigator(Kenkyū-buntansha) 日高 艶子  聖マリア学院大学, 看護学部, 教授 (50199006)
西口 宏美  東海大学, 情報通信学部, 教授 (40212120)
宮林 郁子  福岡大学, 医学部, 教授 (40294334)
Project Period (FY) 2017-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2020: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Keywords高次脳機能障害 / 熟練看護師 / 暗黙知 / 自発性低下 / 看護介入 / 看護実践 / リハビリテーション看護
Outline of Final Research Achievements

This study aimed to focus on apathy, which is a cognitive dysfunction following stroke, and elucidate the tacit knowledge that supports an expert nurse’s advanced nursing practice that enhances the patients’ and families’ spontaneity.
The expert nurse’s purpose for intervention was analyzed by observing and immediately reflecting on the intervention. Due to the attempt to externalize the tacit knowledge that supports the expert nurse’s practice, elements, such as the “attitude of concern for the main complaint,” “understanding of the subject’s personality characteristics,” “coping skills,” and “caring” were extracted.
Additionally, the patients who received the expert nurse’s intervention have responded and increased spontaneous behavior. Eventually, we would like to introduce a phenomenological approach and further explore the tacit knowledge of the expert nurse.

Academic Significance and Societal Importance of the Research Achievements

「暗黙知」は、高度な実践を支える知識であるが、言語化が困難であると報告される。また、自発性低下の患者の自発性を賦活させる看護実践能力は明確に示されていない。本研究においては、熟練看護師の介入場面の観察と直後の省察を通して、熟練看護師の介入の意図を分析した。研究成果から熟練看護師の実践を支える暗黙知の要素として、患者の置かれた状況に関心を寄せる態度など、一部が言語化されたことは意義ある結果と言える。本研究成果から、自発性を賦活させる看護実践に向けた看護師の教育プログラム構築が期待される。

Report

(6 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (8 results)

All 2022 2021 2019 2018 Other

All Presentation (7 results) (of which Int'l Joint Research: 5 results) Remarks (1 results)

  • [Presentation] Elucidation of tacit knowledge that supports the practice of an expert nurse based on the RAM2022

    • Author(s)
      Satsuki OBAMA, Tsuyako HIDAKA, Shizuko TANIGAKI
    • Organizer
      2022 Roy Adaptation Association International Virtual Conference and Workshops
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Characteristics of nursing intervention of an expert nurse for stroke patients based on the Roy Adaptation Model: Elucidation of tacit knowledge hidden in good practice2021

    • Author(s)
      Satsuki OBAMA,Tsuyako HIDAKA
    • Organizer
      2021 Roy Adaptation Association International Virtual Conference and Workshops
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Characteristics of nursing intervention of an expert nurse for stroke patients based on the Roy Adaptation Model: Elucidation of tacit knowledge hidden in good practice.2021

    • Author(s)
      Satsuki OBAMA, Tsuyako HIDAKA
    • Organizer
      Roy Adaptation Association International 2021 Virtual Workshops and Conference
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research
  • [Presentation] Differences between an expert and a competent nurse concerning nursing interventions for stroke patients-Focusing on the difference of promoting adaptation in the four adaptive modes-2019

    • Author(s)
      Satsuki OBAMA, Tsuyako HIDAKA
    • Organizer
      2019 Roy Adaptation Association International Workshops and Conference
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Differences between an expert and competent nurse with regard to weighing a stroke patient's stimuli.2018

    • Author(s)
      Satsuki Obama, Tsuyako Hidaka, Ikuko Miyabayashi
    • Organizer
      2018 Roy Adaptation Association International Workshops and Conference
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 熟練看護師の暗黙知を学ぶー患者の自発性を賦活させる実践能力についてー(第2報)2018

    • Author(s)
      小浜さつき、日高艶子
    • Organizer
      第6回日本ニューロサイエンス看護学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 熟練看護師の暗黙知を学ぶー患者の自発性を賦活する実践能力についてー2018

    • Author(s)
      小浜さつき、日高艶子
    • Organizer
      第5回 日本ニューロサイエンス看護学会学術集会
    • Related Report
      2017 Research-status Report
  • [Remarks] Sigma Repository 登録

    • URL

      http://hdl.handle.net/10755/21995

    • Related Report
      2021 Annual Research Report

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Published: 2017-04-28   Modified: 2023-01-30  

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