development of methodology on community based integrated care system development and evaluation framework based on system thinking

• Project/Area Number: 17K19865
• Research Category: Grant-in-Aid for Challenging Research (Exploratory)
• Allocation Type: Multi-year Fund
• Research Field: Society medicine, Nursing, and related fields
• Research Institution: Chiba University (2021); Toyama Prefectural University (2018-2020); National Institute of Public Health (2017)
• Principal Investigator: Horii Satoko 千葉大学, 医学部附属病院, 特任准教授 (70617422)
• Co-Investigator(Kenkyū-buntansha): 嶋津 多恵子 国際医療福祉大学, 大学院, 教授 (80184521) ; 野村 亜由美 東京都立大学, 人間健康科学研究科, 准教授 (50346938) ; 濱井 妙子 静岡県立大学, 看護学部, 講師 (50295565) ; 竹内 登美子 富山県立大学, 看護学部, 教授 (40248860) ; 成木 弘子 国立保健医療科学院, その他部局等, 主任研究官 (30237622)
• Project Period (FY): 2017-06-30 – 2022-03-31
• Project Status: Completed (Fiscal Year 2021)
• Budget Amount: ¥6,240,000 (Direct Cost: ¥4,800,000、Indirect Cost: ¥1,440,000); Fiscal Year 2019: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000); Fiscal Year 2018: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2017: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
• Keywords: 人材育成 / 保健医療行政 / 地域保健行政 / 地域包括ケアシステム / 看護教育 / システム思考 / ロジックモデル / 社会医学

Outline of Final Research Achievements

An online learning tool was created for students and municipal public health nurses to learn the process of creating a community based integrated care system in a step-by-step systematic manner.
The learning tool is structured each step of the process of a community based integrated care system (information gathering, assessment, planning, implementation, and evaluation) is followed in sequence, and a management function was added to allow faculty members to check the level of achievement at each step to support team learning. In addition, a model scenario was developed based on the results of a survey conducted by the research team as a case study for use in team learning, and the survey results which was used for scenario were published in an international journal.

Academic Significance and Societal Importance of the Research Achievements

本研究班で開発した学習ツールは、保健師等による地域包括ケアシステム構築のプロセスの系統立てた学修を促すだけでなく、チーム単位での学習が可能であり、また、メンバー間で360度評価を行うリフレクション機能を付与したため、システム思考と協働のためのリーダーシップ開発が可能になると考えられる。国内外では社会変革を起こすチェンジエージェントの育成のための教育方法論の確立が必要とされており、本研究で開発した学習ツールは、チェンジエージェントに求められるシステム思考とリーダーシップの開発に資することから、教育方法論の確立に寄与したと考えられる。

Research Products

• [Int'l Joint Research] Phenikaa University/Pham Ngoc Thach University of Medicine/Nam Dinh University of Nursing(ベトナム)
• [Int'l Joint Research] Vietnamese Nurses Association/Nam Dinh University of Nursing/Ministry of Health Vietnam(ベトナム)
• [Journal Article] Nurses' perception of individual and organizational changes caused by a novel clinical training system for new graduate nurses: A qualitative research using photovoice (2021)
  • Author(s): Horii Satoko、Pham Huong Thi Thu、Dang Thanh Tran Ngoc、Nguyen Chinh Thi Minh、Amaike Naomi
  • Journal Title: Nurse Education Today Volume: 102 Pages: 104901-104901
  • DOI: 10.1016/j.nedt.2021.104901
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Presentation] Current situation of competencies and related factors of new graduate nurses in Vietnam (2019)
  • Author(s): Horii Satoko , Amaike Naomi , Pham Thi Thu Huong , Nguyen Thi Minh Chinh , Pham Duc Muc , DeSilva Tomomi , Lai Vu Kim , Pham Ngoc Bang , Pham Thi Kim Thanh , Nguyen Minh Loi
  • Organizer: 3rd Annual National Vietnam Medical Education Conference, Hai Phong, Vietnam
  • Int'l Joint Research
• [Presentation] Development of competency-based clinical training system for new graduate nurses in Vietnam (2019)
  • Author(s): Horii Satoko, Pham Duc Muc, Nguyen Thanh Duc, Nguyen Thi Minh Chinh, Huynh Thi Binh, Nguyen Minh Nguyet, DeSilva Tomomi, Nguyen Minh Loi
  • Organizer: ICN Congress 2019, Singapore
  • Int'l Joint Research