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Development of a Support Program to Improve Clinical Reasoning of Nurses

Research Project

Project/Area Number 18K10261
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 58050:Fundamental of nursing-related
Research InstitutionKyoto Tachibana University

Principal Investigator

OKADA JUNKO  京都橘大学, 看護学部, 准教授 (70636109)

Co-Investigator(Kenkyū-buntansha) 梶谷 佳子  京都橘大学, 看護学部, 教授 (40224406)
中橋 苗代  京都橘大学, 看護学部, 准教授 (60454477)
森嶋 道子  天理医療大学, 医療学部, 講師 (80647785)
Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywords臨床的論証 / 臨床看護師 / 教育プログラム / 臨床的論証力 / 臨床判断 / 能力開発
Outline of Final Research Achievements

The purpose of this study is to develop a support program to improve the clinical reasoning of clinical nurses. The program was divided into an intervention group consisting of 62 clinical nurses and a control group, and four studies were conducted. As a result, "self-evaluation of problem-solving behavior of nurses" which is the result of clinical reasoning, "review of behavior in nursing practice", "metacognition", and "Lasater clinical judgment rubric" which are the practice status of clinical reasoning , there was a significant difference between the intervention group and the control. It was also found that "DASH-SV", which measures student satisfaction with training, shows extremely high satisfaction.

Academic Significance and Societal Importance of the Research Achievements

看護師の臨床的論証の向上に効果のあるプログラムはこれまで存在しなかった。このプログラムによって臨床的論証を習得した看護師は、臨床の場で患者を多面的に理解することができるようになる。看護師のこのような理解が、多様で複雑な臨床の状況において、患者にとって最も重要なことを認識し、最良の看護を導くことにつながる。その結果、患者は、個別性や満足度の高い看護を受けることができる。すなわち、このプログラムは、看護の質向上において意義がある。

Report

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

    (6 results)

All 2022 2021 2020

All Journal Article (3 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 3 results,  Open Access: 2 results) Presentation (3 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] 経験2~3年を有する看護師のクリニカルリーズニング向上支援プログラムの内容妥当性・実用性・有益性の検討2022

    • Author(s)
      岡田純子,志田京子
    • Journal Title

      京都橘大学研究紀要

      Volume: 48 Pages: 173-190

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 一般病院に勤務するエキスパートナースの臨床的論証プロセス2022

    • Author(s)
      岡田純子,森嶋道子,梶谷佳子,中橋苗代
    • Journal Title

      日本医学看護学教育学会誌

      Volume: 30 Pages: 23-32

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 看護におけるclinical reasoningの概念分析2020

    • Author(s)
      岡田純子
    • Journal Title

      京都橘大学研究紀要

      Volume: 46 Pages: 93-107

    • NAID

      40022170652

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Presentation] Validity, Practicality, and Usefulness of a Support Program to Improve Clinical Reasoning of Nurses with Two to Three Years of Work Experience2022

    • Author(s)
      Junko Okada
    • Organizer
      The 25th East Asian Forum of Nursing Scholars Conference
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 急性期病院に勤務するエキスパートナースが実践する臨床的論証2021

    • Author(s)
      岡田純子,森嶋道子,梶谷佳子,中橋苗代
    • Organizer
      日本看護学教育学会第31回学術集会
    • Related Report
      2021 Annual Research Report
  • [Presentation] Concept Analysis of Clinical Reasoning in Nursing2020

    • Author(s)
      Junko Okada
    • Organizer
      EAFONS2020
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research

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Published: 2018-04-23   Modified: 2023-01-30  

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