2023 Fiscal Year Final Research Report

Development of nursing management reflection training program that leads to behavior change.

Research Project

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Project/Area Number	21K10574
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58050:Fundamental of nursing-related
Research Institution	Chiba Prefectural University of Health Sciences
Principal Investigator	NISHIMURA NORIKO 千葉県立保健医療大学, 健康科学部, 准教授 (90827677)
Co-Investigator(Kenkyū-buntansha)	富樫恵美子千葉県立保健医療大学, 健康科学部, 講師 (60839166)
Project Period (FY)	2021-04-01 – 2024-03-31
Keywords	リフレクション / 看護管理者 / 意識変容 / 行動変容 / 看護マネジメントリフレクション / 研修プログラム / 経験学習
Outline of Final Research Achievements	The purpose of this study was to develop a nursing management reflection training program that leads to behavior change. Based on the challenges of nurse managers' reflection and the facilitating factors for behavior change identified in the qualitative inductive analysis, we planned three reflection training sessions using "description, dialogue, coaching, process record, relationship map, and role-playing" for the experiences of concern, and conducted the training for nurse managers who had not yet attended the reflection training. The training was conducted for nurse managers who had not yet attended the reflection training. Six months and one year after the training, changes in management thinking and behavior were observed, such as "intentionally reflecting on one's own actions and thoughts" and "being aware of one's own tendencies and responding calmly." However, quantitative data could not be used to express the effectiveness of the training.
Free Research Field	看護管理学
Academic Significance and Societal Importance of the Research Achievements	看護師長のマネジメントにおける気がかりな１事例を「記述・対話・コーチング・プロセスレコード・関係性マップ・ロールプレイング」と様々な方法で時間をかけて丁寧に分析する本研修プログラムにより、自己の固定観念や無意識な前提、マネジメント行動の傾向に気づくことができた。そして、リフレクションで得た学びやスキルを積極的に看護管理実践に活用するという効果を確認できた。これらから、本リフレクション研修により、自己の具体的な経験を「多様な視点から内省することで、知識やスキルを獲得し、異なる状況に適用し試行する」というプロセスがスムーズになり、看護管理実践力の質向上へ寄与することが期待できる。