2023 Fiscal Year Final Research Report
The Impact of Clinical Judgment Based on Anatomy and Physiology on Nursing Practice Competency in Simulation
| Project/Area Number |
20K19039
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| Research Category |
Grant-in-Aid for Early-Career Scientists
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| Allocation Type | Multi-year Fund |
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| Review Section |
Basic Section 58050:Fundamental of nursing-related
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| Research Institution | Tokyo Health Care University |
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Principal Investigator |
Nishimura Ayako 東京医療保健大学, 医療保健学部, 教授 (10757751)
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| Project Period (FY) |
2020-04-01 – 2024-03-31
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| Keywords | 臨床判断 / 臨床推論 / 看護教育 / コンピテンシー基盤型教育 / シミュレーション教育 / 看護学生 / コンピテンシー基盤型カリキュラム / 教育デザイン |
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| Outline of Final Research Achievements |
OBJECTIVE: To determine whether the achievement of clinical judgement simulation and the previously taken courses affects the nursing students’ scores of the Lasater Clinical Judgment Rubric (LCJR).
METHODS: A questionnaire was administered among second-year undergraduate nursing students after a simulation was performed. Statistical analysis was conducted using the achievement level of learning goals and the previously taken courses as independent variables, and LCJR scores as the dependent variables, with normality tests, Cronbach's alpha coefficient, Spearman's correlation coefficient, and multiple regression analysis.
CONCLUSION: The LCJR total scores on [Awareness] and [Interpretation] were affected by the achievement level of the previously taken physical assessment, critical thinking and nursing process courses.
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| Free Research Field |
基礎看護学 看護教育学
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| Academic Significance and Societal Importance of the Research Achievements |
本研究は，看護学生の臨床判断能力育成のためのシミュレーションの学修目標と既習科目の到達度がラサター臨床判断ルーブリックに与える影響を明らかにすることを目的とした.
その結果, LCJR合計と【気づき】【解釈】の得点は既習科目のフィジカルアセスメント・クリティカルシンキング・看護過程の到達度に影響があった. 日本の看護基礎教育における看護学生の臨床判断能力育成に影響する専門基礎分野・専門分野の科目としてはフィジカルアセスメント・クリティカルシンキング・看護過程があり、臨床判断プロセスとしては「予期から初期把握」が臨床判断能力というコンピテンシーの育成の基盤にあるという成果を得ることができた.
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