Akiyo Nakamoto Nanae Ikeda Sachie Arai. Ryota Kitao Hiromi Morioka Masako Yamanaka Junko Yamanaka

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1 This is Advance Publication Article. Received Date: 02. Mar Accepted Date: 29. Aug J-STAGE Advance Published Date: 11. Jan Journal of Japan Society of Nursing Research doi: /jjsnr 原著 - Experience of Senior Nursing Students Acting as Simulated Patients for the Adult Nursing Practice : Examination of Educational Effect Based on Reflection Akiyo Nakamoto Nanae Ikeda Sachie Arai Ryota Kitao Hiromi Morioka Masako Yamanaka Junko Yamanaka Key Words adult nursing, practice, simulated patient, reflection 緒言 simulated patient SP 53 SP 2016 SP MacLean, Kelly, Geddes, & Della 2017 Bressmann & Eriks-Brophy, 2012SP SP SP 2009 SP 2015SP SP 3 SP SP 2013SP SP Faculty of Nursing, Senri Kinran University 2 Doctoral Course, Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University 3 School of Nursing, Mukogawa Women s University 4 Faculty of Nursing and Rehabilitation, Konan Women s University 5 Doctoral Program, Department of Nursing Sciences, Graduate School of Human Health Sciences, Tokyo Metropolitan University 6Faculty of Nursing Health, Baika Women s University Vol. 40 No

2 Hatlevik, 2012 Epp, 2008 SP SP SP SP SP SP Ⅰ. 用語の定義 A 4 A 3 SP 3 A 4 Ⅱ. 演習の方法と内容 A A 3 A 4 SP A SP 1 20 SP 1 SP Ⅲ. 上級生 SPの選定 SP4 3 SP 20SP SP 3 SP SP SP 4 SP 3 Ⅳ. 研究方法 1. 研究参加者 A 3 SPA Vol. 40 No

3 2. 調査期間調査方法 3 4 SP SP 調査内容 SP 5. 分析方法 4 SP 7 6. 倫理的配慮 SP 4 SP Ⅴ. 結果 SP 4 表 1 1. 患者を大切にしたかかわりに気づく 5 SP SP SP Vol. 40 No

4 表 1 模擬患者を演じた上級生の経験状況に応じた臨機応変なケアが必要である. 患者の様子を十分にみるべきである. 患者の視点に立ったていねいな対応が大事である. 患者が安心できる気遣いが大事である 4 Vol. 40 No

5 . 患者個々に合わせた対応が大切である 2. 患者の心情を実感する 3 SP. 患者は看護者を気遣ってくれていた. 意外にも患者は嫌な思いを抱いている 1 2. 看護者の心の内はおのずと患者に伝わる 3. 看護職者として自分の看護に意味づける 1 3 SP SP. 1 年前の自分も未熟だった 1 1. 実習中の自分の看護を省みた. 模擬患者の経験に肯定的な意味を感じた 4. 先輩の視線で下級生の援助をみる 3 SP SP Vol. 40 No

6 . 下級生の未熟さが目立った. 下級生は患者に気遣いがあった. 先輩として下級生へアドバイスしようと考える 2 Ⅵ. 考察 SP SP SP 2008 SP SP SP SP SP 2010 SP SP SP Hatlevik, 2012 SP 6 Vol. 40 No

7 SP SP 2011 SP SP Ⅶ. 結論 1 SP 4 2 SP 3 SP Ⅷ. 研究の限界と今後の課題 SP SP SP SP SP SP SP SP SP 謝辞 41 利益相反の開示著者貢献度要旨目的 :3 SP 方法 : 4 18 SP 結果 : 4 結論 : SP SP Vol. 40 No

8 Abstract The purpose of this study was to identify the experiences of senior nursing students who acted as simulated patients SP in the practical exercise class of the third-year nursing course and to examine the educational effect of the experience connected with the senior students reflection. A semi-structured group interview was conducted with 18 senior students who acted as SP regarding their experiences. The results found 4 main categories; [Noticed the involvement that values patients], [Realized patients feelings], [Gave meaning to providing nursing care as a professional nurse], and [Observing junior students helping patients from the view of a senior student]. The SP experience for senior students gave them the opportunity to gain a multidirectional view; as a patient, as nursing personnel, and as a senior student, to look back at their own nursing acts. In particular, it can be considered that they deepened their self-awareness as a nursing professional and were reflective about nursing itself from actually experiencing a patient s feelings and objectively observing nurses attitudes and behaviors. Therefore, it was indicated that senior students SP experience has an educational effect that encourages reflection toward nursing. 文献,,, 2008.,, 10 2, 1-7.,,,,, , 10, ,,, Kitakanto Med J, 57 1, Bressmann, T. and Eriks-Brophy, A Use of simulated patients for a student learning experience on managing difficult patient behaviour in speech-language pathology contexts. Int J Speech Lang Pathol, 14 2, Epp, S The value of reflective journaling in undergraduate nursing education: A literature review. Int J Nurs Stud, 45 9, ,,,,, , 25 1, 1-18., , 41 3, Hatlevik, I.K.R The theory-practice relationship: Reflective skills and theoretical knowledge as key factors in bridging the gap between theory and practice in initial nursing education. J Adv Nurs, 68 4, , 2009.,. IRR, 7, r l0q-att/2r l4m.pdf , , 25 1, MacLean, S., Kelly, M., Geddes, F., and Della, P Use of simulated patients to develop communication skills in nursing education: An integrative review. Nurse Educ Today, 48, ,, , 36, mext.go.jp/b_menu/shingi/chousa/koutou/40/toushin/ icsfiles/ afieldfile/2011/03/11/ _1_1.pdf ,,,, , 32, ,,,, , 16, ,, , 35, ,,,, , 25, 9-18., , 16, ,,,, Quality Nursing, 8 4, , , 41 3, , 2010.,, 16 1, , 28 1, Vol. 40 No

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