Palliative Care Research 2015; 10(3): 00 00 Palliat Care Res 2018; 13(2): 181 86 1 2 3 4 5 目的 終末期ケアシミュレーション(terminal care simulation: TCS) 参加者が TCS を通して何を感じたかを質的に明らかにすることを目的とした. 方法 TCS 後に振返り用紙への自由な回答を求め, その内容を質的に分析した. 結果 参加者 39 名. 振返り用紙へ記載された内容は 334 記録単位に分割でき コミュニケーションに関する知の獲得 実施方法への評価 看護に関する自己の理解 看護に関する自己の肯定的見通し 終末期に関する知の獲得 場の雰囲気に対する評価 学習機会の取得 看護に関する自己の肯定的変化 デブリーフィングの効果 経験への評価 リアリティの実感 看護の知の獲得 教員の関わりに対する評価 の 13 カテゴリーが形成された. 考察 結論 現実的な感覚が結果に現れたことから, 模擬患者の協力が TCS での現実味の体験に貢献したと考える. Palliat Care Res 2018; 13(2): 181-86 Key words: シミュレーション, 終末期ケア, 模擬患者, 看護基礎教育, 質的検討 緒言 1 2 3 2017 11 7 2018 2 25 2018 3 13 Corresponding Author 514-0001 2-174 TEL 059-231-5260FAX 059-231-5260 E-mail: a-inumaru@nurse.medic.mie-u.ac.jp terminal care simulation: TCS 4 TCS TCS 方法 5 3 160 2016 2 2017 3 TCS 1 TCS BOX TCS TCS 181
Palliative Care Research 表 1 終末期ケアシミュレーションの概要 1 3 疼 2 10 3 Ssimulation 5 5 + Ddebriefing 7 5 1 S 1 2 10 A D 疼 NRS 疼 2 S 疼 疼 D 3 S D 4 S D NURSE 12 NURSE 5 S D 410 TCS TCS 1 1 6 2TCS TCS 1 5 80 182
終末期ケアシミュレーションの質的評価 1 1 2 3 5 1 1 5 3 A 65 stage IV 疼 Berelson 7 1 1 4 Scott 8 B 結果 39 4 10.3 100 334 TCS 11 323 13 2 NURSE NURSE 5 48 5 44 2 36 3 35 3 29 2 23 4 23 3 21 2 19 16 2 15 7 2 7 考察 TCS Jeffries 9 TCS 10 TCS 183
Palliative Care Research 表 2 終末期ケアシミュレーション参加者の振返り内容 (n=323) 1. 16 4814.9 16 NURSE NURSE 8 NURSE NURSE 5 3 2. 19 4413.6 10 8 6 1 3. 29 3611.1 7 4. 16 3510.8 14 5. 5 17 299.0 6 6 6. 15 237.1 8 7. 11 237.1 5 4 3 8. 15 216.5 3 3 9. 11 195.9 8 10. 16 165.0 11. 12 154.6 3 12. 7 72.2 13. 5 72.2 2 184
終末期ケアシミュレーションの質的評価 TCS 11 TCS 72.3 結論 1TCS 13 2 TCS 3TCS 謝辞 15H6290 3637 2016 12 2017 12 文献 1 2012. http://www.mhlw.go.jp/seisakunitsuite/ bunya/kenkou_iryou/iryou/zaitaku/dl/anshin2012.pdf 2017 10 26 2American Association of Critical-Care Nurses. New-Palliative-Care-Competencies. Cares: Competencies and recommendations for educating undergraduate nursing students preparing nurses to care for the seriously ill and their families. http://www.aacnnursing.org/portals/42/elnec/pdf/new -Palliative-Care-Competencies.pdf 2017 10 26 3 2011. http://www.mhlw.go.jp/stf/houdou/2r985200000 13l0q-att/2r98520000013l4m.pdf 2017 10 26 4 2017; 37: 408-16 5 2 2016; 16-19. 6 http://www.mext. go.jp/component/a_menu/education/detail/ icsfiles/ afieldfile/2011/06/16/1307329_1.pdf 2017 11 29 7Berelson, B. 1 1957. 8Scott WA. Reliability of content analysis: the case of nomal scale coding, Public Opin Quart 1955; 19: 321-5. 9Jeffries PR, ANEF RF eds. Simulation in Nursing Education. National League for Nursing, New York, 2012. 10Cannon-Diehl MR. Simulation in healthcare and nursing: state of the science. Crit Care Nurs Q 2009; 32: 128-36. 11 2 2 2010; 1-23. 12 NURSE 1 2015. 185
Qualitative evaluation of a terminal care simulation Short Communication Qualitative Evaluation of Nursing Students Feedback Concerning a Terminal Care Simulation Anri Inumaru, 1) Tomoko Tamaki, 2) Yumie Yokoi, 3) Mayu Tomita, 4) Makoto Fujii, 5) and Mayumi Tsujikawa 1) 1)Course of Nursing Science, Graduate School of Medicine, Mie University, 2)School of Nursing, Mukogawa Women s University, 3)Faculty of Nursing, Toho University, 4)Department of Nursing, Mie University Hospital, 5)Division of Health Sciences, Graduate School of Medicine, Osaka University Purpose: To clarify the contents of nursing students feedback after they participated in a terminal care simulation. Method: Free description type answer sentences were analyzed qualitatively using Berelson s content analysis. Results: Participants were 39 students. Feedback contents were divided into 334 recording units. As the result of analysis, 13 categories, including acquisition of knowledge on communication, evaluation on method of implementation, self-understanding on nursing, self-positive-prospect on nursing, acquisition of knowledge on terminal care, evaluation on simulation ambience, acquisition of learning opportunities, self-positive-changing on nursing, effect of debriefing, effect of experience, feeling of reality, acquisition of knowledge on nursing and evaluation on faculty s intervention were formed. Conclusion: It was suggested that simulated patients contributed to making end of life clinical settings because the realism of the simulation had been apparent from the results. To make the terminal care simulation more developed, future studies should investigate how to give a briefing, and so on. Palliat Care Res 2018; 13(2): 181-86 Key words: simulation, terminal care, simulated patient, undergraduate, qualitative research 186