The Journal of the Japan Academy of Nursing Administration and Policies Vol 8, No 2, pp 37 _ 47, 2005 The Real and the Factors of Hiyari-hatto Experiences of Nursing Students during Clinical Training Analyzed through Their Course of Occurrence Junko Fuse Key words : Hiyari-hatto experiences, nursing students, clinical training, anxiety Abstract The current research places an investigative focus on the Hiyari-hatto experiences of 54 nursing students which occurred during their clinical training, and involves an interview survey that specifically targets 11 of such students with Hiyari-hatto experiences. The actual situation regarding these Hiyarihatto experiences was analyzed and examined in line with the stages of their occurrence. Consequently, the following points were elucidated. Approximately 40% of the nursing students had been through a Hiyari-hatto experience. Among the individual training areas, Hiyari-hatto incidents occurred most often during acute phase -related training and also during treatment care assistance training. As for the stages of occurrence, there were seven casesout of the total of 11involving insufficient preparation for administration of care, and among these seven, five cases revealed student anxiety regarding administering care. Seven categories were seen for the causes of Hiyari-hatto experiences, namely lack of precaution, lack of knowledge/skills, relationship with the hospital staff, difficulty in estimating risks, insufficient understanding of the patient, inadequate communication, and inadequacy regarding clinical environment/facilities. Among these, the highest number of cases was seen in the categories lack of precaution and lack of knowledge/skills. As described above, the causes that trigger Hiyari-hatto incidents are in many cases lack of precaution and lack of knowledge/skills, which suggests that such incidents occur in relation to insufficient preparation for the administration of care and anxiety towards administering care. 5411 4 117 75 : 200444 : 2004123 Department of Nursing Yamagata University School of Medicine Vol 8, No 2, 2005 37
7 2000b 2000b 2000b 1999 4 2000 2001 6 2000 2001 7 1994 2000 2001 2002 A 4 64 5421.8 0.5 531 11 2 2002 4 229 27 2002 9 30 1071030 115 38 Vol 8, No 2, 2005
4 1 8 2001 2000 1998 Vol 8, No 2, 2005 39
35 30 25 20 15 10 5 0 23 42.6 31 57.4 54 2342.6 17 41.0 7 17.0 615.0 512.00 3175.66 14.6 4 9.8 1 1 11 7 3 1 2 2 3 10 1 1 18 16 14 12 10 8 6 4 6 15.0 17 41.0 % 6 15.0 % 7 17.0 % 5 12.0 % 2 0 0 40 Vol 8, No 2, 2005
3 3 2 3 1 1 Vol 8, No 2, 2005 41
42 Vol 8, No 2, 2005
Vol 8, No 2, 2005 43
1 1 1 4 C 3 2 3 94 3 21 1 1 7 47 1994 44 Vol 8, No 2, 2005
A 17 1270.6 75.6 87.92000a 2001 111 1 A B C A B C 117 C 2000 C 7 5 2000 A B A 2 1998B 2 1 Vol 8, No 2, 2005 45
1 2000 20012000 2002 2000 1998 3 2 54 11 1A 4 2 117 7 5 3 46 Vol 8, No 2, 2005
7 2001 42121072 1073 2001 42 121073 1076 1998 3 213213 2000 121 7 2000 2357 62 2002 438722 727 2000 11 pp.1 31 2000a 1212 13 2000b Q A 1214 15 2000 pp.43 47 1998 5 p.2297 1994 357495 500 2001 6159 6 3 Vol 8, No 2, 2005 47