（資料）ロボティクスによる看護ケアの発展：IEEE学術集会におけるNursing Robotics workshop on ICRA 2024で得られた知見と展望

The integration of nursing science and robotics engineering is gaining recognition as a transformative approach to enhancing patient care and well-being across clinical and home care settings. At a leading international conference on robotics and automation, the "Nursing Robots" workshop provided a platform for interdisciplinary collaboration, uniting experts and emerging researchers to explore cutting-edge innovations aimed at ameliorating nursing practices and improving patient outcomes. The workshop featured special lectures and poster presentations, presenting groundbreaking advancements in fields such as nursing care applications, human-robot interaction, and rehabilitation technologies. Highlights included the development of soft actuators for assisting individuals with physical impairments in dressing and undressing, temperature-regulating wearable systems, and robotic platforms for teaching and learning lymphatic drainage techniques. These solutions are designed to provide support and promote patient independence, confidence, and improved symptom management while addressing psychological well-being. A standout innovation was the introduction of a phantom limb model for lymphatic drainage training, which is equipped with real-time pressure feedback for educational purposes. This advancement is highly promising for the enhancement of cancer-related lymphedema management, spanning practices from early posttreatment self-care to palliative care. Although currently limited to laboratory evaluation, this pioneering work represents a critical step toward clinical implementation through interdisciplinary collaboration. The workshop underscored the potential of advanced robotics to revolutionize care quality and education, particularly in addressing the complexities of aging societies. The discussions emphasized the necessity of continued collaboration between the nursing and engineering disciplines to drive innovation and ameliorate patient-centered care.看護科学とロボット工学の融合は，臨床および在宅ケアにおける看護の質向上と療養者とその家族のウェルビーイングを向上させる革新的アプローチとして注目されている．今年度，国際学術組織であるIEEE学術集会が日本で開催され，ワークショップ “Nursing Robots” のオーガナイザーとして参加する機会を得た．本ワークショップでは，国内外の看護学・理工学分野の研究者が約10カ国から集い，開発研究のコンセプトや技術，臨床での活用に向けた看護学の視点でのディスカッションがなされ，新たなコラボレーションを生む交流が創出される場となった．今後，高齢社会やがんとの共存の視点において多様な療養環境で，人々の暮らしを支援することが求められる．療養者とその家族のウェルビーイング向上に向け看護学の発展が期待されており，その発展に寄与しうるロボット工学との融合について本ワークショップのトピックスを広く周知することが必要と考え，本稿で紹介する．departmental bulletin pape

Deployment of Temperature and Humidity Measurement in Evacuation Shelters: Focusing on the Development of Measurement Tools

令和6年能登半島地震により能登地域の多くの住民は避難所での生活を余儀なくされていた．住環境の温度と湿度の把握は，避難生活を送るものや施設管理者にとって重要である．我々は2024年度より災害時の避難所に指定されている施設における温湿度計測を行っている．本稿ではその概要を紹介するとともに，活動の中で，何をどう考え，どのように対応してきたのかという過程について，道具の改良を中心として詳述した．Due to the Noto Peninsula Earthquake in 2024, many residents in the Noto region were forced to live in evacuation shelters. It is crucial for both evacuees and facility managers to be aware of the temperature and humidity of their living environment. Since fiscal year 2024, we have been systematically measuring temperature and humidity in facilities designated as evacuation shelters for disasters. This paper outlines the project, detailing our considerations and responses through our activities, with a focus on tool improvements.departmental bulletin pape

Experiences and Outcomes of a Sabbatical Training Program to Improve the Quality of Postoperative Lymphoedema Management in Cancer

著者は，新たな研究課題としてがん術後のリンパ浮腫管理に着手している．今後も自立してリンパ浮腫管理の研究を継続するために，本学のサバティカルを利用した．本研修の目的は，臨床におけるリンパ浮腫患者の診察・看護・リハビリの実践や患者の実態および，リンパ浮腫保存療法の実際を学ぶことと，浮腫ケアに関わる多職種との交流を通して，リンパ浮腫患者管理における多職種連携アプローチや緩和ケア領域での浮腫ケアの実際や課題について情報を得る機会とし，リンパ浮腫患者への新たな支援方法について検討し，今後の研究活動への基盤とすることである．３つの施設での研修によって，目的が達成されたため，その内容について報告する．As a new research theme, I initiated a research project on lymphoedema management after cancer surgery. I took advantage of my sabbatical training program at the university to continue my research on lymphoedema management independently eventually. The purpose of which was to learn about the clinical examination, nursing, and rehabilitation practices of patients with lymphoedema, actual conditions of patients, and actual conservative treatment of lymphoedema. I had the opportunity to obtain information about the multidisciplinary approach in the management of patients with lymphoedema, actual edema care, and issues in the palliative care field through exchanges with various professionals involved in edema care. The objectives of the training at the three facilities were achieved and the contents of the training are reported.departmental bulletin pape

Archiving Festival Events in Hodatsushimizu Town

本稿は著者が行っている宝達志水町における祭礼行事のアーカイブ作成事業について概説するものである．地方都市における祭礼文化は，少子高齢化による担い手不足と新型コロナウイルス感染症蔓延を原因とし，消滅の危機にある．石川県宝達志水町南部では約半数において祭礼の実施が途絶えてしまっている．2023年度から，石川県立看護大学附属地域ケア総合センターの事業活動（事業名：宝達志水町における祭礼行事のアーカイブ作成）としてNPO法人宝達スポーツ文化コミッション，宝達志水町A区およびその青年団と協働し，祭礼行事の体系的なアーカイブ化にむけて活動を開始している．これまでのアーカイブ活動の詳細と今後の展望を概説した．This study outlines the project undertaken by the author to create an archive of festival events in Hodatsushimizu Town. Festival culture in regional cities is disappearing because of a shortage of successors caused by an aging population and the COVID-19 pandemic. Approximately half of the festivals have ceased to be held in the southern part of Hodatsushimizu Town, Ishikawa Prefecture. Since the fiscal year 2023, in collaboration with a non-profit organization (NPO), Hodatsu Sports and Culture Commission, District A of Hodatsushimizu Town, and its youth group, the Comprehensive Community Care Center affiliated with Ishikawa Prefectural Nursing University has started activities to systematically archiving festival events (Project Name: Archiving Festival Events in Hodatsushimizu Town). This study outlines the details of archiving activities to date and its prospects.departmental bulletin pape

Role of Outpatient Nursing after Enforcement of the Basic Act on Dementia to Promote the Realization of an Inclusive Society: Sabbatical Training Report

2022年時点で, 日本人の65歳以上の高齢者のうち, 認知症者は443.2万人（有病率12.3％）, 軽度認知障害（MCI）者は558.5万人（有病率15.5％）と推計されている．2023年には共生社会の実現を推進するための認知症基本法が成立し、2024年1月1日から施行された．この法律の目的は、認知症の人が尊厳を保持し、希望を持って暮らせるよう、認知症施策を総合的かつ計画的に推進することである．この法律の目的を念頭に認知症センター等での研修を通じて，認知症当事者や家族の声を聴きながら，外来における認知症看護について学び考えたことを報告する．In 2022, approximately 4,442,000 Japanese people aged ≥ 65 years (prevalence rate of 12.3%) had dementia, and 5,585,000 people (prevalence rate of 15.5%) had mild cognitive impairment (MCI). Against this background, the Basic Act on Dementia was passed in 2023 to foster a society, in which each person with dementia can fully express their individuality and abilities. It took effect on January 1, 2024. This report presents insights gathered through training conducted at dementia centers and other facilities, where the voices of individuals with dementia and their families were heard.departmental bulletin pape

The Role of the Coordinator Connecting Victims with Volunteers in Disaster Response: Findings through the Experience of the 2024 Noto Peninsula Earthquake

能登半島地震で大きな被害を受けた穴水町に住む筆者は,「愛するふるさと」が震災で一瞬に変わり果てたことに深い悲しみを抱いた．発災当初から被災者でありながら町の復興のために働く住民や災害ボランティアの姿を目の当たりにし, 町の復興に自分も携わりたいと思うようになった. 大学で学んだ知識を生かして活動したいと思う一方, 一歩踏み出す勇気が出ず, 何から始めてよいか分からなかった. 大学の教員や災害ボランティアの人々に相談し, 学生の仲間とともに活動することから始めた. 次第に自分一人でできなかったこともできるようになり, 住民の笑顔を見ることで, 筆者のなかに大きな自信が芽生えた. 震災の被災者と支援者の体験により, 被災者のニーズと災害ボランティアのニーズをつなぐコーディネーターの役割の重要性を発見した. コーディネーターには, 被災者と災害ボランティアとの間にwin-winの関係をもたらすきめ細かな配慮と工夫が求められる.The author’s experience of the 2024 Noto Peninsula Earthquake as a victim led to her support activities in the affected areas. This paper presents an overview of these experiences and activities, the lessons learned from them, and their prospects. The thorough transformation of the landscape of Anamizu-machi, the author’s hometown, brought her deep sadness. However, when the author saw the residents of the town, themselves victims, working for the recovery of the disaster area, she thought she would also like to help her hometown. Initially, she did not know what she should start, so she asked for advice from the instructors of her university and from those working as disaster relief volunteers. She began support activities with her university classmates. As time passed, many things could be done by herself, and seeing the smiles on the faces of the residents gave her confidence. The experience of the disaster, both as a victim and as a supporter, made her realize the importance of the role of the coordinator, who connects the needs of both.departmental bulletin pape

Perinatal Simulation Education: Creation and Use of Rubrics in Educational Practice

大学教育の質的転換を目指しアクティブラーニングの導入が推進され，学習者の主体的な学びを促進するための教育改革が進められている．それに伴い〈教員が何を教えるか〉から〈学生が何を学んだのか〉に焦点が移り，学習の質をいかに評価するかが不可欠な要素となった．本学の助産師教育課程では，アクティブラーニングの一環として演習でシミュレーション教育を取り入れている．学生のパフォーマンスを評価するために，周産期（妊娠期，分娩期，産褥期）のシミュレーション演習で使用するルーブリック（2021年度版）を作成した．本稿では，ルーブリックの作成と2021～2022 年度に行ったシミュレーション演習でのルーブリックの活用について報告する．In pursuit of a qualitative transformation in university education, the introduction of active learning is being promoted and educational reforms are being advanced to encourage autonomous learning．Consequently, the focus has shifted from “what instructors teach” to “what students have learned,” making the evaluation of learning quality essential．In the midwifery education program considered by this study, simulation education is incorporated into practical exercises as part of active learning．A rubric was created (2021 edition) to evaluate student performance in perinatal simulation exercises (during pregnancy, childbirth, and the postpartum period)．This paper reports on the creation of the rubric and its application in simulation exercises conducted during the 2021- 2022 academic year.departmental bulletin pape

Training Activities to Support the Transition to Home Care and Enable Individuals to Live Fully in Their Familiar Town Six Years of Collaboration with Four Hospitals in Oku-Noto

高齢・人口減少地域である奥能登の看護師が求める在宅療養移行支援に関する研修を公立４病院の看護部責任者とともに行ってきた．しかし，令和６年能登半島地震等の影響によって，看護職の不足や高齢化の加速により在宅療養移行支援体制および支援方法が変化すると予測される．そこで，６年間の研修活動をまとめ，奥能登の在宅療養移行支援の特徴とこれからの在宅療養移行支援および研修の在り方を考察する．研修当初は患者の願いを叶えるためにいかに地域との連携をとるかを中心に行い，４年目以降は在宅看取りの事例検討を行った．その中でみえた特徴は，「近所に住む病院看護師や住民の支え」を含む『地域みんなで在宅移行期を支える』，医療職の高齢化に伴う新たな看取りの工夫を編み出すことであった．今後は来院できない高齢者の増加に備え訪問看護を含む病院の看護体制を新たにしていく必要があり，そのためにも現地で事例検討を重ねる．We have been conducting training on home care transition support demanded by nurses in Oku-Noto, an area with an aging and declining population, in collaboration with the directors of the nursing departments at four public hospitals. However, as a result of the 2024 Noto Peninsula earthquake, it is anticipated that the home care transition support system and methods will change due to a shortage of nursing staff and the accelerated aging of the population. Therefore, we have summarized the training activities conducted over the past 6 years and examined the characteristics of home care transition support in Oku-Noto as well as the future direction of both home care transition support and training. Initially, the focus of the training was on how to collaborate with the community to fulfill patients’ wishes, and from the fourth year onward, case discussions on home-based end-of-life care were introduced. One key characteristic that emerged was the concept that “the entire community supports the home transition period,” which includes “the support of hospital nurses and local residents living nearby.” Additionally, it became clear that new approaches to end-of-life care should be created in response to the aging medical workforce. In the future, in preparation for the anticipated increase in the number of elderly patients who may be unable to visit the hospital, it will be necessary to establish a new nursing system within the hospital, including home care services. To this end, it is essential to continue conducting local case discussions.departmental bulletin pape

Mental Chronometry to Chewing and Swallowing Functions

本研究では，心的時間測定 （Mental Chronometry; MC）の咀嚼・嚥下機能に対する応用を試みた．MC とは，実際に動作することなく その動作をイメージしたときにかかる時間を測定する手法である．MC は歩行動作などの評価に用いられてきたが，咀嚼・嚥下についてMC を適用した研究はこれまで行われていない．本研究では青年・成人25 名を対象にピーナッツを実際に食べる際の時間とイメージによる時間を測定した．実験では１粒，２粒，３粒の３条件で測定を行った．３条件すべてを分析した結果，この２つの時間の相関係数r は0.73 であり，先行研究における歩行のMC より若干相関係数は低いものの，歩行と同様に咀嚼・嚥下のMC でも相関関係が成立することが明らかになった．ただし本研究の結果では，咀嚼・嚥下のMC では実際の動作よりイメージによる動作の方が時間は短く歩行とは逆の傾向が示された．In this study, we attempted to apply mental chronometry (MC) to chewing and swallowing functions. MC has been used for walking and other physical activities evaluation; however, there have been no studies of MC for the eating function. The time taken to eat a peanut (ACST) and to imagine eating a peanut (MCST) were measured in a total of 25 adolescent and adult participants. The correlation coefficient (r) between the ACST and MCST was 0.73. A significant correlation was established in the MC of eating as well as in the MC of walking although the correlation coefficient was slightly lower than that of walking, which was reported in the previous study. However, in contrast to walking, the time required for the mental movement tended to be shorter than that for the actual movement.departmental bulletin pape

Challenges and Responses Made by Nursing Students in Communicating with Patients during Practicum amid COVID-19: The Effects of Mask-Wearing and Physical Distancing

本研究の目的は，コロナ禍における臨地実習で看護学生が患者とのコミュニケーションで感じた困 難と工夫を明らかにすることである．2020 年度の領域別実習後の看護学生を対象にWeb での無記名 自記式質問調査を行った．回収率は55/81 名（67.9％），有効回答は54 名であった．最も困難な項目 は「身体に触れることにより患者の注目を引き付ける」であった．臨地実習の経験回数が5 回群より も2 回群で困難を感じた項目は13 項目中12 項目であった．工夫は〔患者の意思・心理を理解するた めの工夫〕で【患者の言葉を聞き取る工夫】など7 カテゴリー，〔患者に看護学生の思いを伝えるた めの工夫〕で【看護学生の話し方の工夫】【目線や表情の工夫】など5 カテゴリーが抽出された．看 護学生は工夫をしながら，臨地実習を重ねて患者とのコミュニケーションに慣れることで，患者との コミュニケーションで感じる困難が少なくなることが示唆された．This study aims to elucidate the challenges that nursing students faced when communicating with patients during their practicum amid the COVID-19 pandemic and their efforts to overcome such difficulties. An anonymous self-administered questionnaire survey was conducted online targeting nursing students after their area-specific practicum in FY2020. The response rate was 55 out of 81 (67.9%), with 54 providing valid responses. Results showed that the most difficult item was “attracting the patient’s attention by touching them.” The group with only two practicum sessions felt difficulties in 12 out of 13 items compared to the group with five practicum sessions. The efforts made by nursing students to understand patients were classified under seven categories, such as “effort to understand the patientʼs intentions and psychology” and “effort to understand the patient’s words.” Similarly, efforts to convey the nursing student’s thoughts to patients were classified under five categories, including “efforts to improve the nursing students’ way of speaking” and “efforts to improve eye contact and facial expressions.” The results suggest that as nursing students repeatedly practice and become accustomed to making such efforts to communicate with patients, it becomes less difficult to communicate with patients.departmental bulletin pape