Practice Report of Hybrid Pediatric Nursing Practice

departmental bulletin pape

看護学生間の協同学習による自己学習機会の創出に向けた実践報告ーシミュレータモデルを用いた血圧測定技術の学習プログラムー

Objective: This SimMaster Program Basic, an extra-curricular educational activity for sophomore nursing students had three objectives: firstly, to enhance the accuracy of blood pressure measurements, a fundamental skill among vital sign assessments; secondly, to create mechanisms that encourage the spontaneous generation of learning opportunities outside of class; and thirdly, to enrich university life through cross-grade interactions. Methods: Eleven sophomore nursing students applied to participate in this program. The program, conducted over six sessions, was divided into three components: a "Knowledge Program" focused on the principles of blood pressure measurement, a "Skills Program" centered on the use of simulator models, and a" Special Program" consisting of a lecture on clinical blood pressure measurement by practicing nurses. Additionally, a final test was administered to assess the students' knowledge, skills, and attitudes regarding blood pressure measurement. Results: Participating students deepened their knowledge of blood pressure measurement principles, reaffirmed their understanding and skills in conducting measurements, and gained numerous interactions from their involvement with one another. On the other hand, challenges such as the time constraints of extracurricular activities, the inadequate establishment of fundamental knowledge and skills, and the continuity of the program emerged as issues. Discussion: Through this program, students were encouraged to deepen their own understanding by teaching each other and to foster an attitude of proactive learning. It is necessary to support the use of learning resources that allow for repetitive study and to promote cooperative learning.departmental bulletin pape

Development and validation of a high-quality simulator with exchangeable peritoneum for transabdominal preperitoneal laparoscopic inguinal hernia repair

長崎大学学位論文 [学位記番号]博（医歯薬）甲第1650号 [学位授与年月日]令和6年12月4日(2024-12-04)thesi

看護基礎教育における高性能シミュレータを用いた心肺蘇生法演習の学びと課題

　本研究の目的は、看護基礎教育における心肺蘇生法演習の学びと課題を明らかにすることである。A大学の３年次生89名のアンケートを分析した結果、多職種が連携したALSのフルスケールシミュレーションを行うことは、【救命の場面を体感する】、【看護師の責務に気づく】、【救命に必要な技術・態度に気づく】、【救命の連鎖の必要性を理解する】といった学びにつながっていた。また、BLSインストラクターによる少人数制での演習により、学生は【効果的な演習方法により理解が促される】、【インストラクターのケアリングに基づいた指導により学習効果が上がる】、【BLS技術の維持・向上の必要性に気づく】、【看護職としての責務に気づく】といった学びを得ていた。今後は、気づきが経験に移行するような工夫とともに、他の科目との関連や演習時期などのカリキュラムの調整の検討が必要であることが示唆された

Application of Attachment Theory in Pediatric Nursing

departmental bulletin pape

カンゴ キソ キョウイク ニオケル フィジカル アセスメント キョウイク ナイヨウ ノ ケントウ ブンケン ト シュヨウ テキスト カラ

高橋らの報告を基に、本学の演習項目、他文献及び主要テキストとの比較検討を行い、教育内容を精選する際の基礎資料を得た。1.「実技演習をしていると70%以上の回答があった26項目」と本学との比較では、本学基準A(少なくてもここまでは):25、B(できればここまで):1「肺野の打診による左右差の有無」であった。看護師国家試験出題基準項目や臨床で実施頻度が高い項目は本学ではAであった。2.「時間数30時間にした場合に必要不可欠と考える実技演習項目50%以上の32項目」については、A:25、B:4、C(もし余裕があれば):3「肺野の打診による左右差の有無」「腹水貯留の有無」「深部腱反射の異常の有無(膝蓋腱反射)」であった。3.「知識の習得でよいと考える項目50%以上の12項目」については、A:6「眼底の異常の有無(眼底鏡による視診)」「鼻腔粘膜の異常の有無(鼻鏡による視診)」「嗅神経の異常の有無(においテスト)」「外耳道と鼓膜の異常の有無(耳鏡による視診)」などであった。4.主要テキストでは、バイタルサインなどは具体的な方法を記載していたが、他は手順の概要や所見であった。To obtain basic information for selection of educational content based on the Takahashi report with a comparison performed between the exercise catergories of this university and other literature with the key text. 1)The comparison of "26 categories with a 70% or greater response indicating that practical exercises are performed" resulting in, "A" (at least up to this point): 25, (if possible, up to this point): 1 "Based on percussion of the lungs fields and the presence of a difference between the left and right sides." For this university, category "A" was executed with high frequency in the National Nursing Examination and in clinical practice. 2) The "32 categories with a 50 % or greater response indicating the practical exercise category is essential in this case 30 hours was adopted" resulted in, "A": 25, "B":4, "C" (if the opportunity exists):3. "Based on percussion of the lungs fields and the presence of a difference between the left and right sides," and the "Presence of ascites," and the "Presence of deep tendon reflex abnormalities (knee jerk)". 3) The "12 categories with a 50 % or greater response indicating that acquiring knowledge was adequate" resulting in, "A":6"Presence of fundus abnormalities" (inspection by fundus mirror)," "Abnormalities of the nasal mucosa (inspection by nasal speculum" and "the presence of olfactory nerve abnormalities (smell test)", along with the "Presence of external auditory canal and tympanic membrane abnormalities (inspection by otoscope)". 4. Although the key text described specific methods for vital signs reading, others indicated a summary of procedures and findings

教育支援システムの構築におけるエージェントプログラミング技法とその応用に関する研究

名古屋工業大学博士(工学)Doctor of Engineering主査：伊藤　英則doctoral thesi