{"created":"2023-05-15T09:32:31.311338+00:00","id":4325,"links":{},"metadata":{"_buckets":{"deposit":"4a031506-9f82-4d49-9482-cb0a7d7ea715"},"_deposit":{"created_by":14,"id":"4325","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"4325"},"status":"published"},"_oai":{"id":"oai:icu.repo.nii.ac.jp:00004325","sets":["12:2:10:449"]},"author_link":["5657"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"59","bibliographicPageEnd":"61","bibliographicPageStart":"49","bibliographic_titles":[{"bibliographic_title":"教育研究","bibliographic_titleLang":"ja"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　ヘルスケア分野における急激な変化のなかで，看護師継続教育が，看護師の専門職としての発達と質の高い看護の提供を維持するために重要であることは広く認められたところである。しかしながら，看護師継続教育の有効性のエビデンスは，主に方法論上の問題から，ほとんど示されてこなかった。さらに，効果的な評価に対する重要性にも関わらず，プログラムを導く理論と評価モデルは，先行研究においてほとんど議論されてこなかった。そこで，本稿は，看護師継続教育プログラムを評価した最近の研究を，プログラムを導く理論，評価モデル，プログラムアウトカムの測定という方法論の点からレビューした。また，今後の効果的な評価研究への示唆を検討した。文献検索には，PubMed，CINAHL，医中誌を用い，2006 年から2016 年8 月までの文献を検索し，結果的に19 本の文献が検討対象として残った。レビューした文献のち，プログラムが理論によって導かれていたものはほとんどなかった。また，プログラム前後を比較する評価アプローチを用いた研究が大半を占めたのに対して，それ以外の評価モデルを使った研究はわずかであった。さらに，レビューした文献のほとんどは，プログラムによる変化を参加者の知覚による評価に頼っており，患者へのケアにおける変化を検討した研究はほとんどなかった。これらの結果から，今後の評価研究は，理論に基づくプログラムを用い，プログラムの複雑性を理解するのに有用な評価モデルによって計画されるべきであることが示唆された。また，実践や患者におけるアウトカムを捉えるために，より感度が正確な指標を開発するためのさらなる努力が必要であることが示された。\n","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"　In the rapidly changing and diverse health-care practices around the world, continuing education is recognized as important so as to ensure the delivery of quality care by professional nurses in hospitals and other health-care facilities. However, serious methodological concerns have been raised in evaluating nursing continuing education. Moreover, the use of theory-guided programs and evaluation models, both essential ingredients for the delivery of effective programs, have hardly been discussed in the past literature on continuing education in nursing. The present literature review examined selected evaluation studies of continuing education in nursing with respect to program evaluation issues. Also, implications for future research were discussed in providing evidence-based education programs. A literature search (2006-2016) was conducted in August 2016 using PubMed, CINAHL, and Ichu-shi. Nineteen articles from various regions of the world were eventually included in the review. There were only a few studies whose programs were guided by certain theories. Additionally, a simple pre-post evaluation design approach was the type of evaluation design most frequently used in the reviewed articles; overall, the studies using a full program evaluation model were few and far between. The identified evaluation approaches and models did not adequately inform researchers of the process or outcome of program efficacy. The measurement of program outcomes in most of the reviewed studies depended on participants’ perceptions of changes as expected outcomes. Only a few studies examined changes in patient care with objective measures. Overall, the review of the literature suggests that evaluation of future continuing education programs for nurses should include theory-based programs with valuable evaluation models, enabling researchers to fully understand complexities of their programs. More efforts should be made to develop more sensitive and accurate indicators of changes in practice and patient outcomes.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10002_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.34577/00004193","subitem_identifier_reg_type":"JaLC"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"国際基督教大学","subitem_publisher_language":"ja"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"04523318","subitem_source_identifier_type":"ISSN"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right_uri":"open access"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"大内, 潤子","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"5657","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-04-08"}],"displaytype":"detail","filename":"04.pdf","filesize":[{"value":"790.4 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"看護師継続教育実践における方法論的・理論的問題 －批判的文献レビューおよびエビデンスに基づいた実践への示唆－","url":"https://icu.repo.nii.ac.jp/record/4325/files/04.pdf"},"version_id":"2f53d78e-2454-45ad-90ce-d1c28a2b9e0f"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"看護師継続教育実践における方法論的・理論的問題 －批判的文献レビューおよびエビデンスに基づいた実践への示唆－","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"看護師継続教育実践における方法論的・理論的問題 －批判的文献レビューおよびエビデンスに基づいた実践への示唆－","subitem_title_language":"ja"},{"subitem_title":"Methodological and Theoretical Issues in Evaluating Continuing Education Practices for Professional Nurses: A Critical Literature Review and Implications for Evidence-Based Practice","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"14","path":["449"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-04-08"},"publish_date":"2017-04-08","publish_status":"0","recid":"4325","relation_version_is_last":true,"title":["看護師継続教育実践における方法論的・理論的問題 －批判的文献レビューおよびエビデンスに基づいた実践への示唆－"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-10-02T04:21:26.871616+00:00"}