Aspects of the process of acquiring nursing competence in junior students - analysis of reflections on exercises using role-playing / 医学教育

Objectives: To reveal nursing competence acquired by nursing students via role-playing (RP) exercises and define the learning points necessary for acquiring practical nursing skills.Methods: Qualitative content analysis was performed using debriefing sheets (DSs) for adult nursing RP. There were 109 participants.Results: The DSs of 69 individuals who met the selection criteria were used as base data, and 1179 data items were extracted. The results showed that the structure included 3 main themes, 8 subthemes, 31 categories, and 121 subcategories.Conclusion: The results indicated that participants noticed the underlying elements that make up practical nursing skills, analyzed them using advance organizers based on previously learned knowledge, and applied the acquired practical nursing skills to newly proposed strategies for continuous self-management for adult patients with chronic disease and their families. One aspect of nursing competence, "ability to improve nursing quality," could not be extracted; the elucidation of this acquisition process is a task for future research.

Analysis of narratives by volunteers who are bereaved families of cancer patients: clarification of meanings of volunteer activities in palliative care unit

<b>Purpose</b>: The purpose of this article is to clarify the meanings of palliative care unit volunteers who are bereaved families of cancer patients (hereafter referred to as "the volunteers"). <b>Methods</b>: Authors analyzed narrative by the seven volunteers using SCAT (Steps for Coding and Theorization). <b>Results</b>: Meanings of their volunteering consists of following four themes which consists of nineteen categories, ‘affectation to the place of the patient's death’, ‘motivations’, ‘role to achieve’, ‘actual activities’, Motivations of the volunteers are overlapped with the results by classical motivation theories plus "satisfaction with palliative care", "optimal last moment including death attending harmonized with the family's thanatological view". Supporting to an aspect of palliative care that is place of life rather than that of medical treatment is core of volunteer activities. <b>Conclusion</b>: It is suggested to necessary for medical professionals to intervene with understanding of the volunteers ambivalent feelings so that they can work safely. Suitable moment to start volunteering for them is further problem to solve.