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Action Research Using the Nursing Model on Education: Outline of the Model Version 6.3 and the Usefulness in Three Action Research Implementations

Thursday, July 14, 2011

Teruko Kawaguchi, RN, PhD1
Hiroko Shimomura, RN, MSN1
Etsuko Yokoyama, RN, MSN1
Megumi Higashi, RN, MSN, CNS2
Emi Yamada, RN, MSN, CNS3
Miyako Oike, RN, MSE4
Naoto Hasegawa, RN, MSN5
Tomoe Inoue, RN, MSN6
Fusae Kondo, RN, PhD7
Momoe Konagaya, RN, DNSc8
Takakao Kobayashi, RN, MSE9
Kazumi Oda, RN, MSN10
Kyoko Kodaira, RN, MSN11
Yuko Hayashi, RN, PhD9
Fumiko Yasukata, RN, PhD12
Michiyo Oka, RN, PhD13
Sanae Iha, CNS, RN, MSN14
Narumi Takiguchi, RN, MSN15
Hiromi Ito, RN, MSN16
Miho Ota, RN, MSN17
Hiromi Onbe, RN, MSN18
Chieko Domen, RN, MSN4
(1)School of Nursing, The Japanese Red Cross College of Nursing, Tokyo, Japan
(2)Nursing Department, Surugadai Nihon University Hospital, Tokyo, Japan
(3)Department of Nursing, Nagoya Medical Center, Nagoya-Aichi, Japan
(4)Department of Health Sciences, Kyushu University, Fukuoka, Japan
(5)School of Nursing, Faculty of Medicine, Toho University, Tokyo, Japan
(6)Department of Nursing, Omihachiman Community Medical Center, Shiga, Japan
(7)School of Health Sciences and Nursing, Juntendo University, Shizuoka, Japan
(8)School of Nursing and Rehabilitation Sciences, Showa University, Kanagawa prefecture, Japan
(9)Faculty of Nursing, Osaka Medical College, Osaka, Japan
(10)School of Nursing, Nagano College of Nursing, Nagano, Japan
(11)Nursing and Health Sciences, Kansai University, Hyogo, Japan
(12)Faculty of nursing, Fukuoka Prefectural University, Fukuoka, Japan
(13)School of Health Science, Gunma University, Maebashi, Gunma, Japan
(14)Shiga Medical Science University, School Hospital, Shiga, Japan
(15)Department of Nursing, Omori Red Cross Hospital, Tokyo, Japan
(16)Department of Nursing, Sunagawa City Medical Center, Hokkaido, Japan
(17)Graduate School of Nursing, The Japanese Red Cross College of Nursing, Tokyo, Japan
(18)School of Health Sciences, Faculty of Medicine Gunma University, Gunma, Japan

Learning Objective 1: The ability to understand version 6.3 of the nursing model on education.

Learning Objective 2: The ability to understand the usefulness of the nursing model on education.

Purpose

    To develop the nursing model on education and study its usefulness in action research.

Methods

    The model was developed starting in 1994 with 215 cases of patient education, worked on by 24 researchers to extract, describe, and analyze situations related to patient behavior modification in order to create a model. To study the usefulness of the model, an action research study was begun in March 2007, and between February 2008 and July 2010 was conducted in three hospitals. The research participants included researchers from the model development research group and 12 clinical nurses, as well as 31 other clinical nurses who participated in the study meetings.

Results

    The model is comprised of the following elements, aimed at improving the nurses' abilities in educational practice: lead/cue words and behaviors and their intuitive interpretation; the reality of the patient as a person trying to manage living and sharing that meaning; tailoring nursing to the treatment; interaction techniques based on working with patients to find solutions; and the atmosphere created by a patient education expert.

    How the action research, conducted in three locations, was carried out depended on the standpoint of the facilitator (head nurse for education, staff nurse (Certified Nurse Specialist), and university researcher, respectively), but the participants made comments regarding the importance of the various elements in practice, and it was confirmed that nursing care using the model led to high-quality patient education. Even the clinical nurses who were not research participants became able to speak about patient behavior and changes, and they planned new case review meetings for cases that used the model, among other actions.

Conclusion

    The nursing model on education was refined and updated to version 6.3.

    The usefulness of the nursing model on education in action research that used the model was confirmed.

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See more of: World Academy of Nursing Science: Oral Paper & Posters