Countermeasure and Practice for Medical Accident Prevention While Ensuring Patient Safety During Clinical Nursing Practicum with the Japanese Nursing Teachers

Wednesday, 24 July 2013

Wakako Sadahiro, RN, DNSc
School of Nursing, Sapporo City University, Sapporo, Japan
Naomi Funashima, RN, DNSc
Graduate School of Nursing, Chiba University, Chiba, Japan
Kyoko Yokoyama, RN, DNSc
School of Nursing, Gunma Prefectural College of Health Science, Maebashi, Japan
Yasuhiro Matsuda, RN, DNSc
School of Nursing, Gunma Prefectural College of Health Sciences, Maebashi, Japan

Learning Objective 1: The learner will be able to comprehend a practice to prevent a medical accident during clinical nursing practicum with the Japanese nursing teachers.

Learning Objective 2: The learner will be able to develop the implication to review his/her own behavior for preventing medical accident by student.


The purpose of this study is to clarify a countermeasure and practice to prevent a medical accident by students during clinical nursing practicum with the Japanese nursing teachers.


741 Japanese nursing teachers were selected by random sampling method. With a mailing method, we distributed and collected the questionnaire of medical accident prevention by student during nursing clinical practicum. For the answer of the open-ended question regarding a countermeasure and practice for medical accident prevention as a nursing teacher actually executes, we analyzed it with a content analysis method qualitatively and inductively in reference to the methodology of Berelson, B.


313 questionnaires (response rate: 42.2%) were returned and 305 questionnaires were valid. The characteristics of nursing teachers were 45.7 years old of average age, 9.6 years of average teaching experience, and 13.3 years of average clinical experience. The content of their answers could be divided to 2,561 recording units. Of these recording units, 63 categories were formed after analyzing the similarity of meaning/content in 2,281 analyzable recording units. These categories implied to actually execute the countermeasures such as a teacher evaluates the student readiness for medical accident prevention during clinical nursing practicum with utilizing various methods, a nursing care is provided with student while a practical risk from readiness of evaluated student and a circumstance of patient is comprehensively determined, and the degree of learning difficulty is increased in a step-by-step manner with the cooperation of hospital nurse and clinical nurse educator.


It was clarified that the present situation where the countermeasure and practice that a teacher takes to prevent medical accident during clinical nursing practicum requires a nursing teachers to have a high quality clinical nursing ability and educational ability for developing a safe practical education.

This work was supported by JSPS KAKENHI Grant Number 22592380.