看護職の経験学習を促進するリフレクションマッププログラム（Reflection-Map Program：RMP）の開発と効果の検証

Developing and Examining the Effects of a Reflection-Map Program (RMP) That Promotes Experiential Learning in Nurses

要旨

　目的：看護職の経験学習を促進するリフレクションマッププログラム（RMP）を開発し，その効果を検証する．

　方法：RMPはALACTモデルを基盤とし，ブレインストーミングから抽出したテーマや問いを配置した5段階プログラムとして開発した．RMPに参加した看護職を対象に単群前後比較の準実験研究を行った．RMP開始前と直後に看護師レジリエンス尺度や心理的ストレス反応尺度等を含めた質問紙調査を行った．研究倫理審査の承認を得て行った．

　結果：260名のデータを分析した．前後比較では看護師レジリエンス尺度得点が有意に増加した．看護に対するモチベーション3項目，自己肯定感2項目，看護実践に対する困難感2項目の得点に有意差があった．心理的ストレス反応尺度得点が有意に減少した．プログラム評価は満足度や役立ち度等が7点以上だった．

　結論：RMPはレジリエンスの向上や心理的ストレス緩和の効果があることが示された．

　Purpose: This study aimed to develop and examine the effects of a reflection-map program (RMP) that promotes experiential learning in nurses.

　Methods: Based on the ALACT model, an RMP was developed as a 5-step program employing themes and questions derived from brainstorming. A single-group, before-after quasi-experimental study was carried out on nurses who participated in the RMP. Prior to the RMP and immediately after, a questionnaire including the Resilience Scale for Nurses and Psychological Stress Response Scale (SRS-18) was administered. This study received approval from the research ethics review committee.

　Result: Analysis was conducted on data from 260 respondents. A before-after comparison showed a significant increase in scores for the Resilience Scale for Nurses, a significant difference in scores for 3 items related to motivation in nursing, 2 items related to self-esteem, and 2 items related to feeling difficulty in nursing practice, as well as a significant decrease in SRS-18 scores. The program evaluation received 7 or more points in areas such as level of satisfaction and utility.

　Conclusion: The RMP was shown to be effective in boosting resilience and mitigating psychological stress.