@article{oai:mukogawa.repo.nii.ac.jp:00000803, author = {久米, 弥寿子 and KUME, Yasuko and 阿曽, 洋子 and ASO, Yoko and 片山, 恵 and KATAYAMA, Megumi}, journal = {武庫川女子大学看護学ジャーナル}, month = {Mar}, note = {In this study, we investigated candidate nursing diagnoses and queries raised during nursing diagnosis case study review meetings by considering the characteristics of the types of queries raised, their underlying circumstances, and the thought process involved. We also identified differences in queries between earlier and later case review meetings and trends during these two periods, and considered future approaches to educational support. We carried out analysis of summary records of discussions during case study review meetings held at Hospital A. The queries raised at the case study review meetings were classified according to thought processes rather than actual case contents. A total of 12 case studies were discussed, six during the first part and six during the second part of the study period. Fisher’s exact test was used to compare the types of queries raised during each period. The Egawa diagnosis-oriented process (E-DOP) was used as the conceptual model for investigating differences in the types of query and their characteristics, and issues in the thought process were isolated. We found that the types of queries raised concerned clinical assessments of patients’ conditions, interrelated diagnoses that might occur simultaneously, candidate diagnoses at the screening stage, diagnoses indicating similar mental and physical functions or conditions, the distinction between nursing diagnoses and medical problems (complications), how to understand self-care deficit, and diagnoses for which guidance with a view to hospital discharge or family intervention would be appropriate. Our results suggest that these queries were associated with stages 3 (interpretation), 5 (analysis), and 6 (integration) in the E-DOP. Our results suggest that conceptual learning connected to case studies and a review of the content of case studies may be necessary, together with support for integrated approaches that account for the characteristics of each medical institution.}, pages = {83--93}, title = {看護診断事例検討会における診断候補と疑問点の特徴に基づく教育的サポートのあり方の検討}, volume = {1}, year = {2016}, yomi = {クメ, ヤスコ and アソ, ヨウコ and カタヤマ, メグミ} }