@article{oai:gchs.repo.nii.ac.jp:00000012,
 author = {服部, 美香 and 舟島, なをみ and Hattori, Mika and Funashima, Naomi},
 issue = {1},
 journal = {看護教育学研究},
 month = {Mar},
 note = {Article, 本研究の目的は、問題解決できた場面における看護師-クライエント間相互行為を構成する要素と相互行為パターンを解明し、考察を通して問題解決できる看護職者育成に向け提言することである。第1に、看護概念創出法を適用し、問題解決できた場面のクライエント行動を表す11概念を創出した。第2に、問題解決できた相互行為場面を、第1段階の成果と先行研究の成果である問題解決できた場面の看護師行動を表す9概念を用いて分析し、次の3つの特性を持つ24要素を明らかにした。<特性1. 問題解決に直結する相互行為の要素> 12、<特性2. 問題解決を阻害する相互行為の要素> 6、<特性3. 問題解決に至る過程へ推進する相互行為の要素> 6である。また、各相互行為場面を構成する要素に着目し、次に示す相互行為4パターンを明らかにした。【直進型問題解決】、【阻害要因未然防止型問題解決】、【阻害要因克服型問題解決】、【優先順位錯綜型問題解決】である。考察の結果、相互行為パターンを形成する要素のうち<特性1>が、一般的モデルとして提唱されている問題解決過程に該当するが、この要素のみでは問題解決に難航を来している現状にあり、看護における問題解決が複雑であることを示唆した。さらに、<特性3>が、問題解決に難航を来たしている状況の克服、回避を導く重要な要素であることを示唆した。看護基礎・継続教育は、これら要素と相互行為パターンを教育内容に加味し連動する必要がある。, The aim of this study was to identify the elements and patterns of nurse-client interactions that have led to solving the problems. Firstly, by applying the Methodology for Conceptualization of Nursing, 11 concepts were created that represent clients' behaviors that led to the solving of problems. Secondly, by using 9 concepts that represent nurses' behaviors when problems were solved, based on the results of the first step and the previous studies, interaction scenes that led to problem solving were analyzed and 24 elements in the following 3 characteristics were identified. Characteristic 1, which contains 12 elements, is interaction that directly leads to problem-solving. Characteristic 2, which contains 6 elements, is interaction that disturbs problem-solving. Characteristic 3, which contains 6 elements, is interaction that promotes the process for solving problems. Also the elements that comprise each interaction scene were examined and 4 interaction patterns were identified. These were 'straightforward type of problem solving', 'preventing the occurrence of disturbing factors type of problem-solving', 'overcoming the disturbing factors type of problem-solving' and 'priority intricate type of problem-solving'. Among the elements that form interaction patterns, only Characteristic 1 has been suggested as the general model for problem-solving process. However, the reality is that it is difficult to solve all problems using only this and the study demonstrated that problem-solving in nursing care is much more complicated. In addition, the study showed that Characteristic 3 is an important element in overcoming and avoiding the situations that are hindering the problem-solving., •rights: 日本看護教育学学会 
•rights: 本文データは学協会の許諾に基づきCiNiiから複製したものである 
•relation: isVersionOf:http://ci.nii.ac.jp/naid/110009457768, 原著},
 pages = {9--24},
 title = {問題解決場面における看護師-クライエント間相互行為パターンの解明},
 volume = {21},
 year = {2012}
}