新人レベル看護師の臨床におけるリフレクションの様相：卒後3年目看護師へのインタビューから

This study investigated the aspects of reflection on clinical practice of advanced beginners and examined factors that facilitate reflection. We conducted semi-structured individual interviews with selected post-graduate third year nurses who took a reflection training course at Tottori University Hospital. The data were analyzed using a qualitative synthesis method. Advanced beginners made use of their learning experience in reflection, kept in mind “independent learning”, and deepened their own reflection with the support of senior nurses in“ a safe place to talk”．Reflection provided“ deeper self-understanding” and“ giving new meaning through others’ involvement” and advanced beginners gained“ a sense of growth” by applying what they learned to “returning to practice”．In addition, through the role of preceptor, advanced beginners were able to experience “going back to basics” and remember the learning from past experiences, which led to “return to practice”．Also, advanced beginners tried to provide “a safe place to talk” for beginners. In order to promote reflection among advanced beginners, it was suggested that it is necessary to create an image of a target nurse, the presence of others who support reflection, the workplace culture in providing a safe place to talk, and learning reflection from basic nursing education.