The Real and the Factors of “Hiyari-hatto” Experiences of Nursing Students during Clinical Training Analyzed through Their Course of Occurrence

Abstract

The current research places an investigative focus on the “Hiyari-hatto” experiences of 54 nursing students which occurred during their clinical training, and involves an interview survey that specifically targets 11 of such students with Hiyari-hatto experiences. The actual situation regarding these Hiyarihatto experiences was analyzed and examined in line with the stages of their occurrence. Consequently, the following points were elucidated.

Approximately 40% of the nursing students had been through a Hiyari-hatto experience. Among the individual training areas, Hiyari-hatto incidents occurred most often during “acute phase' -related training and also during “treatment care” assistance training. As for the stages of occurrence, there were seven cases(out of the total of 11)involving insufficient preparation for administration of care, and among these seven, five cases revealed student anxiety regarding administering care. Seven categories were seen for the causes of Hiyari-hatto experiences, namely “lack of precaution,” “lack of knowledge/skills,” “relationship with the hospital staff,” “difficulty in estimating risks,” “insufficient understanding of the patient,” “inadequate communication,” and “inadequacy regarding clinical environment/facilities.” Among these, the highest number of cases was seen in the categories “lack of precaution” and “lack of knowledge/skills.”

As described above, the causes that trigger Hiyari-hatto incidents are in many cases “lack of precaution” and “lack of knowledge/skills,” which suggests that such incidents occur in relation to insufficient preparation for the administration of care and anxiety towards administering care.