2022 Volume 23 Issue 1 Pages 33-51
With increasing importance being denoted to regional development and community building in recent years, there is a need for creativity in nursing practice by community outreach, creating diverse connections, and collaborating with residents to create healthy communities. However, there is insufficient knowledge on educational methods to foster creativity. Therefore, the purpose of this study was to evaluate the learning effects of the edudcation program, which was developed based on a conceptual hypothesis “the ambiguous self in an unambiguous world,” that was created from the island case studies that have pioneered the creative community nursing practice. The final reports of 125 nursing students－who took a course called Remote Island Health Practice Theory from 2015 to 2019－were qualitatively analyzed to extract the structure of their experiences. As a result, The following concepts emerged from qualitative analysis of the final reports: “fluctuation due to ambiguity,” “play and readiness born from fluctuation,” “baptism and crisis ambiguously wandering in an unknown territory,” “emergence of creatively encountering with the region,” “development of encounters with shima（local community）,” “creation based on the sense of shima,”“acquisition of a flexible view of the region, nursing, and physicality,” “development of higher-order learning; and stagnation in learning.” Through this course, students were able to enhance their knowledge and gain a flexible sense of the field that fosters collaboration with residents Through this course, students were able to enhance their knowledge and gain a flexible sense of the field that fosters collaboration with residents by experiencing encounters in their immediate community. In the future, while searching for a framework to facilitate higher-order learning, it is necessary to encourage some students who have not been able to learn effectively to participate in the class independently. The effectiveness of fieldwork education based on a conceptual hypothesis about nursing practice on islands was thus clarified. The lesson design that introduced the concept of shima was found to be particularly effective in fostering creative learning among beginners.
