2026 Volume 71 Issue 1 Pages e1-
Purpose: The purpose of this study is to clarify the relationship between school nurses’ confidence in general first aid skills and their years of experience, frequency of experience, and learning experiences, and furthermore, to clarify the initiatives and learning opportunities that lead to improving school nurses’ confidence in first aid skills.
Method: The subjects were 280 school nurses working at elementary and junior high schools in one prefecture. Survey items included the school nurse’s years of experience, whether or not they held a nursing license or had nursing experience, their level of confidence in emergency treatment and frequency of experience, and whether or not they had attended training or seminars, and the survey was conducted using an anonymous self-administered questionnaire. Analysis was performed using SPSS to perform descriptive statistics and tests of significance on attributes, experience, whether or not they had attended training, and confidence. Content analysis was used to categorize the free-form responses by grouping together the frequency of occurrence of words, phrases, and sentences and similar codes based on similarity of meaning.
Results: 151 people responded, 102 of whom consented, resulting in 102 valid responses. The “orthostatic dysregulation” and “head injury” items showed a significant relationship between years of experience and confidence. For 8 of 16 items, there was a significant relationship between frequency of experience and confidence. For 4 of 16 items, there was a significant relationship between having attended training or courses and confidence. Regarding difficulties encountered in emergency care, the subcategory with the most codes was “judging the severity of the injury.” Regarding the necessary training or courses, the subcategory with the most codes was “regular training.”
Discussion: Confidence in emergency treatment can be improved with experience.
In order to perform emergency treatment with confidence, it was thought that in addition to actually experiencing a variety of emergency treatments, it was necessary to gain simulated experience through regular training and seminars.
