{"id":2992,"date":"2026-03-11T09:11:06","date_gmt":"2026-03-11T00:11:06","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2992"},"modified":"2026-03-11T09:11:06","modified_gmt":"2026-03-11T00:11:06","slug":"%e3%82%b9%e3%83%86%e3%83%83%e3%83%97%e3%81%ae%e8%b8%8f%e3%81%bf%e9%96%93%e9%81%95%e3%81%84%e3%81%af%e3%83%80%e3%83%b3%e3%82%b9%e3%81%ae%e7%b5%82%e3%82%8f%e3%82%8a%e3%81%a7%e3%81%af%e3%81%aa%e3%81%84","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2992","title":{"rendered":"\u30b9\u30c6\u30c3\u30d7\u306e\u8e0f\u307f\u9593\u9055\u3044\u306f\u30c0\u30f3\u30b9\u306e\u7d42\u308f\u308a\u3067\u306f\u306a\u3044\uff1a\u7701\u5bdf\u7684\u5b9f\u8df5\uff08\u30ea\u30d5\u30ec\u30af\u30c6\u30a3\u30d6\u30fb\u30d7\u30e9\u30af\u30c6\u30a3\u30b9\uff09\u306e\u8ab2\u984c\u3092\u53d7\u3051\u5165\u308c\u308b"},"content":{"rendered":"<p>-\u6587\u732e\u540d-<br \/>\nClement T. A misstep is not the end of the dance: embracing the challenges of reflective practice. Education for Primary Care. 2026. DOI: 10.1080\/14739879.2026.2613406<\/p>\n<p>-\u8981\u7d04-<br \/>\n\uff08\u30a2\u30d6\u30b9\u30c8\u30e9\u30af\u30c8\u548c\u8a33\uff09<br \/>\n\u81e8\u5e8a\u6559\u80b2\u8005\u306b\u3068\u3063\u3066\u8033\u304c\u75db\u304f\u306a\u308b\u3088\u3046\u306a\uff08\u76f4\u9762\u305b\u3056\u308b\u3092\u5f97\u306a\u3044\uff09\u3001\u7701\u5bdf\u7684\u5b9f\u8df5\u306b\u95a2\u3059\u308b\u4e3b\u5f35\u304c\u3044\u304f\u3064\u304b\u5b58\u5728\u3059\u308b\u3002\u4f8b\u3048\u3070\u3001\u7701\u5bdf\u306e\u30e2\u30c7\u30eb\u306f\u3057\u3070\u3057\u3070\u3001\u81ea\u8eab\u306f\u7701\u5bdf\u3092\u884c\u308f\u306a\u3044\u6559\u5e2b\u306b\u3088\u3063\u3066\u6559\u3048\u3089\u308c\u3066\u3044\u308b\u3001\u3068\u3044\u3063\u305f\u3053\u3068\u3067\u3042\u308b\u3002\u3053\u308c\u3089\u306e\u4e3b\u5f35\u3092\u771f\u646f\u306b\u53d7\u3051\u6b62\u3081\u3001\u8457\u8005\u306f\u81ea\u3089\u306e\u7701\u5bdf\u80fd\u529b\u3092\u5411\u4e0a\u3055\u305b\u308b\u305f\u3081\u306b\u3001\u7701\u5bdf\u7684\u5b9f\u8df5\u306e\u4e00\u5f62\u614b\u3067\u3042\u308b\u300c\u610f\u56f3\u7684\u6c17\u3065\u304d\uff08Intentional Noticing\uff09\u300d\u3092\u5b9f\u8df5\u3059\u308b\u3053\u3068\u3092\u6c7a\u610f\u3057\u305f\u3002<br \/>\n\u672c\u7a3f\u3067\u306f\u3001\u81e8\u5e8a\u5b9f\u7fd2\u6307\u5c0e\u8005\u306e\u30b0\u30eb\u30fc\u30d7\u306b\u643a\u308f\u3063\u3066\u3044\u305f\u540c\u50da\u304c\u767a\u3057\u305f\u300c\u3082\u3057\u805e\u304d\u305f\u3044\u306a\u3089\u3001\u4e00\u3064\uff08\u8003\u3048\u304c\uff09\u3042\u308b\u308f\u3088\u300d\u3068\u3044\u3046\u30d5\u30ec\u30fc\u30ba\u306e\u541f\u5473\u304b\u3089\u59cb\u3081\u3001\u5177\u4f53\u7684\u306a\u4e8b\u4f8b\u3092\u7528\u3044\u3066\u300c\u610f\u56f3\u7684\u6c17\u3065\u304d\u300d\u306e\u7279\u5fb4\u3092\u6982\u8aac\u3059\u308b\u3002<br \/>\n\u672c\u7a3f\u304c\u53d6\u308a\u4e0a\u3052\u308b\u306e\u306f\u3001\u305d\u306e\u5f8c\u6a5f\u4f1a\u304c\u8a2a\u308c\u305f\u969b\u306b\u3001\u8457\u8005\u81ea\u8eab\u304c\u305d\u306e\u3088\u3046\u306a\u8a98\u3044\u304b\u3051\u306e\u30b3\u30e1\u30f3\u30c8\u3092\u767a\u305b\u3089\u308c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u5931\u6557\u3001\u3068\u3063\u3055\u306e\u72b6\u6cc1\u4e0b\uff08in the heat of the moment\uff09\u3067\u81ea\u3089\u306e\u6559\u80b2\u7684\u4fa1\u5024\u89b3\u3068\u4e00\u81f4\u3057\u305f\u884c\u52d5\u3092\u3068\u308b\u3053\u3068\u306e\u96e3\u3057\u3055\u3001\u300c\u63a2\u7a76\u5b66\u7fd2\u300d\u3068\u300c\u6559\u3048\u8fbc\u307f\uff08didactic teaching\uff09\u300d\u306e\u9593\u306b\u3042\u308b\u3068\u3055\u308c\u308b\u7dca\u5f35\u95a2\u4fc2\u306e\u63a2\u6c42\u3001\u305d\u3057\u3066\u6700\u7d42\u7684\u306b\u3053\u306e\u7dca\u5f35\u95a2\u4fc2\u3092\u3046\u307e\u304f\u51e6\u7406\u3059\u308b\u65b9\u6cd5\u3092\u898b\u3064\u3051\u51fa\u3059\u904e\u7a0b\u3067\u3042\u308b\u3002<br \/>\n\u3053\u306e\u4e8b\u4f8b\u306f\u3001\u7701\u5bdf\u304c\u56f0\u96e3\u306a\u4f5c\u696d\u3067\u3042\u308b\u3053\u3068\u3001\u305d\u3057\u3066\u6559\u80b2\u304c\u5b8c\u5168\u306b\u6210\u529f\u3059\u308b\u3053\u3068\u306f\u6c7a\u3057\u3066\u306a\u304f\u3001\u7d42\u308f\u308a\u306a\u304d\u8abf\u67fb\u3068\u8a66\u884c\u306e\u30d7\u30ed\u30bb\u30b9\u3067\u3042\u308b\u3053\u3068\u3092\u6d6e\u304d\u5f6b\u308a\u306b\u3057\u3066\u3044\u308b\u3002<br \/>\n\u8457\u8005\u306f\u3001\u300c\u610f\u56f3\u7684\u6c17\u3065\u304d\u300d\u304c\u3001\u9577\u671f\u306b\u308f\u305f\u308a\u81ea\u3089\u306e\u5b9f\u8df5\u3092\u7814\u7a76\u3057\u3001\u7121\u53cd\u7701\u306a\u884c\u52d5\uff08unreflective doing\uff09\u3068\u3044\u3046\u8ab2\u984c\u306b\u7acb\u3061\u5411\u304b\u3044\u3001\u5c06\u6765\u8a66\u3059\u3079\u304d\u65b0\u3057\u3044\u30a2\u30a4\u30c7\u30a2\u3092\u767a\u898b\u3059\u308b\u305f\u3081\u306e\u6709\u7528\u306a\u65b9\u6cd5\u3067\u3042\u308b\u3053\u3068\u3092\u898b\u51fa\u3057\u305f\u3002<br \/>\n\uff08\u5168\u6587\u548c\u8a33\u306f\u5225\u9014\u5171\u6709\u3057\u307e\u3059\uff09<\/p>\n<p>\u307e\u3068\u3081<br \/>\n\u2460 \u300c\u610f\u56f3\u7684\u6c17\u3065\u304d\uff08Intentional Noticing\uff09\u300d\u306b\u3088\u308b\u7701\u5bdf\u306e\u7fd2\u6163\u5316<br \/>\n\u4ed6\u8005\u306e\u512a\u308c\u305f\u58f0\u304b\u3051\u3084\u81ea\u5206\u81ea\u8eab\u306e\u5931\u6557\u306b\u5bfe\u3057\u3066\u610f\u8b58\u7684\u306b\u300c\u6c17\u3065\u304d\uff08\u76ee\u5370\u3092\u3064\u3051\uff09\u300d\u3001\u305d\u308c\u3092\u8a18\u9332\u3057\u3001\u610f\u5473\u3065\u3051\u3092\u3057\u3066\u6b21\u306e\u884c\u52d5\u306b\u7e4b\u3052\u308b\u30d7\u30ed\u30bb\u30b9\u306f\u3001\u6211\u3005\u304c\u9665\u308a\u304c\u3061\u306a\u300c\u7121\u53cd\u7701\u306a\u6307\u5c0e\uff08unreflective doing\uff09\u300d\u3092\u8131\u3057\u3001\u6307\u5c0e\u529b\u3092\u7d99\u7d9a\u7684\u306b\u30a2\u30c3\u30d7\u30c7\u30fc\u30c8\u3059\u308b\u305f\u3081\u306e\u5f37\u529b\u3067\u5b9f\u8df5\u7684\u306a\u30c4\u30fc\u30eb\u3067\u3042\u308b\u3002<br \/>\n1. Marking\uff08\u6a19\u8b58\u3065\u3051\uff09\uff1a\u6c17\u3065\u3044\u305f\u51fa\u6765\u4e8b\u3092\u91cd\u8981\u306a\u3082\u306e\u3068\u3057\u3066\u8a18\u9332\u3059\u308b<br \/>\n2. Recording\uff08\u8a18\u9332\uff09\uff1a\u51fa\u6765\u4e8b\u306e\u7c21\u6f54\u306a\u8a18\u8ff0\u3092\u884c\u3046<br \/>\n3. Sensemaking\uff08\u610f\u5473\u3065\u3051\uff09\uff1a\u4f55\u304c\u8d77\u304d\u305f\u304b\u3092\u8aac\u660e\u3057\u3088\u3046\u3068\u3059\u308b<br \/>\n4. Responding\uff08\u5fdc\u7b54\uff09\uff1a\u6b21\u306b\u8a66\u307f\u308b\u884c\u52d5\u3092\u8003\u3048\u308b<\/p>\n<p>\u2461 \u300c\u63a2\u7a76\u5b66\u7fd2\uff08\u5f15\u304d\u51fa\u3059\uff09\u300d\u3068\u300c\u6559\u3048\u8fbc\u307f\uff08\u4e0e\u3048\u308b\uff09\u300d\u306e\u845b\u85e4\u3078\u306e\u5bfe\u51e6<br \/>\n\u5b66\u7fd2\u8005\u306b\u81ea\u3089\u7b54\u3048\u3092\u51fa\u3057\u3066\u307b\u3057\u3044\u3068\u3044\u3046\u601d\u3044\u3068\u3001\u884c\u304d\u8a70\u307e\u3063\u305f\u5b66\u7fd2\u8005\u3092\u52a9\u3051\u305f\u3044\uff08\u6559\u3048\u305f\u3044\uff09\u3068\u3044\u3046\u601d\u3044\u306e\u30b8\u30ec\u30f3\u30de\u306f\u3001\u591a\u304f\u306e\u6307\u5c0e\u8005\u304c\u76f4\u9762\u3059\u308b\u3082\u306e\u3067\u3042\u308b\u3002\u3053\u306e\u845b\u85e4\u306e\u306a\u304b\u3067\u4e0d\u9069\u5207\u306a\u554f\u3044\u8a70\u3081\uff08Guess what I&#8217;m thinking\uff09\u3092\u3057\u3066\u3057\u307e\u3046\u306e\u3092\u9632\u3050\u306b\u306f\u3001\u300c\u4eca\u306f\u7d14\u7c8b\u306a\u30d5\u30a1\u30b7\u30ea\u30c6\u30fc\u30bf\u30fc\u304b\u3089\u3001\u77e5\u8b58\u3092\u63d0\u4f9b\u3059\u308b\u5f79\u5272\u306b\u79fb\u884c\u3059\u308b\u300d\u3068\u5b66\u7fd2\u8005\u3078\u660e\u793a\u7684\u306b\u4f1d\u3048\u308b\u306a\u3069\u3001\u610f\u56f3\u7684\u306a\u5f79\u5272\u306e\u5207\u308a\u66ff\u3048\u304c\u6709\u52b9\u3067\u3042\u308b\u3002<\/p>\n<p>\u203b\u53c2\u8003\uff1aSchwarz\u306e6\u3064\u306e\u30d5\u30a1\u30b7\u30ea\u30bf\u30c6\u30a3\u30d6\u5f79\u5272<br \/>\n\u30d5\u30a1\u30b7\u30ea\u30c6\u30fc\u30bf\u30fc: \u8b70\u8ad6\u306e\u5185\u5bb9\u306b\u306f\u4e2d\u7acb\u3092\u4fdd\u3061\u3001\u96c6\u56e3\u306e\u30d7\u30ed\u30bb\u30b9\u6539\u5584\u306b\u7279\u5316\u3057\u3066\u610f\u601d\u6c7a\u5b9a\u3092\u652f\u63f4\u3057\u307e\u3059\u3002<br \/>\n\u30d5\u30a1\u30b7\u30ea\u30bf\u30c6\u30a3\u30d6\u30fb\u30b3\u30f3\u30b5\u30eb\u30bf\u30f3\u30c8: \u30d7\u30ed\u30bb\u30b9\u652f\u63f4\u306b\u52a0\u3048\u3001\u81ea\u8eab\u306e\u5c02\u9580\u7684\u306a\u898b\u89e3\u3084\u89e3\u6c7a\u7b56\u3082\u3042\u308f\u305b\u3066\u63d0\u4f9b\u3057\u5c0e\u304d\u307e\u3059\u3002<br \/>\n\u30d5\u30a1\u30b7\u30ea\u30bf\u30c6\u30a3\u30d6\u30fb\u30b3\u30fc\u30c1: \u30e1\u30f3\u30d0\u30fc\u304c\u81ea\u8eab\u306e\u601d\u8003\u3084\u884c\u52d5\u3092\u5ba2\u89b3\u7684\u306b\u632f\u308a\u8fd4\u308a\u3001\u4e3b\u4f53\u7684\u306a\u6c17\u3065\u304d\u3092\u5f97\u3089\u308c\u308b\u3088\u3046\u4fc3\u3057\u307e\u3059\u3002<br \/>\n\u30d5\u30a1\u30b7\u30ea\u30bf\u30c6\u30a3\u30d6\u30fb\u30c8\u30ec\u30fc\u30ca\u30fc: \u53c2\u52a0\u578b\u306e\u5bfe\u8a71\u30d7\u30ed\u30bb\u30b9\u3092\u901a\u3058\u3001\u65b0\u305f\u306a\u77e5\u8b58\u3084\u30b9\u30ad\u30eb\u306e\u52b9\u679c\u7684\u306a\u7fd2\u5f97\u3068\u5b9f\u8df5\u3092\u30b5\u30dd\u30fc\u30c8\u3057\u307e\u3059\u3002<br \/>\n\u30d5\u30a1\u30b7\u30ea\u30bf\u30c6\u30a3\u30d6\u30fb\u30e1\u30c7\u30a3\u30a8\u30fc\u30bf\u30fc: \u5bfe\u7acb\u3059\u308b\u5f53\u4e8b\u8005\u9593\u306b\u5165\u308a\u3001\u76f8\u4e92\u7406\u89e3\u306b\u57fa\u3065\u3044\u3066\u5efa\u8a2d\u7684\u306a\u554f\u984c\u89e3\u6c7a\u3068\u5408\u610f\u5f62\u6210\u3092\u4ef2\u4ecb\u3057\u307e\u3059\u3002<br \/>\n\u30d5\u30a1\u30b7\u30ea\u30bf\u30c6\u30a3\u30d6\u30fb\u30ea\u30fc\u30c0\u30fc: \u81ea\u3089\u306e\u610f\u898b\u3092\u900f\u660e\u6027\u3092\u3082\u3063\u3066\u793a\u3057\u3064\u3064\u3001\u30e1\u30f3\u30d0\u30fc\u304b\u3089\u306e\u53cd\u8a3c\u3082\u4fc3\u3057\u3066\u30c1\u30fc\u30e0\u3092\u7387\u3044\u307e\u3059\u3002<\/p>\n<p>\u2462 \u5931\u6557\uff08\u30df\u30b9\u30b9\u30c6\u30c3\u30d7\uff09\u306f\u300c\u30c0\u30f3\u30b9\u306e\u7d42\u308f\u308a\u300d\u3067\u306f\u306a\u304f\u3001\u6b21\u3078\u306e\u30b9\u30c6\u30c3\u30d7\u3067\u3042\u308b<br \/>\n\u5b8c\u74a7\u306a\u6559\u80b2\u3068\u3044\u3046\u3082\u306e\u306f\u5b58\u5728\u305b\u305a\u3001\u3068\u3063\u3055\u306e\u72b6\u6cc1\u4e0b\u3067\u81ea\u5206\u306e\u6559\u80b2\u7406\u5ff5\u3068\u77db\u76fe\u3057\u305f\u884c\u52d5\uff08\u5931\u6557\uff09\u3092\u3068\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u306f\u8ab0\u306b\u3067\u3082\u3042\u308b\u3002\u3057\u304b\u3057\u3001\u305d\u306e\u5931\u6557\u3092\u96a0\u3055\u305a\u306b\u7701\u5bdf\u3057\u3001\u6b21\u306b\u8a66\u3059\u3079\u304d\u65b0\u3057\u3044\u30a2\u30a4\u30c7\u30a2\u3092\u898b\u3064\u3051\u7d9a\u3051\u308b\u9650\u308a\u3001\u305d\u308c\u306f\u300c\u7d42\u308f\u308a\u306e\u306a\u3044\u63a2\u6c42\u3068\u8a66\u884c\u306e\u30d7\u30ed\u30bb\u30b9\u300d\u306e\u4e00\u90e8\u3067\u3042\u308a\u3001\u6c7a\u3057\u3066\u81f4\u547d\u7684\u306a\u7d42\u308f\u308a\u3067\u306f\u306a\u3044\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112026\u5e743\u670811\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"<p>-\u6587\u732e\u540d- Clement T. A misstep is not the end of the dance: embracing the challenges of reflective practice. Educa &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=2992\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u30b9\u30c6\u30c3\u30d7\u306e\u8e0f\u307f\u9593\u9055\u3044\u306f\u30c0\u30f3\u30b9\u306e\u7d42\u308f\u308a\u3067\u306f\u306a\u3044\uff1a\u7701\u5bdf\u7684\u5b9f\u8df5\uff08\u30ea\u30d5\u30ec\u30af\u30c6\u30a3\u30d6\u30fb\u30d7\u30e9\u30af\u30c6\u30a3\u30b9\uff09\u306e\u8ab2\u984c\u3092\u53d7\u3051\u5165\u308c\u308b<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23,20],"tags":[],"class_list":["post-2992","post","type-post","status-publish","format-standard","hentry","category-23","category-20"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2992","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2992"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2992\/revisions"}],"predecessor-version":[{"id":2993,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2992\/revisions\/2993"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2992"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2992"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2992"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}