Development of a Framework for Promoting the Use of Multiple Assignment Exercises in Basic Nursing Education

New nurses are required to be able to take care of multiple patients at the same time in the clinical setting, observe their conditions and respond to their complaints, while judging their priorities and appropriately resolving multiple issues. However, in basic nursing education, practice in which multiple patients are taken care of is limited to integrated practice in the final year of study, and systematic training is not sufficient. In response to this issue, the "multiple-task exercise," which includes preparation before practice and review after practice, has been developed to enhance the learning effects of integrated practice, and its educational effects have been demonstrated. Despite this, the practice is still limited to a few educational institutions and is not widely used. In this study, we developed an educational framework to support the development of the exercise, inspired by the Software Process Improvement Framework (SPI Framework) used in software process improvement activities, with the aim of promoting and establishing the use of multiple-task exercises. The overall picture and components of the framework are clarified, and the effects of introducing the framework are discussed.