St. Mary’s College School of Nursing – Kurume, Japan

Contributor: Jacqueline Fawcett

Education/Theory Exemplar (Roy’s Adaptation Model)

 21st Annual Roy Adaptation-International Virtual Workshops
“Roy Adaptation Model: Contributions to Authentic Nursing Knowledge” 

Date – May 7, 2021 (90 minutes)

Workshop 3: Undergraduate Nursing Education at St. Mary’s College, Japan – How the RAM Supports Nurses’ Understanding of People Who Suffer from Illness 

Presented by – Tsuyako Hidaka, Satsuki Obama, Eric Fortin, & Dr. Nobu Ide 


The Roy Adaption Model, based on a Catholic view of human beings, has been incorporated into St. Mary’s College’s education since the establishment of its predecessor institution, St. Mary’s High School, as it fits the spirit of our school’s foundation. It has been over 30 years since the opening of the Faculty of Nursing following our school’s conversion to first a junior college, and then a 4-year college, and education based on the Roy Adaptation Model has continued. At St. Mary’s College, the philosophical assumptions of the RAM are supported by course subjects such as “Introduction to Christianity” and “Catholic Spirit of Love.” The scientific assumptions are supported by subjects such as “Psychology,” and the cultural assumptions are supported by subjects such as “Respect for other cultures and people.” Students deepen their understanding of humanity, the relationship between humans and the environment, human adaptation to the environment, and nursing to promote adaptation through lectures, exercises, practical training, and volunteer activities. In particular, through RAM-based practice, the process of trying to understand the suffering of people in various situations leads to the healing of patients, and it is possible to find meaning in the situations of patients. The faculty and students have learned from the RAM how to adapt to the environment, and the coping ability of people has a great effect on the practice of nursing. In this workshop, we would like to introduce our undergraduate students’ process of learning the RAM through lectures, exercises, and practical training. In particular, from our practicum course, we will introduce four cases of how the RAM helps nursing students understand situations of patients’ suffering. We would like to end the workshop by asking all the participants to discuss how their universities teach and apply the RAM in practice and what changes the RAM has made to their students and patients. 

About the Presenters 

Tsuyako Hidaka, M.Ed., R.N. is the Dean of Nursing at St. Mary’s College, director of the Roy Academia Nursology Research Center (RANRC), and the director of the Roy Adaptation Association-Japan. Her research interests are stroke rehabilitation and development of the electronic Healthcare Records based on the RAM. Hidaka teaches nurses about the RAM to apply it to clinical settings. Recently, her research interest is exploring how to raise nursologists who can support people’s finding of meaning in their illness and suffering. Throughout the activities of RANRC and RAA-J, she hopes to contribute to the development of RAM.

Sutsaki Obama, M.S.N., R.N. is an associate professor at St. Mary’s College and a student in the doctoral nursing of Okayama University. She is a member of the Roy Academia Nursology Research Center. Her study interests are stroke rehabilitation nursing and tacit knowledge of an expert nurses’ practice. Obama is exploring the characteristics of tacit knowledge of expert nurses who provide exceptional care for patients based on the deep understanding of the RAM. In the future, she hopes to explore RAM-based expert nursing practice and knowledge 

Eric Fortin is a professor at St. Mary’s College in Kurume City, Fukuoka Prefecture, Japan, and has an M.A. in International Affairs of East and Southeast Asia. Fortin teaches Nursing English, Intercultural Communication, Critical Writing, and French at the undergraduate and graduate levels. He has been a member of the RAA-J chapter since 2018. His research interests are adapting complex systems theory and the Roy Adaptation Model to non-nursing fields of study, particularly in language teaching, and holds an interest in promoting learner autonomy. 

Dr. Nobu Ide, PhD., M.D., is the chancellor and honorary president of St. Mary’s College. She is currently a specially-appointed professor at St. Mary’s College’s School of Nursing and Graduate School of Nursing. She is also working as an advisor of the Roy Academia Nursology Research Center. Dr. Ide has a long career in obstetrics and gynecology, and she is a first director of the Obstetrics and Gynecology Department at St. Mary’s Hospital. Her hopes are to explore nursing education and practice to promote the recovery of all patients while maintaining their dignity. 

Download Workshop Slides (English)

Download Workshop Slides (Spanish)