リハビリテーションの必要な患者を受け持った学生の学び

運動機能障害や意識レベルの障害があり，リハビリテーション看護の必要な患者を受け持った学生の実習終了後のレポートより，学生の学びを抽出し，内容分析を行った．その結果，２０３コードが抽出でき，３９サブカテゴリー，１０カテゴリーに分類できた．その内容は『リハビリテーション看護の方法の理解と必要性の自覚』，『患者の状況・把握の重要性と判断の難しさ』，『リハビリテーションの必要な患者の思い』，『看護師としての役割の自覚』，『看護のやりがいの実感』，『医療者の連携の重要性』，『家族への援助の必要性』，『コミュニケーションの重要性と難しさ』，『安全確保の重要性と難しさ』，『説明・指導・教育の重要性と難しさ』であった．この中で『リハビリテーションの必要な患者の思い』，『看護のやりがいの実感』，『安全確保の重要性と難しさ』，の３つが，リハビリテーション看護の必要な，運動機能障害や意識レベルの障害がある患者についての特徴的な学びであることがわかった．

The learning of the students who experienced rehabilitation nursing of patients having disturbance of motility and/or impairment of consciousness was analyzed from their reports after the clinical practice. As the result, ２０３ codes were extracted and classified into ３９ sub categories and １１ categories. The categories were “understanding of the method of the rehabilitation nursing and consciousness of its necessity”, “importance of the grasp and difficulty of the judgment of the patient situation”, “thought of the patients who need rehabilitation”, “consciousness of the role as a nurse”, “necessity of the assist to the family”, “actual feeling of worth doing of the nursing”, “importance of the cooperation of the medical person”, “importance and difficulty of the communication”, “importance and difficulty of safety ensuring”, “importance and difficulty of explanation, guidance and education”, and “others”. It was found that the knowledge obtained through the rehabilitation nursing was mainly characterized with “importance of safety ensuring”, “thought of the patients”, and “actual feeling of worth doing of the nursing”.