ID 113085
Title Alternative
Study on the difference in observation points between students before and after experiencing related nursing practice : on the observations of vital signs and oxygen inhalation by use of an acute stage dummy
Author
Ichihara, Takako The University of Tokushima KAKEN Search Researchers
Keywords
術後急性期
観察
急性期モデル人形
看護学生
バイタルサイン
postoperative acute stage
observation
acute stage dummy
nursing students
vital signs
Content Type
Journal Article
Description
本研究は術後急性期の状況を設定したモデル人形を用い,実習開始前と実習終了後の学生が行なった術後患者に対する観察のちがいを分析し,今後の実習指導に生かすことを目的に行った.
対象は成人看護実習(急性期患者の看護)の実習開始前の学生72名と実習終了後の学生45名であった.
方法は実習室でモデル人形を用いて,10分間学生に自由に観察させた.この時の観察用紙に記入された記入項目を分析対象とした.分析方法は「ドレーン・チューブについて」「輸液について」「バイタルサインについて」を自由に記載してもらい,筆者らが『観察できた』『誤認』『記入なし』の3つに分類した.
その結果,「モニター上に表示:心拍数」は実習終了後の学生の方が観察できていなかった.「酸素流量」は,『誤認』がどちらの学生も他の項目より多く,酸素流量計の見方を正確に把握していないことがわかった.「モニター上に表示:深部体温」,「酸素濃度」に関してはどちらの学生も『記入なし』であった.今後は学生の術後患者に対する観察能力が,より向上するように指導を行なっていく必要性が示唆された.そのためには急性期モデル人形を活用することで観察の機会を多くして練習を重ねるとともに,演習時および実習時において観察が的確になされているかを教員が確認する必要が示唆された.
Description Alternative
The difference in observation points for postoperative patients between two groups of nursing students was analyzed in terms of the students’ experience of related training for the purpose of improving the training tutorial.
The object was 72 students before starting adult nursing training (nursing of the acute stage patient) and 45 students after the training termination. The students were allowed to observe an acute stage dummy for 10 minutes and to write down the observation results of the ‘drains and tubes’, ‘fluid therapy’, and ‘vital signs’. The descriptions about these three items were analyzed by classifying them into ‘correct’, ‘mistaken’, and ‘no description’. The main results are as follows.
The percentage of nursing students who correctly reported the ‘heart rate on the monitor’ was lower in the group after training termination comparing to the other group. As for the ‘oxygen flow rate’, many mistakes were found in the both groups, indicating the technical problem on the monitoring of the oxygen flow meter. In the both groups, no student described ‘core temperature on the monitor’ and ‘oxygen concentration’.
These results suggest the necessity of developing tutorial method to improve the students’ observation ability for postoperative patients. The use of an acute stage dummy would be helpful for the practice of observations. It is also necessary for the teachers to check the observation behaviors of students during the exercises and practices in order to make the observations correct.
Journal Title
The Journal of Nursing Investigation
ISSN
13483722
24342238
NCID
AA11937122
Publisher
徳島大学医学部
Volume
2
Issue
1
Start Page
1
End Page
6
Sort Key
1
Published Date
2004-03-05
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences