ID 113150
Title Alternative
Learning effect and problem by a base of Orem nursing theory in undergraduate students in gerontological nursing course
Author
Yoshinaga, Sumiko Tokushima Bunri University
Keywords
高齢者看護学
オレム看護理論
セルフケア
看護過程
Orem’s nursing theory
nursing students
nursing process
Content Type
Journal Article
Description
本研究は,オレム看護理論を導入したことによる学生に対する学習効果と教育上の課題を明らかにすることを目的に紙上事例を用いた看護過程演習に対する学生の自己評価を分析した.分析対象はA 看護系大学生2年生の2003~2006年の3年間に在籍した204名のうち同意が得られた183(89.7%)名の看護過程演習に対する自己評価とした.看護過程演習に対する自己評価は11項目の演習目標の達成度を自己評価するものと「オレム看護理論を基盤にした看護過程演習において難しかったこと」について自由記述で構成されている.そのデータを単純集計及び内容分析を行った.その結果,〈よくできた〉及び〈普通〉と回答した学生が多く,〈非常によくできた〉と〈よくできた〉を合わせて60%を超えた項目は“グループ討論に積極的に参加した”や“自己学習して臨んだ”“事例の健康障害と治療の特徴を理解できた”であった.一方,〈非常によくできた〉と〈よくできた〉を合わせて40%以下であった項目は,“セルフケア行為(エージェンシー)の確定”と“高齢者の発達上の特徴を健康問題の解決過程に考慮する”であった.自由記述による「難しかったこと」は,【セルフケア理論より患者をとらえること】【看護診断の過程】【演習記録用紙の書き方】【他の講義で使用する理論との違い】【“看護上の問題/看護診断”の表現】【具体的な看護援助方法】【情報収集の限界がある紙上事例】【事例の病態生理や特徴を把握すること】【具体的な看護援助方法】【看護計画の立案】【グループワークでの意見調整】【学習テーマ】の11のカテゴリーが抽出された.学生にとって高度な思考を必要とする看護過程は難易度の高い学習である上に,オレム看護理論の理解が求められることから,さらに難しい学習となっていることがわかった.基礎教育の学生にとって看護過程に必要な統合的な思考力を促進するためにはオレム看護論の理解はもとより,事例の提示方法やアセスメント用紙の形式などの工夫,改善を通して学生の到達度や理解度を高めていく必要が示唆された.
Description Alternative
Purpose : Aging is characterized by a combination of mental maturation and physical decline. For students in a gerontological nursing course, we trialed the instruction of an “Orem’s Self-Care Theory”. The purposes of this research were to clarify students learning effects and, educationd problems resulting from the introduction of Orem’s Theory to the nursing process.
Methods : Over three consecutive years we analyzed 184 students (89.7% response rate)who consented to our research. Data were collected after group sessions held to discuss patients with chronic disease ; students were asked to evaluate their performance on a questionnaire according to a five-grade scale ranging from “very good” to “extremely poor”. Data were analyzed from 184 respondents by means of descriptive statistics and simple content analyzes.
Findings : The proportion of the students who evaluated their performance in various items as “very good” or “good” were as follows: “to have understood the patients’ conditions and the characteristics of the treatment” (60% or more),“to have determined behavioral potentials of self-care” (40% or less)and “to have considered the developmental characteristics of the elderly in the process of resolving their health problems(40% or less). Also, findings showed that eleven main categories emanated from the data; 【the Arrest a patient than Self-Care Theory】,【the nursing diagnosis process】,【the form of the paper】, 【the difference with the theory to use by other lectures】,【the expression as the“Nursing problem/ nursing diagnosis”】,【the paper patient that there is a limit for intelligence】 【the grasp condition of a patient physiology and the characteristic of the paper patient】 【the concrete nursing support】 【the drafting of nursing care plan】 【the opinion adjustment by the group】 and 【the theme of the learning】.
Discussion : We found that students could understand the characteristics of elderly patients but experienced difficulties in the overall process from assessing a patient’s conditions to forming a care-plan. For further promotion of nursing students’ thinking abilities, it was suggested that a) nursing students need to understand Orem’s Nursing Theory, and b)tutors need to improve the assessment forms and their presentation of clinical case.
Journal Title
The Journal of Nursing Investigation
ISSN
13483722
24342238
NCID
AA11937122
Publisher
徳島大学医学部
Volume
7
Issue
1-2
Start Page
52
End Page
57
Sort Key
52
Published Date
2009-03-31
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences