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ID 113194
Title Alternative
訪問看護師の実習指導の現状と指導についての意識
Visiting Nurses’ Awareness of the Current State of Clinical Practicum and Guidance
Author
Fujii, Chieko University of KinDAI Himeji
Keywords
訪問看護師
看護学生
実習指導
visiting nurses
nursing students
clinical practicum guidance
Content Type
Journal Article
Description
本研究は,訪問看護師への質問紙調査から,看護学生に対する訪問看護師の実習指導の現状と実習指導についての意識を知ることを目的に実施した.対象は,A県で在宅看護実習を受け入れている訪問看護ステーションの訪問看護師198名であった.質問は,実習指導の現状(20項目)と実習指導の意識(10項目)に,「当てはまる(5点)」から「全く当てはまらない(1点)」の5段階で回答を求めた.その結果,実習指導の現状では「学生の利用者や家族への理解が深まるように情報を提供している」「学生が連携について理解が深まるように助言している」「学生に指導するときは言葉や伝え方に配慮している」の3項目が4.40と高かった.実習指導についての意識では,「指導することを通して自分の成長につながる」「指導することで学びなおす機会となる」の2項目が4.17と高かった.また,実習指導の際に心がけていることや信念への自由記載から,【対象全体を捉えやすくする】【思いや基本を伝える】【対象の尊重と支援の方法を伝える】【共に学ぶ存在として学生をとらえる】の4カテゴリが抽出された.以上のことから,訪問看護師は学生に対して,マニュアルに頼らず,利用者や連携についての情報提供や助言をしており,個々に合わせた指導をしている現状がわかった.また,訪問看護師は学生が緊張しないように,言葉や伝え方に配慮をして学生に関わっていることが明らかになった.訪問看護師経験の長い者の方が,実習指導を,自分自身の学び直す機会や自分の成長につながる経験であると捉えており,実習指導についての意義を見いだしていると思われた.また,雇用形態によって,実習要項の確認や記録への助言,反省会への参加などに差があり,訪問看護師間における情報伝達や指導方法についての工夫が必要である.
Description Alternative
This research aimed to study clinical practicum provided by visiting nurses to nursing students and awareness of the practicum. The participants were 198 visiting nurses at visiting nurses’ stations in Prefecture A. They responded to questions on the actual state of clinical practicum (20items) and on their awareness of practicum (10items) by choosing one of the items of a 5-point Likert scale, where 5 was “Applicable” and1 “Not Applicable at All”. Regarding the actual state of practicum, three items received a high score of 4.40: “Providing information to enhance the students’ understanding of service-users and users’ families” ; “Helping the students improve their understanding of cooperation” : and “Being considerate of the ways of communication when giving guidance”. Regarding their awareness of practicum, two items received a high score of4.17 : “Giving guidance leads to my own growth” and “Giving guidance is an opportunity to relearn”. Further, four categories were extracted from their free descriptions : Easier to grasp the entirety of care targets ; Communicating thoughts and basics ; Teaching the way to respect and support care targets ; and Seeing the students as co-learners. The findings indicate that the visiting nurses tailored their guidance according to the students’ individuality, and did not rely on manuals in providing the students with advice and information about clients and cooperation. Furthermore, they were considerate of their words and ways of communication to avoid putting the students under pressure. In addition to grasping the the real significance of a practicum, those experienced visiting nurses tended to consider practicum as an opportunity to relearn, and improve themselves. There were differences between visiting nurses with regard to their employment statuses, their advice on checking and reporting of practicum requirements, and to their participation in evaluation meetings. Finally, the results of the present study underscore the need to improve the capacity of visiting nurses to communicate information and give guidance.
Journal Title
The Journal of Nursing Investigation
ISSN
13483722
24342238
NCID
AA11937122
Publisher
徳島大学医学部
Volume
12
Issue
1
Start Page
36
End Page
43
Sort Key
36
Published Date
2013-09-30
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences