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ID 113201
Title Alternative
学生のセルフケア・エージェンシーのアセスメント
Students’ assessments of their patients’ self-care agency during gerontological nursing practicum
Author
Mori, Keiko Hamamatsu University School of Medicine KAKEN Search Researchers
Keywords
高齢者看護学実習
アセスメント
セルフケア・エージェンシー
gerontological nursing practicum
assessment
self-care agency
Content Type
Journal Article
Description
本研究では,高齢者看護学実習における学生のセルフケア・エージェンシーのアセスメントの実態を明らかにすることを目的に,A看護系大学3年生の実習記録用紙を分析した.その結果,80%の学生は妥当なアセスメントであった.特に,[孤独と社会的相互作用],[基本的条件付け要件],[問題の明確化]のアセスメントの評価が高く,逆に[正常性],[特定のセルフケア要件]は低かった.また,[セルフケア・エージェンシー]の分析の結果,評価的操作から【今の自分の状態の認識】【先の状態に対する理解】【特定のセルフケア要件実施において必要な知識】【特定のセルフケア要件に対する必要性の認識】【理解力や認識力】が抽出された.移行的操作から【今の自分の状況に対する判断予測】【特定のセルフケア要件実施への関心・意欲】【自己判断力に影響する要因】が抽出された.
本研究を通して,学生の[セルフケア・エージェンシー]のアセスメントの実態として,患者の内面的な状況に関するアセスメント不足が示された.これより,学生の課題として,関係性の形成や意図的な情報収集・アセスメントが考えられた.今回の課題としてあげられた意図的行為は,セルフケアや看護ケアを深める可能性がある.そのためにも,自分の得た情報やアセスメントがどのような意味を持つのか十分な推論を通して対象者理解につなげていけるような指導を検討する必要がある.
Description Alternative
The purpose of this study is to determine the students’ assessments of their self-care agency in a gerontological nursing practicum. There were 65 third-year students enrolled at a nursing college in Shikoku Island, Japan. Analysis was done using the students’ entries in their nursing practicum recording forms as data. The results of the analysis revealed that80% of the students appropriately evaluated their patients’ self-care assessments. In particular, students’ assessments were found to be high for “the maintenance of a balance between solitude and social interaction”, “basic conditioning, and “the clarification of the problem”. However, assessments were low for “normalcy” and “individualized self-care requisites”. As a result of the analysis, the following five thematic categories were revealed : a). Recognition of one’s personal situation ; b)Understanding one’s former state of mind(?), c)Knowledge of particular self-care requisites, d)Recognition of the necessity of self-care requisites, and e)Understanding and cognition of self-care. Content analysis also revealed the following three thematic sub-categories : a)Judgment of one’s situation, b)Interest in particularized self-care requisites, and c)factor-influencing judgment. The students’ assessments of their patients’ self-care agency did not include an internal assessment of patient situations, suggesting the necessity to provide educational guidance to improve students’ ability to engage in full assessments of their patients’ self-care agency.
Journal Title
The Journal of Nursing Investigation
ISSN
13483722
24342238
NCID
AA11937122
Publisher
徳島大学医学部
Volume
13
Issue
1-2
Start Page
12
End Page
19
Sort Key
12
Published Date
2015-03-31
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences