看護基礎力の強化を意図した実習前シミュレーション演習の実際と評価

多世代・多職種との交流経験不足を背景に，看護実習における学生のコミュニケーションスキルなどの看護基礎力の低下が課題となっている。本看護学部では，病棟実習実施にあたり，学生一人ひとりの対患者への看護基礎力の強化を意図したシミュレーション演習を行った。演習の対象学生は，初めて患者を受け持つ実習である「看護展開論実習」実施前の看護学部2年生等125名であり，演習内容には厚生労働省による，「看護師教育の技術項目と卒業時の到達度（2019年）」の項目を採用し，かつ昨年度の履修学生によるアンケート結果を反映させた。病棟実習後に行ったアンケート調査では，本シミュレーション演習によって「実践的な準備を行うことが出来た」と回答者全員が回答し，その理由として「実習で実際に役立った」などが挙げられていた。今後も実習への準備性を高める演習となるように内容の改善を図っていく。

Against a background of lack of experience in interacting with multiple generations and professions, a decline in basic nursing skills, such as the communication skills of students in nursing practice, has become an issue. The College of Nursing faculty conducted a simulation exercise to strengthen students’ basic nursing skills for patient care prior to ward training for students. The simulation exercise was designed to improve the nursing skills of 125 sophomore nursing students in charge of patients for the first time in a fundamental nursing practicum. The content of the simulation exercise was based on the Ministry of Health, Labour and Welfare’s “Technical Matters Related to Nurse Education and Attainment at Graduation (2019)” and it incorporated the results of a student survey conducted in the previous year. The post-ward training questionnaire, which is a subjective evaluation, revealed that all respondents felt that the simulation training prepared them well for the practical training. The primary reason for this was its usefulness in practical training. We will continue to improve the content of this training to make it more practical.