Journal Article 助産師学生が習得困難と感じる会陰保護技術とその要因分析
An analysis of the perineal protection techniques midwifery students perceive as difficult to learn and the causal factors of such difficulty

若槻,浩子  ,  津森,登志子

Description
助産師学生の卒業時の到達度が50%とされる会陰保護技術に関して,助産師学生が習得困難であると感じる具体的な手技の詳細を明らかにし,困難さの要因を探ることを目的とした。助産師学生19名を対象に,会陰保護技術を構成する具体的な手技について困難さを感じるかどうか,またなぜ困難と感じるかを半構成的面接によって調査を行い,Krippendorffの内容分析を用いて分析した。その結果,ほとんどの助産師学生が会陰保護技術のうち児頭娩出と前在肩甲娩出の手技が困難と答え,その要因は4つのカテゴリー,【会陰保護技術の構成要素を体得する難しさ】,【同時に複数の事を行う難しさ】,【演習と臨地実習との乖離】,【振り返りながら実践を進める難しさ】に分類された。本研究では,会陰保護技術の習得を妨げる要因を学生の視点から明らかにし,演習の改善や指導用ガイドライン策定に具体的な示唆を得た。
"Focusing on perineal protection techniques, which are said to be only about 50% attained by midwifery students at graduation, we aimed to elucidate the specific manual techniques considered difficult to learn and the causal factors of such difficulty. We surveyed 19 midwifery students via semi-structured interviews regarding whether they perceived it difficult to learn specific manual perineal protection techniques and why they felt these techniques were difficult. Data were analyzed using a Krippendorf content analysis. The majority of midwifery students responded that the manual perineal protection techniques for fetal head delivery and anterior shoulder delivery were particularly difficult. The causal factors of this difficulty were divided into four categories: the difficulty of mastering the components of the perineal protection technique, the difficulty of carrying out multiple activities simultaneously, disparity between training and actual practice, and issues in reflective practice. The present study elucidated the causal factors that students perceived to hinder the learning of perineal protection techniques. This provides specific suggestions for improving training and formulating guidelines for instructional use."
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http://harp.lib.hiroshima-u.ac.jp/pu-hiroshima/file/12566/20180316143713/hohuku18089.pdf

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