Departmental Bulletin Paper 看護学生のコミュニケーション演習において認知症高齢者を演じた模擬患者の経験
Role play experience in communication training for nursing students by, simulating demented elderly patients

佐野, 望  ,  北川, 公子  ,  田中, 敦子  ,  野田, 陽子  ,  Nozomi, Sano  ,  Kimiko, Kitagawa  ,  Atsuko, Tanaka  ,  Yoko, Noda

Description
本研究の目的は、認知症高齢者とのコミュニケーションを課題とした演習で、高齢者役をつとめた模擬患者の演習に向けた準備から実施までの一連の過程における経験の内容を明らかにすることである。研究方法は、演習に参加した模擬患者8名に「看護学生との演習や看護学生へのフィードバックを通して感じたこと、考えたことについて」インタビューからデータを得て質的に分析した。結果、〈認知症を演じる不安を乗り越え、経験と学びを生かして演じる〉、〈将来の自分を思い描く〉、〈看護学生との思いの違いを感じる〉、〈看護学生の不安やあせり、失敗を受容する〉、〈看護学生の気づきを拡げる手助けをする〉の5個のカテゴリーで構成されていた。演習に参加した模擬患者の一連の経験は、模擬患者自身の成長や老いと向き合う機会となっているという自分自身に向けた経験と、若い人々の成長に貢献したいという助言者としての役割を果たすという経験であった。
Patients' experiences were simulated and investigated from preparation to execution during a practical on “communication with elderly people with dementia.” Interviews were conducted with simulated patients (N=8) that were role played by participants in communication training. Interviews were conducted on simulated feelings of patients and thoughts about role playing with nursing students, as well as on providing feedback. The data were analyzed qualitatively. Results indicated the following categories: (1) overcoming anxiety about playing the role of elderly people with dementia and performing based on experience and learning, (2) imagining the future of oneself, (3) differences in thinking between nursing students and simulated patients, (4) accepting nursing students' anxieties, impatience, and failures, and (5) helping nursing students expand their awareness. It was suggested that the experience of being simulated patients' provided the students with opportunities to develop themselves and helped them face the process of their own aging. Furthermore, this experience was educational because it contributed to the development of the students.
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