Departmental Bulletin Paper 統合実習前後で学生が捉えた看護課題の比較
A Comparison of the Challenges of Nursing Practice that Students Perceived before and after Integrated Nursing Practice
A Comparison of the Challenges of Nursing Practice that Students Perceived before and after Integrated Nursing Practice

三ツ井, 圭子  ,  中澤, 明美  ,  眞鍋, 知子  ,  村上, 京子  ,  羽毛田, 博美  ,  塩田, みどり  ,  松沼, 瑠美子  ,  金屋, 佑子  ,  根本, 友見  ,  本多, 和子

Description
この研究の目的は,統合実習前後で学生が捉えた看護課題を明確にし,統合実習の指導に関する示唆を得ることである.対象は看護学科4年次73名で,統合実習前のレポートと最終カンファレンス資料から学生が看護課題と思われる内容を抽出し分析をおこなった.    統合実習前に学生が捉えた「看護課題」は,【看護管理について理解する】【看護・医療におけるチームワークの重要性】【複数患者を同時に受持つことへの課題】【看護観につながる目指す看護師像】【看護実習生としての自己課題】の5カテゴリーに分類された.統合実習後の「看護課題」は,【病院内の看護管理の理解】【チームワークを発揮した看護の質を維持向上させる実践】【看護展開のプロセスに基づく看護実践】【患者を中心とした関わりと信頼に応える実践】【状況変化に対応する実践】【時間を効率よく管理する能力】【専門職の役割と責務を認識した看護師像】の7カテゴリーに分類された.統合実習前後の看護課題の内容を比較した結果実習後は実習前の約2倍のコード数があり,より具体的な看護課題が記載されていることが明らかになった.
The purpose of this study was to clarify the challenges to nursing practice that students perceived before and after integrated nursing practice, in order to obtain suggestions about the teaching of practice. The subjects were fourth-year 73 students of a nursing department. The content that appeared to be challenges were, extracted, from their pre-practice reports and their final conference documents, and subjected to content analysis.Five categories were induced from the pre-practice report: understanding of nursing management, the importance of team work in nursing and medical care, challenges to be in charge of more than one patient at the same time, an ideal image of a nurse, the self- improvement as a nursing student. Seven categories were induced from the final conference documents: understanding of nursing management in a hospital, nursing practice to maintain and improve the care of a quality by teamwork, clinical practice based on the process of nursing deployment, nursing practice to respond to the trust and relationship centered on patients, nursing practice that corresponds to the situation change, the efficient time management skills, a nurse image by recogning the professional roles and responsibilities. The final conference documents contain twice as many codes as the pre-practice reports. The challenges of nursing practice were specified through this study.
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