学生の学び, 成人看護実習, 実習指導, 実習指導, 質的帰納的分析手法, learning of student, clinical practice of adult nursing, teaching of clinical practice, analyses of nursing reports, qualitative data analysis
Learning of nursing students in clinical practice of adult nursing based on analyses of their reports
抄録
In order to clarify learning and the difficulties experienced by nursing students in clinical practice, analyses of their reports were made for improvement in teaching methods.
As a result of analyses, learning and difficulties of students experienced were classified into 6 categories and 15 subcategories. The 6 categories were nursing with consideration for patient suffering, nursing with communications among patients and students, nursing aimed at changing actions of patients, nursing involving their families, nursing with a close look at bedside, and uncertainty of nursing effects.
From the results, students' learning grows from their relationships with patients.
Therefore, teachers need to pay attention to these relations. One of the important factors in the difficulties students experience is their lack of ability in nursing evaluation. This shows the importance of teaching nursing evaluation.
実習の指導方法を検討する目的で，成人看護実習の実習記録の内容を質的帰納的分析の手法を用いて分析し，実習での学生の学びと困難に感じた点について明らかにした．その結果，《患者の感情に沿う看護》，《患者とのコミュニケーションの中で生まれる看護》，《患者の行動変容を目指す看護》，《家族を含めた看護の視点》，《見守りの看護》，《看護の成果の不確かさ》の6つのカテゴリーと15のサブカテゴリーが抽出された．分析結果より学生の学びは，患者との関係性から発展しており，学生と患者の人間関係に留意して指導を行う重要性が示唆された．また困難に感じた要因として，学生が看護評価を十分にできていないことが挙げられ，看護評価に対する指導の重要性も明らかになった．
実習記録からみた成人看護実習における学生の学び
jns0701_01-06_Page043to054.pdf
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