JaLCDOI 10.18926/15216
Title Alternative Achievement levels of students on clinical nursing practice for chronic illness
FullText URL 013_2_083_090.pdf
Author Hayashi, Yuko| Kageyama, Jingo| Nakanishi, Yoshiko| Ishizaki, Hiroyuki| Morimoto, Michiko| Mori, Keiko| Tsuboi, Keiko|
Abstract 実習目標の到達度及び実習目標間の関係を明らかにするために,74名の学生による実習目標の自己評価を分析した。その結果,実習目標の到達度は,「自己の看護観や自己成長を培う」が最も高かった。そして「疾患の病態生理や検査・治療についての理解と看護援助」「セルフケアに向けた看護援助」「危機に直面している患者の看護援助」などの看護実践面に関する目標が高値を示していた。学生は目標に沿った看護を実践する中で,経験したひとつひとつのケアを意味づけたり,看護とは何かを探求していったと思われ,それが看護観の形成や自己成長につながっていったものと考えられた。実習目標間の関係では,各実習目標との間に相関が見られ,それらは信頼性のある妥当な慢性期看護実習の目標であることが確認された。
Abstract Alternative This paper is designed to demonstrate the relationships between each objective and the students' achievement levels for the objectives of clinical nursing practice. Seventy four students evaluated their own achievement levels related to their clinical nursing practice. Evaluation scores for each objective were analyzed. The following results were obtained: The objective of cultivating the view of nursing and developing themselves had the highest score. Understanding the mechanism of disease, physical examination and treatment, and patient care, understanding nursing care toward patient's self care, and understanding nursing care for patient in crisis had high scores. The students, through their own nursing care, explored the meaning of each care (or each experience) and inquired about the nature of nursing. Their view of nursing and self development was formed from their own various experiences. Correlation among each objective was found. Each for clinical nursing practice has reliability and validity.
Keywords 慢性期看護実習 (Clinical nursing practice) 実習目標の到達度 (Achievement levels) 自己評価 (Self-assessment) 実習目標間の関係 (Relationships between each objective)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2003-03-20
Volume volume13
Issue issue2
Start Page 83
End Page 90
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307175
JaLCDOI 10.18926/15185
Title Alternative Interprofessional education and training for collaborative work by nurses and care-workers in a special nursing home with small-scale care units
FullText URL 015_2_051_062.pdf
Author Tsuboi, Keiko| Nishida, Masumi| Narikiyo, Yoshiharu|
Abstract 本研究の目的は,ユニットケアに取り組む特別養護老人ホームにおいて,看護職と介護職の協働の状況を明らかにし,協働していく上で両職種が必要とする教育の方向性の示唆を得ることである。看護職2名,介護職3名を対象に自由回答法による半構成的・個別面接を実施した。その結果,協働の状況は, 1)両職種のユニットケアのとらえかたや取り組みは相違し,協働に向けた工夫を行っていたものの,協働関係は成立しにくい状況であった。2)両職種は期待されている役割を担うために教育・研修を受け専門能力を高めたいと考えていた。両職種が協働していく上で必要とする教育の方向性として,以下の示唆を得た。1)利用者や介護職から期待される福祉施設における看護の役割と専門性を高めるために看護職が現実的な課題を解決する力の修得を目指す。2)様々な教育背景と教育ニーズを持つ介護職が知識,技術,ケアの実践力を習得するためには,個人の学習状況とニーズに応じて学習科目を自己管理し自発的な力を高めていく。3)両職種がお互いの専門性を認め,向上を図ることができるようにともに課題を解決し相互作用が継続できる共同研修プログラムによる研修を実施する。
Abstract Alternative The purpose of this study was to identify the interprofessional education and training necessary to achieve teamwork between nurses and care-workers in small-scale care units within special nursing homes. The study design employed an inductive qualitative method. Data were collected from two nurses and three care-workers through personal interviews. Qualitative inductive analysis was used to obtain results. The present situation regarding care in small-scale care units by the two occupational categories was clarified as followed: 1) Despite attempts to work as a team, there were persistent differences in understanding the role of each worker and approach between the two occupational categories, leaving gaps in care. and 2) the care providers in both categories were willing to receive education and training to improve their professional skills and knowledge in order to play their expected roles. For future education, the following training programs were considered to be necessary to achieve cooperation among the two groups in performing the work: 1) a program that helps nurses master practical problemsolving skills, as expertise in problem-solving is expected of nurses in special nursing homes, 2) a program that helps care-workers to enhance their abilities for self-directed study at their level and according to their needs, so that people with various educational backgrounds and needs can obtain knowledge, skills, and ability to practice care. and 3) a program in which both nurses and care-workers can develop mutual respect for the expertise required by each occupation and that will produce synergistic effects on overall care.
Keywords 看護職 (Nurse) 介護職 (Care-Worker) 教育 (Education) 協働 (Collaboration) ユニットケア (Small Scale Care Units)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2005-03-31
Volume volume15
Issue issue2
Start Page 51
End Page 62
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307926