看護学生に対する訪問看護師の実習指導の現状と指導についての意識

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  • カンゴ ガクセイ ニ タイスル ホウモン カンゴシ ノ ジッシュウ シドウ ノ ゲンジョウ ト シドウ ニ ツイテ ノ イシキ
  • 訪問看護師の実習指導の現状と指導についての意識
  • Visiting Nurses’ Awareness of the Current State of Clinical Practicum and Guidance

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This research aimed to study clinical practicum provided by visiting nurses to nursing students and awareness of the practicum. The participants were １９８ visiting nurses at visiting nurses’ stations in Prefecture A. They responded to questions on the actual state of clinical practicum （２０items） and on their awareness of practicum （１０items） by choosing one of the items of a ５-point Likert scale, where ５ was “Applicable” and１ “Not Applicable at All”. Regarding the actual state of practicum, three items received a high score of ４．４０: “Providing information to enhance the students’ understanding of service-users and users’ families” ; “Helping the students improve their understanding of cooperation” : and “Being considerate of the ways of communication when giving guidance”. Regarding their awareness of practicum, two items received a high score of４．１７ : “Giving guidance leads to my own growth” and “Giving guidance is an opportunity to relearn”. Further, four categories were extracted from their free descriptions : Easier to grasp the entirety of care targets ; Communicating thoughts and basics ; Teaching the way to respect and support care targets ; and Seeing the students as co-learners. The findings indicate that the visiting nurses tailored their guidance according to the students’ individuality, and did not rely on manuals in providing the students with advice and information about clients and cooperation. Furthermore, they were considerate of their words and ways of communication to avoid putting the students under pressure. In addition to grasping the the real significance of a practicum, those experienced visiting nurses tended to consider practicum as an opportunity to relearn, and improve themselves. There were differences between visiting nurses with regard to their employment statuses, their advice on checking and reporting of practicum requirements, and to their participation in evaluation meetings. Finally, the results of the present study underscore the need to improve the capacity of visiting nurses to communicate information and give guidance.

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