看護学生の実習開始前と終了後の観察の相違に関する検討 : 術後急性状況のモデル人形を用いたバイタルサインと酸素吸入療法の観察に注目して

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  • カンゴ ガクセイ ノ ジッシュウ カイシ マエ ト シュウリョウゴ ノ カンサツ ノ ソウイ ニ カンスル ケントウ ジュツゴ キュウセイ ジョウキョウ ノ モデル ニンギョウ オ モチイタ バイタルサイン ト サンソ キュウニュウ リョウホウ ノ カンサツ ニ チュウモク シテ
  • Study on the difference in observation points between students before and after experiencing related nursing practice : on the observations of vital signs and oxygen inhalation by use of an acute stage dummy

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The difference in observation points for postoperative patients between two groups of nursing students was analyzed in terms of the students’ experience of related training for the purpose of improving the training tutorial. The object was 72 students before starting adult nursing training (nursing of the acute stage patient) and 45 students after the training termination. The students were allowed to observe an acute stage dummy for 10 minutes and to write down the observation results of the ‘drains and tubes’, ‘fluid therapy’, and ‘vital signs’. The descriptions about these three items were analyzed by classifying them into ‘correct’, ‘mistaken’, and ‘no description’. The main results are as follows. The percentage of nursing students who correctly reported the ‘heart rate on the monitor’ was lower in the group after training termination comparing to the other group. As for the ‘oxygen flow rate’, many mistakes were found in the both groups, indicating the technical problem on the monitoring of the oxygen flow meter. In the both groups, no student described ‘core temperature on the monitor’ and ‘oxygen concentration’. These results suggest the necessity of developing tutorial method to improve the students’ observation ability for postoperative patients. The use of an acute stage dummy would be helpful for the practice of observations. It is also necessary for the teachers to check the observation behaviors of students during the exercises and practices in order to make the observations correct.

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