キャリア形成を促進する看護基礎教育への課題 : 短大卒業生の母校四大化への期待

新見公立短期大学は昭和55年度に開学し,看護学科では既に1,500人を超える卒業生を送り出してきた。また,平成16年度に1年間の保健師養成課程の地域看護学専攻科を新設した.しかし,看護学科3年間と専攻科1年間の積み上げによる過密なカリキュラムの中での教育では,現代の社会ニーズに対応できる人材育成には余裕がないのが現状である.学生の約4割が四年制大学編入や保健師・助産師養成課程への進学を希望しており,その傾向は強まっている.学生の主体性や豊かな人間性を育み,十分な専門的知識と技術とを兼ね備え,医療施設のみならず,家庭,地域,社会への幅広い視点を持った保健師・看護師の育成を図ることを目的として,四年制大学への移行を考えた.本稿では,看護基礎教育の四大化において,短大卒業生の反応や期待を調査し,卒業後のキャリア形成に寄与する基礎教育の枠組みを明確にすることを目的とした.その結果,回答した卒業生の約9割が四年制大学への移行を望んでおり,教育内容としては専門的な知識技術や人間関係能力など,人間力と看護力を備えた有意な人材の育成を期待していることがわかった.Our college was founded in 1980 and the nursing department has already turned out more than 1500 graduates. Also, one-year community health nursing course to become a health nurse was established in 2004. However, the fact is that there is not enough room to cultivate human resources that can deal with today\u27s social needs in the busy curricula of three-year nursing department and one-year community health nursing course that are built up each year. About 40% of the students want to transfer to a four-year college or go on to the training course of a health nurse or a midwife, and this tendency is increasing. The transition to a four-year college was considered for the purpose of developing students\u27 independence and rich humanity, and fostering nurses and health nurses that have a good knowledge, skill and a wide viewpoint on a household, a community and a society as well as healthcare facilities. The purpose of this study was to clarify a framework for basic education that helps to shape the career after graduation through the research on our graduates\u27 responses and expectations for the transition to a four-year college. The result shows that about 90% of the respondents hope for the transition and that, as for educational contents, they expect for the cultivation of human resources equipped with relationship skills and professional nursing knowledge and skills

臨地実習指導者および教員のリスクマネジメント研修会の報告 : 3年間の臨地実習施設連絡会議より

Clinical training plays an important role in nursing education. In the clinical training, cooperation of clinical training institutions and instructors, and strengthening of mutual understanding and leadership are indispensable. In the clinical training institutions\u27 liaison conferences for the three years in 2000-2002 of the Department of Nursing, Niimi College, lectures and workshops were done under the main theme, "The Risk Management in Clinical Training." The titles of the lectures were "The View of the Risk Management in the Medical Settings" (2000), "Risk Management of the Nursing Settings" (2001), and "The View of the Risk Management in Clinical Training" (2002). The "Incident" examples inclinical training were used in the workshops

新たな教材としての電子カルテ教育システムの効果と課題 : 呼吸障害患者の看護過程の展開から

新見公立短期大学看護学科(以下本学)の取組『電子カルテ教育システムによる看護基礎教育』が文部科学省平成19年度『現代的教育ニーズ取組支援プログラム』(現代GP)に選定された。取り組みの背景としては、国では病院などで電子カルテの導入を推進していることがある。そこで電子カルテシステムを導入している病院において、基礎看護学実習で学生が電子カルテを活用してよかったこと及び困ったことについて明らかにし、学内で電子カルテシステムを活用した教育システムの課題と有効性を検討した。さらに現在行っている教材としての電子カルテ教育システムの取組の一端として取り組みの実際とその評価を行ったので報告する。Basic nursing education using an electronic chart-based training system, an initiative by the Department of Nursing Science, Niimi College (hereinafter called the College) was selected as a target for the 2007 Contemporary Education Needs Initiative Support Program (Contemporary GP) sponsored by the Ministry of Education, Culture, Sports, Science and Technology. This initiative was designed in view of the Government\u27s promoting of the introduction of electronic medical charts to hospitals. Thus, at a hospital employing an electronic chart system, we identified what nursing students had found beneficial or troublesome on using electronic medical charts during the basic nursing practice, and discussed the effectiveness and future tasks of electronic chart-based training systems in the College. As part of the present initiative for electronic chart-based training systems as a training tool, we report the current status and interim evaluation of the initiative

臨地実習前の看護学生のMSTの特徴

The purpose of this research is to point out the issues to counsel the students who experience conflicting settings in clinical training. We used the measure of Moral Sensitivity Test (MST) in order to grasp the tendency of students\u27 ethical sensitivity. We have the following results. (1) Following seven categories have been extracted, namely 1) responsibility and role, 2) conflict, 3) morality view, 4) norms and criteria, 5) decision-making based on experiences, 6) respects for wills, and 7) independence as professionals. (2) In the clinical training settings, students view human relations importantly and they find conflicts in the relations. (3) Independence as professionals have not been formed yet in students in situations such as nursing for unrecoverable patients, decision-making without patients\u27 will and nursing independently based on their own experiences

短期大学生入学初期の生活習慣獲得の実態

Students these days have been said to be short of basic life habits forming. For students who major in nursing, welfare or early childhood education, it is very important to form basic life habits because they need to support other people\u27s lives in their future careers. We have found out that comparatively many students have acquired the basic life habits in hygiene, but relatively smaller percentage of students have formed the basic life habits in protection against infecdon, and excretion. We need to consider how we can make our students acquire basic life habits

臨地実習における医療事故防止に向けての教育上の課題 : SHELモデルを用いたインシデントの分析から

We have analyzed incidents that our nursing students encountered during their practical training with the use of SHEL Model. Consequently, we were able to extract the factors of incidents that instructors and nurses tend to overlook. We have found out that lack of experience of the students is likely to lead to the incidents. We also have found out what we need to know in instructing students in practica1 training. In order to prevent the medical accidents by the students, we (instructors and nurses at the training institutions) need to not only raise the students\u27 consciousness to medical accidents but also educate and instruct with the common view points of "medical accident prevention.

看護基礎教育における臨地実習事故対応マニュアル導入への取り組み

In the field of medicine, various measures are being conducted so as to prevent malpractice. In basic nursing education, we need to establish management systems to handle the accident cases in clinical nursing practice. In the academic year 2003, Niimi College has introduced the risk management manual for clinical nursing practice in order to handle possible accident cases. We invesdgate the trends of risk management in medical and nursing fields. We also explain the situation that we need to introduce the risk management manual and point out the things we need to improve in the future

学内実習指導方法についての一考察II

The purpose of this paper is to consider further the methods of classroom instfuction for practices in nursery schools with the consideration of the availability and problems of each student\u27s individual learning task. Our previous paper argued that giving individual learning task is not enough, and that they need to feed back from their own experiences. In this paper we discuss what the students use as clues to feed back from their own experiences. We will also consider better ways to instruct for practices in nursery schools

3年課程看護学生の「看護研究」への取組みと教育評価 : 本学の2000年から2004年の5年間の分析

3年課程短期大学看護学科の必修科目である「看護研究」について、1997年に学生の取り組みの動向について調査している。その結果、研究テーマが多岐にわたり、研究対象も広範囲に行われており、また、研究動機は臨地実習の直接体験として事例研究が多く実施されている事が明らかになっている。1997年のカリキュラム改正から、「看護研究」の授業展開について修正を加えてきた。今回、現在の「看護研究」の取組みを評価し、指導上の課題を明らかにするために、2000年から5年間の学生の研究論文を分析した。その結果、前回調査と比較して、実習体験から研究動機を得た論文が減少し、また、事例研究より調査研究の方法を選択している学生が増加していた。研究発表の方法も前回調査時と比較して、視覚的な発表方法に変化していることがわかった。これらの結果を基に、「看護研究」指導の課題として、問題の明確化に焦点を当てた指導の必要性や、ITの活用に対する教員の能力開発、倫理委員会の設置、発表方法についてなど検討を要する課題が明確になった。According to the research conducted in 1997 on students\u27 trends of "Nursing Study," a required subject in the nursing department of three-year college, themes and subjects covered a broad range and many case studies were done. Since curriculum revision in 1997, how to teach "Nursing Study" has been modified. This time, students\u27 research papers during 5 years from 2000 to 2004 were analyzed to evaluate students\u27 approach to "Nursing Study" and clarify the problems in teaching. Compared with the last results, few students gained the motivation of the paper from the experience of practical training and the students who selected the method of survey study rather than that of case study increased in number. Their presentations changed into more visual ways. These results suggest that teachers focus on clarification of the theme, improve IT skills, establish an ethics committee and consider ways of presentation