Images of nurses by senior high school students wishing to go on to the nursing course

本研究では、看護課程志望の高校生が看護職に対してどのようなイメージを持っているのか、看護教育機関の希望や将来の看護職種の希望は看護職に対するイメージと関係があるのかを明らかにしたいと考えた。岡山県下の全ての高校に在学中の看護課程志望高校生に対して、質問紙調査をおこなった。222名から回答が得られ、分析を行った結果、以下のことが明らかになった。1）看護課程志望高校生は看護職に対して非常に良いイメージを持っており、同時に労働条件の厳しさも理解していた。その良いイメージとは、看護職の持つ尊さや献身性に由来する自負心と、資格のもつ現実的利点であった。しかし、看護職の専門性を表す、高度な知識・判断・技術、生涯教育の必要性の認識は低かった。2）短大・大学を志望する高校生は、看護学校・准看護学校志望者に比べ、看護職は生涯教育を必要とするとイメージしていた。3）看護婦、保健婦、助産婦のどの職種を希望するかによって、看護職に対するイメージに違いがあった。A qusetionnaire survey was done by senior high school students wishing to go on to the nursing course in Okayama Prefecture, to know what images of nurses they had, what course for nursing education they wished to best for and what they would like nursing profession to be. Results of analysing data obtained from 222 students were as follows; 1. They had favorable images of nurses in high rates, although they also recognized the harsh working conditions. Those images were thought to be derived from the preciousness of nursing, devotion to people, and advantage of the license. But recognition of specialty of nursing indicated by items such as knowledge, judgement, skill and continuing education was low. 2. Necessity of continuing education was recognized by students wishing to go on to university or junior college better than students of vocational school of registered and assistant nurses. 3. Images of nurses were different by their choice of profession such as clinical nurses, public health nurses and midwives which they would like to be in the future

A Study of community nursing Practice of basic nursing educaition curriculum - Analysis of practice repord by student nurses -

地域看護実習は、地域における看護の役割を理解することを主なねらいとして、保健所で実習を行っているが、保健所実習が地域看護実習の目標を達成しているかは否かを、学生の実習記録を分析し検討した。80％以上の学生が体験している実習内容は、家庭訪問、集団検診、共同作業所、健康相談等である。実習目標の記載状況は「実習項目別実習記録」及び実習全体のまとめ「総括」の記載内容から抽出し分析した。目標記載率70％以上であった実習項目は、実習目標①（地域の人々の生活及び健康問題の理解）は共同作業所、グループ指導、家庭訪問であり、目標②（保健サービスの実態の理解）では家庭訪問であった。また「総括」では目標②の記載率が高く、目標③（地域の看護活動の実態を学ぶ）の記載率67％と予測に反して高くなかった。今後地域看護、継続看護に関する講義のあり方を含めて、地域看護実習の位置づけを再検討する必要がある。Practice reports at the health center for 1 week written by 152 student nurses were analysed to know wether they achieved their goal of the course for community nursing or not. More than 80% students attended at home visits, mass health examination, common workshops for mentally disordered persons and health counsclling. Practice for understanding peoples'lives and health problems in the community were well achieved in practice at the common workshop, group guidance and home visit. They understood about health care and servicesin the community through home visits. Their comprehension of role of the community nursing was not so sufficient as expected for mark of curriculum

Nursing students' perception of their acquired basic skills in nursing practices : a comparison between a new and an old curriculum

平成2年度改正の新カリキュラムで学んだ学生と旧カリキュラムで学んで学生間に、卒業時の基礎看護技術の到達度に違いがあるかを明らかにするために、看護技術の基本的要素、日常生活の援助技術、診療時の援助技術の49項目の到達度について、3年制課程の3年生に質問紙調査を行った。対象者全体では、到達度の上位10位以内に日常生活の援助技術項目の37％が含まれ、到達度の下位10位以内に診療時の援助技術項目の37％が含まれていた。新カリキュラム群と旧カリキュラム群の比較では、21項目に有意差があった。新カリキュラム群の高い15項目は日常生活の援助技術と看護技術の基本的要素に関するものが多く、旧カリキュラム群が高い6項目は診療時の援助技術が多かった。カリキュラム改正に関係なく、日常生活の援助技術の到達度は高く診療時の援助技術は低い傾向にあったが、カリキュラム改正後はその傾向が強まり、さらに看護技術の基本的要素の到達度はカリキュラム改正後に比較的高くなっていることが明らかになった。新カリキュラムでは臨地実習時間を削減しているが、基礎教育で重視する日常生活の援助技術と看護技術の基本的要素は習得できていると考えられる。A revision was made in a nursing curriculum in 1990. This study examined nursing students' perceived level of acquired 49 basic skills in nursing practices consisting of 11 basal elements of nursing skill, 19 skills in helping patients' daily activities, and 19 skills required in medical situations, comparing students receiving a new curriculum with those receiving an old one. Findings showed that in the rank ordering of all items from the best acquired to the least, collapsed across the two groups of students, 37% of the upper 10 items cocerned the skills in helping patients' daily activities, while 37% of the bottom 10 items concerned the skills required in medical situation. The students receiving the new curriculum perceived themselves better than those reseiving the old one for 15 items that were related with the basal elements of nursing skill and the skills in helping patients' daily activities, while the 6 items in the skills required in medical situations were perceived to be better acquired for the latter than the former students. The finding suggest that the new curriculum produced students who perceive themselves to be better achievers in the basic skills in nursing practices

The ideas about nursing course of senior high school teachers.

近年、4年制大学の増設をはじめとした看護課程における教育の変革が進められつつある。これは質の高い看護の人材を必要とする社会のニーズに応えたものである。著者らはこれらの看護課程に対する意見を、岡山県下の高校で進路指導をしている教師に尋ね、郵送による質問紙法を用いて33名の回答を得た。その結果、以下のことが分かった。1. 51.5％の教師は、看護大学が増えると進学希望者の関心は呼ぶとしており、36.4％は、学生数の一定の増加があるだろうとしている。また、36.4％は教師の立場から看護課程への進学を勧めやすくなると考えている。2. 高校の教師は看護婦不足の理由として労働条件の厳しさを指摘している。3. 高校教師は進路として看護課程を勧める理由を仕事の専門性と奉仕性を多くあげていた。これらは、高等教育化と看護職のイメージの改善の両方が必要であることを示唆している。Currently, improvement of nursing curriculum has been done in Japan, including the establishment of a four year course at universitiy, responding to the social needs for man-power for high quality nursing. A questionnaire survey by mail was done in 1993, to get ideas about the nursing course of high school teachers giving advice to students wishing to go on to university or college. Thirty three high school teachers out of a total of 76 schools in Okayama prefecture responded. The results were as follows; 1, Seventeen teachers (51.5%) answered that the increase of a four year course at university would be an incentive to students. Twelve teachers (36.4%) said that it might increase the number of students choosing the course. And also 12 teachers (36.4%) thought that they could recommend this course to students more easily than before. 2, They pointed out the harsh working conditions as the reason for a shortage of nursing manpower. 3, Their reasons why they recommend the nursing course to students were firstly the specialty and secondly devotion to people

Self-evaluation ability of nursing college students on basic nursing care technics

我々は、基礎看護技術の2回の実技試験の結果より、学生の自己評価能力について検討した。1. 2回の実技試験共、学生の自己評価点は教官評価より、約1点高かった。2. 2回目の実技試験の方が、自己評価と教官評価の一致率の高い者が有意に多かった。3. 3分の1の学生が、2回の試験共過大評価の方が多かった。4. 高い一致率を示した評価項目の多くは、評価の視点が明確な動作のものであった。5. 低い一致率を示した評価項目の多くは、評価の視点が判断を必要とするものであった。We studied about self-evaluation ability of the nursing collge students based on two times test on basic nursing care technics. The self-evalution of the students was approximately one point higher than the evaluation of their instractors in the both tests. In the second test, the seif-evaluation of the students coincided in the higher rate with the evaluation of their instructors than in the first test. One-third of the students over-estimated their own basic nursing skills. The item of the evaluation in the high coincidente rate suggests that the evaluation was clear. On the other hand, most of the item of the evaluation in the low rate of coincidence rate sugests that the view point of the evaluation was needed more considerration

Autophagy Protects the Proximal Tubule from Degeneration and Acute Ischemic Injury

Autophagy is a bulk protein degradation system that likely plays an important role in normal proximal tubule function and recovery from acute ischemic kidney injury. Using conditional Atg5 gene deletion to eliminate autophagy in the proximal tubule, we determined whether autophagy prevents accumulation of damaged proteins and organelles with aging and ischemic renal injury. Autophagy-deficient cells accumulated deformed mitochondria and cytoplasmic inclusions, leading to cellular hypertrophy and eventual degeneration not observed in wildtype controls. In autophagy-deficient mice, I/R injury increased proximal tubule cell apoptosis with accumulation of p62 and ubiquitin positive cytoplasmic inclusions. Compared with control animals, autophagy-deficient mice exhibited significantly greater elevations in serum urea nitrogen and creatinine. These data suggest that autophagy maintains proximal tubule cell homeostasis and protects against ischemic injury. Enhancing autophagy may provide a novel therapeutic approach to minimize acute kidney injury and slow CKD progression

Time-dependent dysregulation of autophagy: Implications in aging and mitochondrial homeostasis in the kidney proximal tubule

<p>Autophagy plays an essential role in cellular homeostasis through the quality control of proteins and organelles. Although a time-dependent decline in autophagic activity is believed to be involved in the aging process, the issue remains controversial. We previously demonstrated that autophagy maintains proximal tubular cell homeostasis and protects against kidney injury. Here, we extend that study and examine how autophagy is involved in kidney aging. Unexpectedly, the basal autophagic activity was higher in the aged kidney than that in young kidney; short-term cessation of autophagy in tamoxifen-inducible proximal tubule-specific autophagy-deficient mice increased the accumulation of SQSTM1/p62- and ubiquitin-positive aggregates in the aged kidney. By contrast, autophagic flux in response to metabolic stress was blunted with aging, as demonstrated by the observation that transgenic mice expressing a green fluorescent protein (GFP)-microtubule-associated protein 1 light chain 3B fusion construct, showed a drastic increase of GFP-positive puncta in response to starvation in young mice compared to a slight increase observed in aged mice. Finally, proximal tubule-specific autophagy-deficient mice at 24 mo of age exhibited a significant deterioration in kidney function and fibrosis concomitant with mitochondrial dysfunction as well as mitochondrial DNA abnormalities and nuclear DNA damage, all of which are hallmark characteristics of cellular senescence. These results suggest that age-dependent high basal autophagy plays a crucial role in counteracting kidney aging through mitochondrial quality control. Furthermore, a reduced capacity for upregulation of autophagic flux in response to metabolic stress may be associated with age-related kidney diseases.</p