本研究は療養型医療施設において初めて実習指導を行った臨地実習指導者の指導上の困難および病棟管理者や病棟スタッフ(看護職スタッフ・介護職スタッフ)の連携を明らかにすることを目的とし指導者8名と病棟管理者2名に面接調査を実施した。その結果、(1)指導者の指導上の困難は「指導内容や方法」「指導に対する不安」など指導者自身の問題が多かった。(2)指導者は自己の指導を振りかえり、指導方法を工夫し、学生の事故防止や緊張緩和に重点をおき実習指導を行っていた。(3)指導者と看護職スタッフとの連携では「指導への無関心」で、指導者と介護職スタッフとの連携では「情報伝達の不足」があげられており、指導者同士の連携では「連携の不足」、「指導の違い」であった。(4)病棟管理者は指導者と病棟スタッフ(看護職スタッフ・介護職スタッフ)の調整において「スタッフは協力的」「問題はなかった」と認識しており、指導者の病棟スタッフ(看護職スタッフ・介護職スタッフ)の連携に対する認識と差異があることが明らかになった。This research is aimed at indentifing difficulties experienced by clinical training staff who conducted training for the first time at medical care centers; and to make clear the cooperation between hospital ward administrators and the ward staff (nursing and care staff). To achieve this a survey was carried out by means of interviewing 8 instructors and 2 ward administrators. The results from the interviews show that, 1). Many of the difficulties in training instruction faced by the instructors were self-induced created by \u27the content and the methods of training\u27 and with the instructors feelings of \u27anxiety toward training instruction; 2). It was made clear that the instructors reflected on their own instructing skils for improvement and to carry out training instructions which focus on preventing accidents happening to the trainees while also putting them at ease; 3). There was a discrepancy in the understanding of cooperation between the staff, as ward administrators felt that in coordinating the instructors and the ward staff (nursing and care staff) \u27the staff was cooperative\u27 and \u27there were no problems\u27; 4). The main problem concerning cooperation between the instructors and the nursing staff was duetoa \u27lack of interest toward the training\u27, for the instructors and the care staff the problem was \u27a lack of information conveyance\u27, and as for the problem of cooperation between the instructors themselves it was dueto \u27insufficient cooperation\u27 and \u27differences in training methods
