「健康教室」に関する学内演習と地域看護学実習での学生の学びと学習の成果

Abstract

現在の社会では、生活様式の変化に伴って引き起こされた生活習慣病を予防することが大きな課題となり、個人が生活習慣を改善するための行動変容が求められ、そのきっかけのひとつの手段として「健康教室」などが地域保健従事者には求められてきている。これらの背景を踏まえ、看護2年次の授業で学生同士による健康教室演習を体験させ、看護3年次の実習では地域住民を対象に住民の健康問題を踏まえた「健康教室」を実施させている。そこで、看護2年次に行う「健康教室演習」が看護3年次の地域看護学実習中に行う健康教室実習にどのように反映されているのか。また健康教室実習での学びを明らかにすることを目的とした。その結果、演習と実習の評価得点ついては「対象者の反応が確認できた」、「時間配分の適切さ」、「参加者の安全の確保」に有意な差がみられた。また、健康教室実習では「健康教室の意義」や「指導の難しさ」などについての学びが明らかになった。今後、演習と実習を連動させることにより、学生が効果的な健康教室の実践が出来るような教育的指導の必要性が示唆された。Today, as the prevention of adult diseases attributable to changes in lifestyle has become a major challenge, behavioral modification for individuals to improve their lifestyle is increasingly needed, and community health workers are required to practice such measures as part of a "health workshop" to motivate people to do so. In this context, we provide second-grade students with an opportunity to experience health workshop practice in the classroom, and third-grade students conduct health workshops with residents in the community in view of their health problems. Thus, this study was conducted to clarify how the classroom practice was reflected in the health workshop during nursing practice, and what students learned from the health workshop in the nursing practice. The results revealed that evaluation scores for the classroom practice and the nursing practice significantly differed in the items "the audience\u27s responses were clear," "appropriateness of time allocation," and "securing of participants\u27 safety." It was also demonstrated that students had learned the "significance of the health workshop" as well as the "difficulty to instruct" in the health workshop in the nursing practice. These findings suggest the necessity of relating the classroom practice with nursing practice to provide educational guidance that enables students to conduct effective health workshops

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