訪問看護ステーションへの就職を促す訪問看護師の実習指導の検討

Practicum Instruction by Home-Visit Nurses to Prepare Nursing Students for Employment at Home-Visit Nursing Stations

要旨

　目的：学生の訪問看護ステーションへの就職を後押しした訪問看護師の実習指導の内容を検討する．

　方法：新卒訪問看護師，訪問看護ステーションへの就職を希望する学生ら合計6名に半構造化インタビューを行い，学生が認識した訪問看護師の実習指導を抽出した．

　結果：研究対象者は，【学生と関係性を築きながら，初めての訪問看護に向けた概要説明】【学生が初めて会う利用者・介護者に，どう関わればよいか心づもりをするための情報提供】【生活の中での看護実践の学生への共有】など5カテゴリーの指導を認識していた．また，【1日の流れややりがいなど，訪問看護師の仕事を知る機会の提供】【新卒訪問看護師採用に関する，採用準備状況や率直な意見の情報提供】など5カテゴリーの指導を認識していた．

　結論：訪問看護ステーションへの就職を希望する学生は，訪問看護実践の理解を促す指導に加え，働く場所として捉えてもらう指導を経験していた．

　Purpose: We aimed to examine the content of practicum instruction by home-visit nurses(HVNs) that supported nursing students for employment at home-visit nursing stations.

　Methods: Semistructured interviews were conducted with six people, which included newly graduated HVNs and students who opted for employment at home-visit nursing stations. We assessed the practicum instruction by HVNs as perceived by students.

　Results: The 10 categories of practicum instructions from HVNs perceived by students were classified into 2 types. One type consisted of five categories of the practicum instructions that included "Building a relationship with the student and providing an overview to prepare for their first home-visit nursing," "Providing information to students on how to approach patients/caregivers whom they meet for the first time," and "Practicing home care nursing with students." The other type comprised the remaining five categories that included "Telling students about the role of HVN, including how a working day flows and how rewarding it is" and "Giving students your honest opinion about employing newly graduated HVNs."

　Conclusion: Students opting for employment at the home-visit nursing stations experienced instructions that encouraged them to understand home-visit nursing practice, along with guiding them to perceive it as a workplace.