臨地実習直前の成人看護学カリキュラムの検討

Examination of Curriculum in Adult Nursing before Clinical Practice

要旨

　臨地実習直前に特別な成人看護学カリキュラムを設定，看護短期大学3年次生77名を対象とし，各学習プロセス，自己学習と病態講義，グループワーク，role-playでの学習内容を調査した．学生の自己学習と病態講義の学習内容からは，〈自己学習の方法〉〈病態知識の獲得〉〈患者の個別性理解〉〈看護計画立案への学び〉の4カテゴリーが，グループワークからは，〈患者像の理解〉〈意見交換による学び〉〈アセスメントの確立〉〈グループワークでの気づき〉の4カテゴリーが示された．また，role-playからは，〈看護師役からの学び〉〈患者役からの学び〉〈観察者役からの学び〉の3カテゴリーが示された．これらの学習内容から，病態学と関連した学習内容が明らかになり，〈病態知識の習得〉〈病態講義からの学び〉〈病態理解からの看護計画の立案〉〈ケア体験からの病態理解〉〈グループワークでの病態学習〉の5カテゴリーが示された．

Abstract

　The purpose of this study was to examine the curriculum collaborating pathophysiology in adult nursing before clinical practice. This study researched the content of reports that were written by students. Subjects were seventy-seven students. Teaching program was constructured by four sections, personal study, pathophysiology lecture, group work, role-play. The validity answers of reports were seventy-seven. As these results of analysis, the content of learning in personal study and pathophysiology lecture were analyzed four categories, 〈personal study〉〈acquisition of the pathophysiology knowledge〉〈understanding of patient's personality〉〈learning of nursing plan〉. The content of learning in group work were analyzed the four categories, 〈understanding of patient image〉〈learning by discussion〉〈establishment of the assessment〉〈cues of group work〉. The content of learning in role-play were analyzed three categories, 〈leaning from nurse role〉〈learning from patient-role〉〈learning from observer〉. Through reports of three sections in learning process related pathophysiology were analyzed five categories, 〈acquisition of the pathophysiology knowledge〉〈leaning of pathophysiology in lecture〉〈nursing plan by pathophysiology understanding〉〈understanding of pathophysiology on caring〉〈learning of pathophysiology in group work〉.