特別養護老人ホームにおける老人看護学実習の学習内容—実習記録の分析から

Learning Content of Geriatric Nursing Practice in Special Nursing Homes for the Aged : From Analysis of Nursing Practice Records

　特別養護老人ホームにおける老人看護学実習の学習内容を明らかにする目的で，実習記録の援助に関する学びのキーセンテンスを抽出し，内容分析の手法で，カテゴリー・サブカテゴリーに分類した．さらに既習の実習科目，実習時期，老人看護学実習を実施した施設，受け持ち者の状態，祖父母との同居経験と学習内容との関連を分析した．

　結果：1．老人看護学実習を成人看護学実習終了後に実施した場合は，高齢者援助の総合的理解が多く，成人看護学実習未終了の場合は日常生活援助の学びが多かった．

　2．臨床実習期間の後半に老人看護学実習を行った場合は，気持ちへの配慮の学びが多かった．

　3．実習場である老人福祉施設では，入居しているそれぞれの高齢者の特徴に応じた援助方法の学びができていた．

　4．祖父母との同居経験のない者のほうが移動の援助およびデイサービスの学びが多かった．

　以上の特徴を考慮して，学生の関心の広がりと深まりに注意しながら指導する必要性が示唆された．

　To clarify the learning content in geriatric nursing practice in the special homes for the aged, learning concerning help was classified from the practice records into the categories and subcategories according to the content analysis method. The relation between the completed practice subjects, practice time, facilities where the practice was carried out, condition of care recipients, cohabitation experience with grandparents, and learning content was analyzed.

　Results : 1. There was a lot of overall understanding of helping, there was the elderly in cases where adult nursing study practice had already been completed, and where it was not yet completed, there was a lot of learning about daily life help.

　2. There was a lot of learning about consideration of feelings when the geriatric nursing practice took place in the latter half of the nursing practice period.

　3. Adjustment of the method of care according to the characteristics of each recipient was learned.

　4. There were a lot of learning of movement help and day service in those who did not have experience of cohabitation with grandparents.

　It was suggested that direction should be given to students, while taking the above features into consideration, and noting the extension and deepening of their concern.