母性看護外来実習における看護学生の学びの検討  [in Japanese] Study of student reactions to their practical training in the maternity outpatient ward  [in Japanese]

S学院短期大学の看護学生は, 高度, 急性期医療を中心とした総合病院で臨地実習を行っている。母性看護学では, 妊, 産, 褥婦およびその家族を理解し, 対象に応じた看護ができる能力を養うことを実習目的としている。しかし, 母体搬送やNICU入院の児を持つ母親などと接する機会が多いため, 学生は, 正常な経過をたどる妊婦とかかわりを持つことがほとんどできず, 実習目的の達成が難しい状況にある。学生にとって外来実習は, 正常な経過をたどる妊婦と接することのできる臨地の場である。また, 継続看護や, 婦人科疾患を持つ患者とのかかわりから産, 婦人科外来の特徴を知ることができる。今回, 今後の外来実習の学習指標とする目的で, 外来実習を終了し, 同意の得られた97名の学生の質問紙調査および, レポート分析を行った。その結果, 学生は短時間でも楽しく学び, 外来実習の必要性を感じていた。また, 「妊婦のおなかに触って感動した」「目的意識を持つことの大切さ」や, 「確実な知識, 技術を持って実習に臨むことの大切さ」を記述していた。さらに, 「患者とのコミュニケーション」「家族とのかかわりの大切さ」などについて学び「自分自身への課題がみつかった」「外来から病棟への継続の重要性」について理解を深めていた。

The nursing students at St.Mary's Junior College are assigned practical training for acute disease in its affiliated general hospital. The purpose of the maternal studies program is to understand pregnant women and their families so that the students will develop the ability to care for them. However, the students at this college come into contact only with mothers who have babies in the NICU. Therefore, they are unable to establish relations with women experiencing a normal pregnancy. It is feared that the nursing students will thus be unable to understand the goals of the maternal nursing practical training program. In the outpatient ward, the students learn the distinctions between the obstetrics and gynecological sections. For this research, I studied and analyzed the reports of 97 students after the outpatient ward training. As a result, the students said that they enjoyed the training and reaffirmed the need for maternal outpatient ward training. Students'responses included : "I was unpressed when I touched the pregnant women's abdomens" and "It is important to undergo the practical training with correct knowledge and technology. "Students also learned about the topics of "communication with outpatients, "relations with outpatients families," "the important distinction between the outpatient ward and general ward, "in addition to other themes that some students discovered on their own.