地域看護実習における地域看護診断の学習過程  [in Japanese] An Analysis of the Learning Process of Community-Health Nursing Diagnosis during the Community-Health Nursing Training  [in Japanese]

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Abstract

本研究は,保健師に求められる地域看護診断(地域の保健ニーズをアセスメントし,計画策定)のできる能力の基礎を備えた保健師教育の基礎資料とすることを目的に,地域看護実習の中で学生が地域看護診断の展開過程をどのように学習しているかを分析した.方法は,E大学4年次学生22名のうち書面で同意が得られ,現地オリエンテーションが実習期間中に行われた10名の実習日誌に記述された内容から,地域看護診断の学習過程について分析した結果,以下のことが明らかになった.1.現地オリエンテーションでは,保健所・市町の組織,保健事業,保健師活動等から地域に必要な保健サービスについて学習している.初回地区踏査では自然環境や交通・人々の集まり等から人々の暮らしぶりを実感している.2.2事例4名の実習日誌の経時的分析から地域看護診断の学習過程は,<地区や人々の実像が見える><テーマに関わる対象が見える><データを関連づけて分析できる><健康課題を抽出し,背景・地域の強みがわかる><計画策定のアウトラインがわかる>の5段階の学習過程を辿っていることがわかった.地域看護診断の過程でデータの分析は,地域を大づかみに把握した後,データを焦点化し,統合化する思考過程が推測された.以上のことから,地域看護診断の展開過程における学生の学習過程が明らかになり,それぞれの段階に応じた支援の必要性が示唆された.

The purpose of this study is to analyze how public health nurse students learn community-health nursing diagnosis during community-health nursing training and to collect basic data to educate them about the fundamental ability necessary to make a community-health nursing diagnosis. Procedures: Out of 22 seniors at E College, 10 who consented in writing and who attended the orientation during training were selected. The contents of their training journals were qualitatively analyzed to find the learning process of community-health nursing diagnosis. Results: 1. During the local orientation they learned health services necessary to the community from the viewpoint of systems of a public health center and the local government, public health services, and public health nurse's activities. At the first inspection they realized how people live in terms of natural environment, traffic, and groups of people. 2. By analyzing the training journals longitudinally, it became apparent that the learning process of community-health nursing diagnosis has 5 stages: they see the real images of people and community; they see objects concerning subjects; they analyze connecting data; they extract health problems and find the background and advantage of the community; they realize the outline of designing a plan. The analysis of data during the community-health nursing diagnosis seemed to follow the thinking process that after grasping the picture of the community roughly, they focus on and integrate data. As stated above, the learning process of students in community-health nursing diagnosis became clear. The necessity to assist them during each stage was also suggested.

Journal

  • Journal of Japan Academy of Community Health Nursing

    Journal of Japan Academy of Community Health Nursing 9(2), 98-105, 2007

    Japan Academy of Community Health Nursing

Cited by:  1

Codes

  • NII Article ID (NAID)
    110009865241
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    1346-9657
  • Data Source
    CJPref  NII-ELS  J-STAGE 
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